Mahshad Goharimehr | Kerman University of Medical Sciences (original) (raw)

Papers by Mahshad Goharimehr

Akhlāq va tārīkh-i pizishkī-i Īrān, Jun 29, 2024

Journal of Qualitative Research in Health Sciences, 2018

Introduction: The patient relationship management is a comprehensive strategy of reception, prese... more Introduction: The patient relationship management is a comprehensive strategy of reception, preservation, and cooperation of customers and gaining information about them as much as possible to create increased value for both the organization and customer. Achieving this goal in hospitals increases patient satisfaction, trust, and commitment. Therefore, this study aimed to determin the dimensions and affecting factors in boosting patient relationship management strategies in Kerman City hospitals, Iran, in 2015. Method: This functional qualitative-correlation study was conducted through phenomenological method in the city of Kerman. The research participants were 15 male and female managers, experts, physitions, assistants, nurses, and scholars in the field of healthcare and treatment, and also patients and their companies in public and private hospitals in Kerman City. Results: The six dimensions of "identifying and attracting the patient", "patient participation", "patient confrontation", "patient empowerment", "understanding patient's expectation", and "patient relationship" were identified as general criteria of patient relationship management in hospitals. Conclusion: Regarding the results, familiarization of hospital managers with the importance of the issue of patient relationship management must be conducted by Kerman University of Medical Sciences. Provision and operationalization of practical and theoretical guidelines for the implementation of patient relationship management strategies in three domains of staffs, equipment, and procedures are suggested.

Background:A significant portion of household’s expenses is allocated to health services. This st... more Background:A significant portion of household’s expenses is allocated to health services. This study aimed to investigate the share of health expenditure in total households’ expenditure during 2009 2016 and capture the changing patterns of health expenditure associated to the implantation of the Health Transformation Plan. Methods:The study relied on data from the Household, Expenditure and Income survey, which the sample size is about 38000 households per year. The average annual out-of-pocket (OOP) expenses paid by households as well as the ratio of necessary expenditure in total consumption expenditure were calculated in order to study the trend of health expenditure. Results:Out of pocket payment among all households has a slow decreasing trend. The ratio of health expenditure to total consumption expenditure in the 10th and 1st declines of urban and rural population was 26% and 1.3%, respectively; the national level was 7% in this period. The difference in OOP between the 1st ...

Introduction: In the past 25 years, natural disasters have taken lives of almost 3 million people... more Introduction: In the past 25 years, natural disasters have taken lives of almost 3 million people and caused about 23billionofdamagesworldwide.Iranisoneofthe10mostdisaster−pronecountriesintheworld,andlackofpreparednessofhospitalsandhealthcarecentersburdensthehealthcaresystemwith23 billion of damages worldwide. Iran is one of the 10 most disaster-prone countries in the world, and lack of preparedness of hospitals and healthcare centers burdens the healthcare system with 23billionofdamagesworldwide.Iranisoneofthe10mostdisaster−pronecountriesintheworld,andlackofpreparednessofhospitalsandhealthcarecentersburdensthehealthcaresystemwith280 million each year. Method: In this study, the research environment consisted of all hospitals of Birjand (Emam Reza, Valiasr, and Social Security Hospitals) and cases were collected via census method from our research environment. Data were collected by means of a standard checklist consisting of 220 questions in 6 sections of equipment, human resources, physical environment, structure, protocols, and performance chart. The tool was validated through content validity and face validity methods. Moreover, reliability which was estimated by the Kappa test was estimated as good (0.8). SPSS software was used for the analysis of checklist results. Descriptive analysis of data is presented through frequency, frequency percentage, and mean and standard deviation. Results: In general, the level of preparedness in terms of communication with a value of 28.51% was considered as weak. The admission, transfer and discharge, traffic, security, and management training, respectively, with values of 58.26, 43.45, 52.77, 49.07, 44.17, and 56.11% were measured as medium. However, the emergency, support, and staffing with values of 67.36, 66.41, and 60.92% were rated as good. The lowest and highest values were that of the communication and emergency sections, respectively. Altogether, the hospitals' preparedness, with a value of 52.27%, is at a moderate level. Discussion and Conclusion: Birjand hospitals are in need of improvement in the areas of communication, admission, transfer and discharge, traffic, safety, training, and management, and appropriate decisions need to be made with regard to this issue.

