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Article ; Online: Designing a customized clinical practice guideline regarding antibiotic prophylaxis for Iranian general dentists.

Savadi, Najmeh / Barati, Omid / Mirhadi, Hossein / Golkari, Ali

2019 Volume 19, Issue 1, Page(s) 217

Abstract: Background: Clinical practice guidelines produced by developed countries seemed to be not completely feasible for developing countries due to their different local context. In this study, we designed a customized guideline about antibiotic prophylaxis ... ...

Abstract	Background: Clinical practice guidelines produced by developed countries seemed to be not completely feasible for developing countries due to their different local context. In this study, we designed a customized guideline about antibiotic prophylaxis before dental procedures for Iranian general dentists. Methods: This study was conducted of two parts, including a qualitative part and a cross-sectional analytic part. A multidisciplinary team searched for related guidelines and other documents, selected the most updated and high quality ones, customized their recommendations based on available antibiotics in Iran, prepared a draft adapted guideline and summarized its recommendations in 3 flowcharts. An expert panel (20 specialists of four Iranian dental universities) participated in a consensus process, afterwards to determine the relevance and clarity of the flowcharts and their items. Then the Content Validity Indices (CVIs) were calculated and any items with CVI higher than 0.79 remained. Results: The adapted recommendations were summarized in flowcharts A to C. Two separate groups of patients who need antibiotic prophylaxis were presented in flowchart A; including those with high risk for distant-site infection (infective endocarditis and prosthetic joint infection) and those at risk for poor healing and orofacial infection (due to impaired immunologic function). Flowcharts B and C described antibiotic regimen and also the dental procedures where antibiotic prophylaxis was needed for mentioned groups. The content validity indices and the percentages of agreement between the expert panel members were considerably high. Conclusions: A localized, clear and straight forward guideline that addresses all groups of dental patients who need antibiotic prophylaxis has been produced for Iranian general dentists.
MeSH term(s)	Antibiotic Prophylaxis ; Cross-Sectional Studies ; Dentists ; Endocarditis, Bacterial ; Humans ; Iran ; Practice Guidelines as Topic
Language	English
Publishing date	2019-10-07
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2091511-1
ISSN	1472-6831 ; 1472-6831
ISSN (online)	1472-6831
ISSN	1472-6831
DOI	10.1186/s12903-019-0905-3
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Article: Feasibility of implementing public-private partnership (PPP) in the development of hospital services and optimizing resource allocation in Iran.

Sadeghi, Ahmad / Barati, Omid / Bastani, Peivand / Daneshjafari, Davood / Etemadian, Masoud

Cost effectiveness and resource allocation : C/E

2020 Volume 18, Page(s) 25

Abstract: Background: In recent decades, many countries have utilized public-private partnership (PPP) as a development initiative to reform their healthcare sectors. The present study examines the feasibility of implementing public-private partnerships for ... ...

Abstract	Background: In recent decades, many countries have utilized public-private partnership (PPP) as a development initiative to reform their healthcare sectors. The present study examines the feasibility of implementing public-private partnerships for development of hospital services in Shiraz, Iran. Methods: This was a descriptive study of questionnaires carried out on one of Iran's major southern cities (Shiraz) in 2016. Research population comprised of the hospitals affiliated to the Shiraz University of Medical Sciences (SUMS), private hospitals, charities, and healthcare investors. A total of 56 participants were chosen by convenience sampling. Data were collected using a researcher-made questionnaire. The questions` range were defined from 1 to 5. Data analysis was performed in SPSS Results: The participants from the public sector had a significantly higher level of acquaintance with the concept of PPP and significantly more inclination to participate in such projects (P < 0.05). The mean values of the determinants of successful implementation of PPPs for hospital services were presented from the public and private participants` viewpoints as follows: public sector rated the capacity-creating (2.60 ± 0.39) and the social-cultural (2.58 ± 0.40) component as having a better condition than other determinants however, the private sector rated the financial-capital (2.64 ± 0.46) as the best. Analysis of the mean scores of determinants of implementation of PPP from the viewpoint of public and private sectors showed a significant difference in their views in terms of financial-capital and social-cultural dimensions (P < 0.05). Conclusions: According to the participants, the requirements for implementation of public-private partnerships for hospital services are not properly met. For any progress to be made in this regard, Iranian authorities and policymakers should devise a new platform for attracting private participation and improving hospitals' readiness to engage in PPP projects.
Language	English
Publishing date	2020-08-03
Publishing country	England
Document type	Journal Article
ZDB-ID	2119372-1
ISSN	1478-7547
ISSN	1478-7547
DOI	10.1186/s12962-020-00221-z
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Article: Deductibles in Health Insurance, Beneficial or Detrimental: A Review Article.

