Hasan Jafari, Mohammad Ranjbar, Hamideh Mahjoub, Hamed Ghoshoni, Mohammad Baghi, Elham Miankoohi,
Volume 4, Issue 4 (3-2020)
Abstract
Objective: In many countries, limiting the financial and budgetary resources is a challenge in the health system. One of the most costly parts of the health system is undoubtedly the radiology department of hospitals. Therefore, this study aimed to determine the benefits and challenges of the policies proposed for rationing hospital radiology services.
Information sources and selected methods for study: In this narrative or literature review study, Persian (SID, Magiran, Barkat Knowledge network system, Irandoc), and Latin (Google Scholar, PubMed, Scopus, ISI web of sciences) databases were searched. The applied keywords were radiology, rationing, distribution, priority setting, resource allocation, and policy brief. In the initial search, 145 articles were studied. Subsequently, after reviewing the titles and abstracts, 65 studies were selected and investigated. Finally, 44 related studies were thoroughly investigated. The inclusion criteria covered the studies in Persian or English. The exclusion criteria included the studies that did not have full texts. Our search included the studies conducted from 1/1/2000 to 1/1/ 2017.
Results: The present study examined the benefits and challenges of radiology services rationing. Policy options were presented at 3 levels of provider, organizational, and system. The provider level consisted of training clinical and non-clinical personnel to use and maintain the medical equipment and requiring the physicians to use clinical guidelines. The organization level included reviewing imaging tariffs, entering insurance in controlling supply and demand for radiology services, and assessing equipment by the Institute for Health Technology Assessment. The system level contained assignment of radiological services to the private sector.
Conclusion: As health care costs are rising and resources are increasingly constrained by ever-increasing demands, policy makers and officials can use the proposed solutions with regard to contextual conditions to design a rationing model. Services at the macro level of the health system and operationalization of the rationing process reduce the gap between supply and demand of the health services.
Roohollah Askari, Mohammadreza Sheikhy-Chaman, Samaneh Entezarian Ardekani , Elham Miankoohi ,
Volume 5, Issue 4 (3-2021)
Abstract
Background: Identification of the current employment status provides useful information for policy makers and decision makers of the education system in order to plan for determining the admission capacity of students, the conditions of graduate’s recruitment, and the employment condition of various fields. The aim of this study was determining the career destiny of healthcare management major from the perspective of graduates.
Methods: This descriptive-analytic and cross-sectional study was conducted in the second half of 2018 on 108 graduates of healthcare management at Shahid Sadoughi University of Medical Sciences, Yazd. Participants entered the study by census method and the data collection tool included a standard career destiny questionnaire. Statistical analyses were performed by SPSS 16 using descriptive (Frequency, Mean, Standard deviation, Percentage) and analytical (independent t-test, ANOVA, Pearson correlation coefficient test) statistics.
Results: The mean score of career destiny in the present study was 3.04 ± 0.65. Of career destiny constructs, the highest and the lowest average scores were related to the specialized and professional abilities (3.69 ± 0.65 (and creating the necessary facilities for employment by the university (2.59 ± 0.63), respectively. A statistically significant relationship was found between the following dimensions: specialized and professional abilities with marital status (P = 0.046), creating the necessary facilities for employment by the university (P = 0.031), appropriateness of the curriculum and professors education with employment (P = 0.047), role of university environment and entrepreneurship skills (P = 0.034) with the variable of age, and appropriateness of the curriculum and professors education with the participants’ employment and grade point average (GPA) (P = 0.029).
Conclusion: It is suggested to provide employment opportunities for graduates in the field of healthcare management at different levels of the health system, educational objectives, curriculum content, clerkship, and internship courses. Furthermore, the curriculum of this field of study should be revised based on the country's labor market needs and the educational centers should play a more prominent role in introducing their graduates’ capabilities to the health labor market.
