Reza Goudarzi - Academia.edu (original) (raw)
Papers by Reza Goudarzi
Journal of Health Based Research, Sep 10, 2020
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PLoS ONE, 2021
Iran has performed Health Transformation Plan (HTP) from 2014 to obtain its defined goals. This s... more Iran has performed Health Transformation Plan (HTP) from 2014 to obtain its defined goals. This study assesses and compares university and non-university hospitals’ efficiency and productivity in Kerman provinces, Iran. The data of 19 selected hospitals, two years before and two years after Health Transformation Plan, was collected in this cross-sectional study. These data included the variables of physician and nurse number, and active beds as inputs and bed occupancy rate and inpatient admission adjusted with the length of stay as outputs. Data Envelopment Analysis method used to measure hospital efficiency. Malmquist Productivity Index is used to measure the efficiency change model before and after the plan. The efficiency and effect of the plan on hospitals’ efficiency and productivity were assessed using R software. The results indicated that all hospitals’ average efficiency before the HTP was 0.843 and after the HTP was increased to 0.874. However, it was not significant (P&g...
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iranian journal of epidemiology, 2019
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Hakim Research Journal, 2015
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Background Iran has performed Health Transformation Plan(HTP) from 2014 to obtain its defined goa... more Background Iran has performed Health Transformation Plan(HTP) from 2014 to obtain its defined goals. This study assesses and compares the efficiency and productivity of university and non-university hospitals in Kerman provinces, Iran.Methods The data of 19 selected hospitals, two years before and two years after the Health Transformation Plan was collected in this cross-sectional study. These data included the variables of physician and nurse number, and active beds as inputs and bed occupancy rate and inpatient admission adjusted with the length of stay as outputs. Data Envelopment Analysis method used to measure hospital efficiency. Malmquist Productivity Index used to measure efficiency change model before and after the plan. The efficiency was estimated using Deap 2.1 program, and the effect of the plan on efficiency and productivity of hospitals was assessed using Stata 15.Results The results indicated that the average efficiency of all hospitals before the HTP was 0.843 and a...
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Background: Age of menopause is affected by several factors. In this study we aimed to identify t... more Background: Age of menopause is affected by several factors. In this study we aimed to identify the age of natural menopause and its related factors in a large-scaled population-based cohort study in Iran. Methods: In this study, we utilized a subset of data collected in enrollment phase of Tabari cohort study (TCS). Reproductive history and other related data were collected using structural questionnaire. Blood samples were collected form all participants. We analyzed data using chi-square, independent t-test and ANOVA as well as multivariate linear regression model. Results: Among all participants of Tabari cohort, 2753 were menopause women. The mean age of natural and induced menopause was 49.2±4.7 and 43.2 ± 6.4 respectively (P = 0.001). Our finding showed that number of pregnancy, breastfeeding duration, education, residency, thyroid disease and body mass index affect age of menopause. After adjustment for confounding variables, number of pregnancy remained significantly associ...
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Iranian Journal of Public Health, 2021
Background: In this study, the basic criteria, models, and indicators of intersectoral collaborat... more Background: In this study, the basic criteria, models, and indicators of intersectoral collaboration in health promotion were investigated to facilitate the implementation of collaboration. Methods: This scoping review was conducted using datasets of Embase, Web of Science, Scopus, and PubMed, and search engines of Google, Google Scholar, and ProQuest. Results: 52 studies were included, and 32 codes in Micro, Meso, and Macro level, were obtained. Micro-level criteria had the highest frequency. Among the models used in the reviewed studies, social network analysis, Diagnosis of Sustainable Collaboration, Bergen, and logic models had the highest frequency. Among the indicators studied, the number of participants and the level of collaboration as well as its sustainability were the most frequent indicators. Conclusion: The findings identified the most important and widely used criteria, models, and indicators of intersectoral collaboration in health promotion which can be useful for de...