Mirian, Iman / Kabir, Mohammad Javad / Barati, Omid / Keshavarz, Khosro / Bastani, Peivand

Iranian journal of public health

2020 Volume 49, Issue 5, Page(s) 851–859

Abstract: Background: One of the ways for cost-sharing in health system that has been taken into consideration in recent years in some developed countries is paying deductibles. In case of using deductibles, the insured people more carefully and accurately will ... ...

Abstract	Background: One of the ways for cost-sharing in health system that has been taken into consideration in recent years in some developed countries is paying deductibles. In case of using deductibles, the insured people more carefully and accurately will use health care services, and potentially many unnecessary costs will be avoided. Methods: To investigate the evidence of deductibles in health systems across the world, a literature review was conducted by searching the materials published in databases including ISI web of science, PubMed, Scopus and also Google scholar search engine from 2000 to 2017. Besides the related websites including WHO and the World Bank were searched. Inclusion criteria were studies carried out only in health insurance, English language, and the year of the study. Results: The most important positive impacts of deductibles were decrease in utilization of different services, high profitability for the young and healthy people, lower health benefit claims by the insured people, and increase in financial profitability of health insurance organization. Besides, the most negative impacts increase in out of pocket burdens and also higher hospitalization over time. Conclusion: Deductible plans have their own advantages and disadvantages for the insured and insurance organizations in terms of financial dimensions as well as utilization of health services, and explicitly none of these plans can be flawless. Given the increasing costs of health systems and the potential moral hazard of insured persons, it seems these systems sooner or later should inevitably move towards new cost-sharing plans, including deductibles.
Language	English
Publishing date	2020-08-27
Publishing country	Iran
Document type	Journal Article ; Review
ISSN	2251-6085
ISSN	2251-6085
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Article: Location of Road Emergency Stations in Fars Province, Using Spatial Multi-Criteria Decision Making.

Goli, Ali / Ansarizade, Najmeh / Barati, Omid / Kavosi, Zahra

Bulletin of emergency and trauma

2016 Volume 3, Issue 1, Page(s) 8–15

Abstract: Objectives: To locate the road emergency stations in Fars province based on using spatial multi-criteria decision making (Delphi method).: Methods: In this study, the criteria affecting the location of road emergency stations have been identified ... ...

Abstract	Objectives: To locate the road emergency stations in Fars province based on using spatial multi-criteria decision making (Delphi method). Methods: In this study, the criteria affecting the location of road emergency stations have been identified through Delphi method and their importance was determined using Analytical Hierarchical Process (AHP). With regard to the importance of the criteria and by using Geographical Information System (GIS), the appropriateness of the existing stations with the criteria and the way of their distribution has been explored, and the appropriate arenas for creating new emergency stations were determined. In order to investigate the spatial distribution pattern of the stations, Moran's Index was used. Results: The accidents (0.318), placement position (0.235), time (0.198), roads (0.160), and population (0.079) were introduced as the main criteria in location road emergency stations. The findings showed that the distribution of the existing stations was clustering (Moran's I=0.3). Three priorities were introduced for establishing new stations. Some arenas including Abade, north of Eghlid and Khoram bid, and small parts of Shiraz, Farashband, Bavanat, and Kazeroon were suggested as the first priority. Conclusion: GIS is a useful and applicable tool in investigating spatial distribution and geographical accessibility to the setting that provide health care, including emergency stations.
Language	English
Publishing date	2016-04-26
Publishing country	Iran
Document type	Journal Article
ZDB-ID	2722734-0
ISSN	2322-3960 ; 2322-2522
ISSN (online)	2322-3960
ISSN	2322-2522
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Article: Accreditation status of hospital pharmacies and their challenges of medication management: A case of south Iranian largest university.