Akhlāq va tārīkh-i pizishkī-i Īrān, Jun 29, 2024

Journal of Qualitative Research in Health Sciences, 2018

Introduction: The patient relationship management is a comprehensive strategy of reception, prese... more Introduction: The patient relationship management is a comprehensive strategy of reception, preservation, and cooperation of customers and gaining information about them as much as possible to create increased value for both the organization and customer. Achieving this goal in hospitals increases patient satisfaction, trust, and commitment. Therefore, this study aimed to determin the dimensions and affecting factors in boosting patient relationship management strategies in Kerman City hospitals, Iran, in 2015. Method: This functional qualitative-correlation study was conducted through phenomenological method in the city of Kerman. The research participants were 15 male and female managers, experts, physitions, assistants, nurses, and scholars in the field of healthcare and treatment, and also patients and their companies in public and private hospitals in Kerman City. Results: The six dimensions of "identifying and attracting the patient", "patient participation", "patient confrontation", "patient empowerment", "understanding patient's expectation", and "patient relationship" were identified as general criteria of patient relationship management in hospitals. Conclusion: Regarding the results, familiarization of hospital managers with the importance of the issue of patient relationship management must be conducted by Kerman University of Medical Sciences. Provision and operationalization of practical and theoretical guidelines for the implementation of patient relationship management strategies in three domains of staffs, equipment, and procedures are suggested.

Background:A significant portion of household’s expenses is allocated to health services. This st... more Background:A significant portion of household’s expenses is allocated to health services. This study aimed to investigate the share of health expenditure in total households’ expenditure during 2009 2016 and capture the changing patterns of health expenditure associated to the implantation of the Health Transformation Plan. Methods:The study relied on data from the Household, Expenditure and Income survey, which the sample size is about 38000 households per year. The average annual out-of-pocket (OOP) expenses paid by households as well as the ratio of necessary expenditure in total consumption expenditure were calculated in order to study the trend of health expenditure. Results:Out of pocket payment among all households has a slow decreasing trend. The ratio of health expenditure to total consumption expenditure in the 10th and 1st declines of urban and rural population was 26% and 1.3%, respectively; the national level was 7% in this period. The difference in OOP between the 1st ...

Introduction: In the past 25 years, natural disasters have taken lives of almost 3 million people... more Introduction: In the past 25 years, natural disasters have taken lives of almost 3 million people and caused about 23billionofdamagesworldwide.Iranisoneofthe10mostdisaster−pronecountriesintheworld,andlackofpreparednessofhospitalsandhealthcarecentersburdensthehealthcaresystemwith23 billion of damages worldwide. Iran is one of the 10 most disaster-prone countries in the world, and lack of preparedness of hospitals and healthcare centers burdens the healthcare system with 23billionofdamagesworldwide.Iranisoneofthe10mostdisaster−pronecountriesintheworld,andlackofpreparednessofhospitalsandhealthcarecentersburdensthehealthcaresystemwith280 million each year. Method: In this study, the research environment consisted of all hospitals of Birjand (Emam Reza, Valiasr, and Social Security Hospitals) and cases were collected via census method from our research environment. Data were collected by means of a standard checklist consisting of 220 questions in 6 sections of equipment, human resources, physical environment, structure, protocols, and performance chart. The tool was validated through content validity and face validity methods. Moreover, reliability which was estimated by the Kappa test was estimated as good (0.8). SPSS software was used for the analysis of checklist results. Descriptive analysis of data is presented through frequency, frequency percentage, and mean and standard deviation. Results: In general, the level of preparedness in terms of communication with a value of 28.51% was considered as weak. The admission, transfer and discharge, traffic, security, and management training, respectively, with values of 58.26, 43.45, 52.77, 49.07, 44.17, and 56.11% were measured as medium. However, the emergency, support, and staffing with values of 67.36, 66.41, and 60.92% were rated as good. The lowest and highest values were that of the communication and emergency sections, respectively. Altogether, the hospitals' preparedness, with a value of 52.27%, is at a moderate level. Discussion and Conclusion: Birjand hospitals are in need of improvement in the areas of communication, admission, transfer and discharge, traffic, safety, training, and management, and appropriate decisions need to be made with regard to this issue.