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The International Journal of Health Planning and Management, 2022
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Introduction: Understanding the development situation is regarded necessary in order to plan to
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Background: Health insurance is one of the most important financial resources for covering the gr... more Background: Health insurance is one of the most important financial resources for covering the growing costs of health care. Asymmetric information in the insurance market means that the insurer has less information about the health status of the insured person than the insured person him/herself and this leads to waste of treatment resources due to moral hazards. The aim of this study was to determine the effect of moral hazards in the health insurance
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Physics and Chemistry of the Earth, Parts A/B/C, 2007
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International Journal of Health Policy and Management, 2022
Background: The projection of levels and composition of financial resources for the healthcare ex... more Background: The projection of levels and composition of financial resources for the healthcare expenditure (HCE) and relevant trends can provide a basis for future health financing reforms. This study aimed to project Iran’s HCEs by the sources of funds until 2030. Methods: The structural macro-econometric modeling in the EViews 9 software was employed to simulate and project Iran’s HCE by the sources of funds (government health expenditure [GHCE], social security organization health expenditure [SOHCE], out-of-pocket [OOP] payments, and prepaid private health expenditure [PPHCE]). The behavioral equations were estimated by autoregressive distributed lag (ARDL) approach. Results: If there is a 5%-increase in Iran’s oil revenues, the mean growth rate of gross domestic product (GDP) is about 2% until 2030. By this scenario, the total HCE (THCE), GHCE, SOHCE, OOP, and PPHCE increases about 30.5%, 25.9%, 34.4%, 31.2%, and 33.9%, respectively. Therefore, the THCE as a percentage of the G...
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Introduction: Understanding the development situation is regarded necessary in order to plan to
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Physics and Chemistry of the Earth, Parts A/B/C, 2007
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Journal of Community Health Research, 2015
Introduction: knowledge and understanding of the situation is necessary for planning to achieve o... more Introduction: knowledge and understanding of the situation is necessary for planning to achieve optimal development that this identifying involves separating study regions to planning areas and evaluation of the separate regions by development indicators and analysis and ranking of each area in terms of having development blessings. This study aims to Stratification of Kerman Province Districts in Terms of Health Indicators with taxonomy models. Materials & Methods: This descriptive study was applied using taxonomy Models to Stratification of 16 Kerman Province Districts based on 10 selected health indicators. Data were collected by the researcher form and through statistical center of Iran and Kerman University of Medical Sciences. Data analysis was done using SPSS/19. Results: The calculations based on taxonomy Model, Baft district with 0.46 and Rigan district with 0.96 were most and less developed districts, respectively. Conclusions: there is a relatively large difference betwee...
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Medical Journal of The Islamic Republic of Iran, Jun 28, 2016
This cross-sectional study was conducted to compare the cost-effectiveness of three therapeutic m... more This cross-sectional study was conducted to compare the cost-effectiveness of three therapeutic methods of long-term hemodialysis, kidney transplant from a living person and kidney transplant from a cadaver utilizing Disability Adjusted Life Years (DALY) using data from the records of patients referred to Afzalipour Hospital of Kerman in 2012. This cross-sectional study utilizing Disability Adjusted Life Years (DALY) as outcome measure, used data from the records of patients referred to Afzalipour Hospital of Kerman in 2012. The decision tree model and decision tree software (Tree Age pro 11) were used for data analysis. In this research, costs and effects were studied from the patients and healthcare providers' perspective. In the patient's perspective, the CER of dialysis was 5.04 times greater than transplant from a living person and 6.15 times higher than transplant from a cadaveric donor. In the hospital's perspective, the average cost-effectiveness ratio of dialysi...
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Iranian Journal of Public Health, 2017
Reduction of inappropriate use of health services can decrease health care costs without harming ... more Reduction of inappropriate use of health services can decrease health care costs without harming the quality of services. This study aimed to investigate inappropriate admission and hospitalization at Afzalipour Hospital of Kerman, Iran. Inappropriate admission and hospitalization were assessed via a cross-sectional study on 400 patients in Kerman Afzalipour Hospital, Kerman, Iran in 2015. The Iranian version of the Appropriateness Assessment Protocol was used for data collection. Chi-square tests and logistic regression were used to analyze the data. The rate of inappropriate admissions and hospitalization were 7.6% and 9% respectively. There was no significant relationship between inappropriate admissions and any of the studied variables; however, there was a significant relationship between inappropriate hospitalization and age, length of stay and hospital departments. If standard measures of admission and hospitalization execute correctly, unnecessary hospitalization rate can be...