Barati, Omid / Dorosti, Hesam / Talebzadeh, Alireza / Bastani, Peivand

Journal of advanced pharmaceutical technology & research

2016 Volume 7, Issue 3, Page(s) 70–74

Abstract: Considering the importance of accreditation for hospital pharmacies, this study was to determine the challenges of medication management in hospital pharmacies affiliated with Shiraz University of Medical Sciences, Iran. The study was a mix-method ... ...

Abstract	Considering the importance of accreditation for hospital pharmacies, this study was to determine the challenges of medication management in hospital pharmacies affiliated with Shiraz University of Medical Sciences, Iran. The study was a mix-method research conducted in two qualitative and quantitative phases during the years 2014-2015 in Shiraz, Iran. National Accreditation Standard checklist for hospitals was used for data collection in the first phase, and Delphi method was applied in three rounds to achieve the most challenges of medication management and the related solutions. Results indicated a medium status of accreditation for all three dimensions in the above hospital pharmacies (3.53, 42.15 and 7, respectively). Lack of clinical pharmacists, nonparticipation of the pharmacy director in annual budgeting, lack of access to patient information, discontinuity of pharmaceutical care for patients discharged, defects in pharmacy staff training, lack of legislation in support of pharmacists and lack of adequate access to physicians' prescriptions, shortages in reporting medication errors, and lack of evidence related to microbial contamination are the most challenges extracted from the second phase. It seems that the studied hospital pharmacies encounter numerous problems regarding accreditation, pharmaceutical care as well as appropriate medication management and supply chain. Attempts to solve these problems can play an important role in improving the efficiency and effectiveness of pharmacies in Iran.
Language	English
Publishing date	2016-05-25
Publishing country	India
Document type	Journal Article
ISSN	2231-4040
ISSN	2231-4040
DOI	10.4103/2231-4040.184590
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Article ; Online: Outsourcing in Shiraz University of Medical Sciences; a before and after study.

Barati, Omid / Najibi, Maryam / Yusefi, Ali Reza / Dehghan, Hajar / Delavari, Sajad

The Journal of the Egyptian Public Health Association

2019 Volume 94, Issue 1, Page(s) 13

Abstract: Background: Outsourcing is a kind of participation between public and private sector. This should be monitored and supervised to enhance the quality of outsourced services and to prevent new problems in this area. Shiraz University of Medical Sciences ( ... ...