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Iranian Journal of Medical Ethics and History of Medicine, 2020
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Journal of Health Based Research, Sep 10, 2020
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PLoS ONE, 2021
Iran has performed Health Transformation Plan (HTP) from 2014 to obtain its defined goals. This s... more Iran has performed Health Transformation Plan (HTP) from 2014 to obtain its defined goals. This study assesses and compares university and non-university hospitals’ efficiency and productivity in Kerman provinces, Iran. The data of 19 selected hospitals, two years before and two years after Health Transformation Plan, was collected in this cross-sectional study. These data included the variables of physician and nurse number, and active beds as inputs and bed occupancy rate and inpatient admission adjusted with the length of stay as outputs. Data Envelopment Analysis method used to measure hospital efficiency. Malmquist Productivity Index is used to measure the efficiency change model before and after the plan. The efficiency and effect of the plan on hospitals’ efficiency and productivity were assessed using R software. The results indicated that all hospitals’ average efficiency before the HTP was 0.843 and after the HTP was increased to 0.874. However, it was not significant (P&g...
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Bookmarks Related papers MentionsView impact
iranian journal of epidemiology, 2019
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Hakim Research Journal, 2015
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Background Iran has performed Health Transformation Plan(HTP) from 2014 to obtain its defined goa... more Background Iran has performed Health Transformation Plan(HTP) from 2014 to obtain its defined goals. This study assesses and compares the efficiency and productivity of university and non-university hospitals in Kerman provinces, Iran.Methods The data of 19 selected hospitals, two years before and two years after the Health Transformation Plan was collected in this cross-sectional study. These data included the variables of physician and nurse number, and active beds as inputs and bed occupancy rate and inpatient admission adjusted with the length of stay as outputs. Data Envelopment Analysis method used to measure hospital efficiency. Malmquist Productivity Index used to measure efficiency change model before and after the plan. The efficiency was estimated using Deap 2.1 program, and the effect of the plan on efficiency and productivity of hospitals was assessed using Stata 15.Results The results indicated that the average efficiency of all hospitals before the HTP was 0.843 and a...
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Background: Age of menopause is affected by several factors. In this study we aimed to identify t... more Background: Age of menopause is affected by several factors. In this study we aimed to identify the age of natural menopause and its related factors in a large-scaled population-based cohort study in Iran. Methods: In this study, we utilized a subset of data collected in enrollment phase of Tabari cohort study (TCS). Reproductive history and other related data were collected using structural questionnaire. Blood samples were collected form all participants. We analyzed data using chi-square, independent t-test and ANOVA as well as multivariate linear regression model. Results: Among all participants of Tabari cohort, 2753 were menopause women. The mean age of natural and induced menopause was 49.2±4.7 and 43.2 ± 6.4 respectively (P = 0.001). Our finding showed that number of pregnancy, breastfeeding duration, education, residency, thyroid disease and body mass index affect age of menopause. After adjustment for confounding variables, number of pregnancy remained significantly associ...
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Iranian Journal of Public Health, 2021
Background: In this study, the basic criteria, models, and indicators of intersectoral collaborat... more Background: In this study, the basic criteria, models, and indicators of intersectoral collaboration in health promotion were investigated to facilitate the implementation of collaboration. Methods: This scoping review was conducted using datasets of Embase, Web of Science, Scopus, and PubMed, and search engines of Google, Google Scholar, and ProQuest. Results: 52 studies were included, and 32 codes in Micro, Meso, and Macro level, were obtained. Micro-level criteria had the highest frequency. Among the models used in the reviewed studies, social network analysis, Diagnosis of Sustainable Collaboration, Bergen, and logic models had the highest frequency. Among the indicators studied, the number of participants and the level of collaboration as well as its sustainability were the most frequent indicators. Conclusion: The findings identified the most important and widely used criteria, models, and indicators of intersectoral collaboration in health promotion which can be useful for de...