Abstract	Background: Outsourcing is a kind of participation between public and private sector. This should be monitored and supervised to enhance the quality of outsourced services and to prevent new problems in this area. Shiraz University of Medical Sciences (SUMS) hospitals increasingly use outsourcing in recent years. Objectives: The present research aimed at comparing outsourced departments of SUMS from economic view, accessibility of services, and service quality during the years 2010-2012. Methods: A before and after descriptive and analytical design was applied in outsourced departments of SUMS in 2014. First, 17 indicators were extracted by Delphi technique. Then, all outsourced units were assessed using economic, access to services, and quality indicators during 2010 to 2012. Results: After outsourcing, in all pharmacies and dentistry units, except one, loss decreased and benefit increased from public sector viewpoint. The number of personnel for one pharmacy and two laboratories was decreased, while it remained unchanged for dentistry units. The total number of clients was increased for all pharmacies and laboratories and decreased for one dentistry unit. Patient satisfaction for pharmacies, laboratories, and dentistry units was 73.4%, 80.3%, and 78.5%, respectively. Also, employer's satisfaction from contraction was 60%, 68%, and 93.3% for pharmacies, laboratories, and dentistry units, respectively. Conclusion: Outsourcing as an effective strategy resulted in increase in the personnel, client, and stakeholder satisfaction. Also, it increased benefit and decreased cost for public sector. It is recommended that rules for the implementation of this strategy and monitoring the private sector should be defined.
Language	English
Publishing date	2019-02-27
Publishing country	United States
Document type	Journal Article
ZDB-ID	604779-8
ISSN	2090-262X ; 0013-2446
ISSN (online)	2090-262X
ISSN	0013-2446
DOI	10.1186/s42506-019-0010-0
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Article: Can public-private partnership (PPP) improve hospitals' performance indicators?

Bastani, Peivand / Barati, Omid / Sadeghi, Ahmad / Ramandi, Sajad / Javan-Noughabi, Javad

Medical journal of the Islamic Republic of Iran

2019 Volume 33, Page(s) 4

Abstract: Background: ...

Abstract	Background:
Language	English
Publishing date	2019-02-11
Publishing country	Iran
Document type	Journal Article
ZDB-ID	1095990-7
ISSN	1016-1430
ISSN	1016-1430
DOI	10.34171/mjiri.33.4
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Article: Structural investigation of websites of selected educational hospitals of Shiraz University of Medical Sciences from Patient Relationship Management (PRM) perspective.

Bakhshi, Mahdieh / Monem, Hossein / Barati, Omid / Sharifian, Roxana / Nematollahi, Mohtaram

Electronic physician

2017 Volume 9, Issue 7, Page(s) 4786–4790

Abstract: Background: Hospital websites are considered as an appropriate system for exchanging information and establishing communication between patients, hospitals, and medical staff. Website character, website contact interactivity, shopping convenience, as ... ...

Abstract	Background: Hospital websites are considered as an appropriate system for exchanging information and establishing communication between patients, hospitals, and medical staff. Website character, website contact interactivity, shopping convenience, as well as care and service are the factors that the present study investigated as far as the patient relationship management is concerned. Methods: This descriptive-analytical study was conducted on 206 patients visiting Shahid Faghihi and Ali Asghar Hospitals in Shiraz, which were capable of offering electronic services. The data collection tool was a researcher-made questionnaire based on the Mekkamol model and other similar studies, as well as investigations into the websites of the world's top hospitals. The questionnaire's validity was approved by a committee of experts and its reliability was approved based on a 54-patient sample with a Cronbach's alpha of 0.94. The data were analyzed using the Structural Equation Modeling (SEM) with partial least squares (PLS) approach and by utilizing SPSS and Smart-PLS V2 software programs. Results: The results showed that there are significant relationships between "website character" and "website contact interactivity" (p=0.00), between "shopping convenience" and "website contact interactivity" (p=0.00), and between "website contact interactivity" and "care and service" (p=0.00). Conclusion: Website design with such characteristics as website simplicity, shopping convenience, authenticity of information, and provision of such services as admission, scheduling appointments, and electronic payment of bills will result in interaction and communication between patients and hospital websites. This will, for its turn, pave the way for attracting more patients.
Language	English
Publishing date	2017-07-25
Publishing country	Iran
Document type	Journal Article
ZDB-ID	2524187-4
ISSN	2008-5842
ISSN	2008-5842
DOI	10.19082/4786
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Article ; Online: Effect of two major health reforms on health care cost and utilization in Fars Province of Iran: family physician program and health transformation plan.