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The International Journal of Health Planning and Management, 2022
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Introduction: Understanding the development situation is regarded necessary in order to plan to
Bookmarks Related papers MentionsView impact
Background: Health insurance is one of the most important financial resources for covering the gr... more Background: Health insurance is one of the most important financial resources for covering the growing costs of health care. Asymmetric information in the insurance market means that the insurer has less information about the health status of the insured person than the insured person him/herself and this leads to waste of treatment resources due to moral hazards. The aim of this study was to determine the effect of moral hazards in the health insurance
Bookmarks Related papers MentionsView impact
Physics and Chemistry of the Earth, Parts A/B/C, 2007
Bookmarks Related papers MentionsView impact
International Journal of Health Policy and Management, 2022
Background: The projection of levels and composition of financial resources for the healthcare ex... more Background: The projection of levels and composition of financial resources for the healthcare expenditure (HCE) and relevant trends can provide a basis for future health financing reforms. This study aimed to project Iran’s HCEs by the sources of funds until 2030. Methods: The structural macro-econometric modeling in the EViews 9 software was employed to simulate and project Iran’s HCE by the sources of funds (government health expenditure [GHCE], social security organization health expenditure [SOHCE], out-of-pocket [OOP] payments, and prepaid private health expenditure [PPHCE]). The behavioral equations were estimated by autoregressive distributed lag (ARDL) approach. Results: If there is a 5%-increase in Iran’s oil revenues, the mean growth rate of gross domestic product (GDP) is about 2% until 2030. By this scenario, the total HCE (THCE), GHCE, SOHCE, OOP, and PPHCE increases about 30.5%, 25.9%, 34.4%, 31.2%, and 33.9%, respectively. Therefore, the THCE as a percentage of the G...
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Introduction: Understanding the development situation is regarded necessary in order to plan to
Bookmarks Related papers MentionsView impact
Bookmarks Related papers MentionsView impact
Physics and Chemistry of the Earth, Parts A/B/C, 2007
Bookmarks Related papers MentionsView impact
Journal of Community Health Research, 2015
Introduction: knowledge and understanding of the situation is necessary for planning to achieve o... more Introduction: knowledge and understanding of the situation is necessary for planning to achieve optimal development that this identifying involves separating study regions to planning areas and evaluation of the separate regions by development indicators and analysis and ranking of each area in terms of having development blessings. This study aims to Stratification of Kerman Province Districts in Terms of Health Indicators with taxonomy models. Materials & Methods: This descriptive study was applied using taxonomy Models to Stratification of 16 Kerman Province Districts based on 10 selected health indicators. Data were collected by the researcher form and through statistical center of Iran and Kerman University of Medical Sciences. Data analysis was done using SPSS/19. Results: The calculations based on taxonomy Model, Baft district with 0.46 and Rigan district with 0.96 were most and less developed districts, respectively. Conclusions: there is a relatively large difference betwee...
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Medical Journal of The Islamic Republic of Iran, Jun 28, 2016
This cross-sectional study was conducted to compare the cost-effectiveness of three therapeutic m... more This cross-sectional study was conducted to compare the cost-effectiveness of three therapeutic methods of long-term hemodialysis, kidney transplant from a living person and kidney transplant from a cadaver utilizing Disability Adjusted Life Years (DALY) using data from the records of patients referred to Afzalipour Hospital of Kerman in 2012. This cross-sectional study utilizing Disability Adjusted Life Years (DALY) as outcome measure, used data from the records of patients referred to Afzalipour Hospital of Kerman in 2012. The decision tree model and decision tree software (Tree Age pro 11) were used for data analysis. In this research, costs and effects were studied from the patients and healthcare providers' perspective. In the patient's perspective, the CER of dialysis was 5.04 times greater than transplant from a living person and 6.15 times higher than transplant from a cadaveric donor. In the hospital's perspective, the average cost-effectiveness ratio of dialysi...
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Iranian Journal of Public Health, 2017
Reduction of inappropriate use of health services can decrease health care costs without harming ... more Reduction of inappropriate use of health services can decrease health care costs without harming the quality of services. This study aimed to investigate inappropriate admission and hospitalization at Afzalipour Hospital of Kerman, Iran. Inappropriate admission and hospitalization were assessed via a cross-sectional study on 400 patients in Kerman Afzalipour Hospital, Kerman, Iran in 2015. The Iranian version of the Appropriateness Assessment Protocol was used for data collection. Chi-square tests and logistic regression were used to analyze the data. The rate of inappropriate admissions and hospitalization were 7.6% and 9% respectively. There was no significant relationship between inappropriate admissions and any of the studied variables; however, there was a significant relationship between inappropriate hospitalization and age, length of stay and hospital departments. If standard measures of admission and hospitalization execute correctly, unnecessary hospitalization rate can be...
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Iranian Journal of Medical Ethics and History of Medicine, 2020
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