Bayati, Mohsen / Keshavarz, Khosro / Lotfi, Farhad / KebriaeeZadeh, Abbas / Barati, Omid / Zareian, Shahram / Amiri, Akbar / Delavari, Sajad

BMC health services research

2020 Volume 20, Issue 1, Page(s) 382

Abstract: Background: Family physician program (FPP) and health transformation plan (HTP) are two major reforms that have been implemented in Iran's health system in recent. The present study was aimed at evaluating the impact of these two reforms on the level of ...

Abstract	Background: Family physician program (FPP) and health transformation plan (HTP) are two major reforms that have been implemented in Iran's health system in recent. The present study was aimed at evaluating the impact of these two reforms on the level of service utilization and cost of health care services. Methods: This longitudinal study was conducted on people insured by social security organization in Fars province during 2009-2016. The data on the utilization of services and costs of general practitioner visits, specialist visits, medications, imaging, laboratory tests, and hospitalization were collected. Interrupted time series analysis was used to analyze the effect of the two mentioned reforms. Results: FPP resulted in a significant reduction in the number of specialist visits, imaging, and laboratory tests in the short term, and in the number of radiology services, laboratory tests, and hospitalization in the long term. In contrast, HTP significantly increased the utilization of radiology services and laboratory tests both in the short term and long term. Concerning the costs, FPP resulted in a reduction in costs in short and long term except general practitioners' and specialist visit, and medication in long term. However, HTP resulted in an increase in health care costs in both of the studied time periods. Conclusions: FPP has been successful in rationalizing the utilization of services. On the other hand, HTP has improved people's access to services by increasing the utilization; but it has increased health care costs. Therefore, policymakers must adopt an agenda to revise and re-design the plan.
MeSH term(s)	Family Practice/organization & administration ; Health Care Costs/statistics & numerical data ; Health Care Reform ; Health Planning/organization & administration ; Humans ; Interrupted Time Series Analysis ; Iran ; Longitudinal Studies ; Patient Acceptance of Health Care/statistics & numerical data ; Program Evaluation
Language	English
Publishing date	2020-05-06
Publishing country	England
Document type	Journal Article
ISSN	1472-6963
ISSN (online)	1472-6963
DOI	10.1186/s12913-020-05257-8
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Article: Strategies to develop and promote public-private partnerships (PPPs) in the provision of hospital services in Iran: a qualitative study.

Sadeghi, Ahmad / Barati, Omid / Bastani, Peivand / Daneshjafari, Davood / Etemadian, Masoud

Electronic physician

2016 Volume 8, Issue 4, Page(s) 2208–2214

Abstract: Introduction: Public-Private Partnerships (PPPs) have been constructively considered in recent years to reform health sectors in many countries. This study aimed at explaining the strategies to develop and promote PPPs in the provision of hospital ... ...

Abstract	Introduction: Public-Private Partnerships (PPPs) have been constructively considered in recent years to reform health sectors in many countries. This study aimed at explaining the strategies to develop and promote PPPs in the provision of hospital services in Iran. Methods: This qualitative study was conducted in 2015. The study population consisted of experts and professionals of the health system and individuals familiar with PPPs and roles in the development of such models in hospital services in Iran that were selected through purposeful sampling, and semi-structured interviews were used for data collection. To this end, 18 experts and professionals of the health system and individuals familiar with PPPs and roles in the development of such models in hospital services in Iran were selected. The data were analyzed and classified using MAXQDA10 software and content analysis, respectively. Results: According to the results of this study, four main themes and 20 subthemes in terms of strategies to develop and promote PPPs in the provision of hospital services in Iran were identified, including changes in policies and laws, socio-cultural changes, improvement of mechanisms and current processes, and financial and capital capacity building. Conclusion: To develop and promote PPPs in the provision of hospital services, there is a need to consider prerequisites and measures to help such partnerships to be effective and produce valuable results.
Language	English
Publishing date	2016-04-25
Publishing country	Iran
Document type	Journal Article
ZDB-ID	2524187-4
ISSN	2008-5842
ISSN	2008-5842
DOI	10.19082/2208
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