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Maleki, Mohammad Reza
- The Effect of Gynecologists Permanent Presence on Social Security Hospital Indices: 2010-2011
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Authors
Affiliations
1 Department of Health Services Management, Science and Research Branch, Islamic Azad University, Tehran, IR
2 Hospital Management Research Center, Tehran University of Medical Sciences, Tehran, IR
1 Department of Health Services Management, Science and Research Branch, Islamic Azad University, Tehran, IR
2 Hospital Management Research Center, Tehran University of Medical Sciences, Tehran, IR
Source
Indian Journal of Medicine and Healthcare, Vol 1, No 7 (2012), Pagination: 179-183Abstract
Background: Promotion of mothers' health is one of the essential pillars of health-treatment cares. In the early years of health settlement and treatment system in the country, mothers' health as a vulnerable group has been paid special attention by health plan policy makers in which the increase in accessing/successful pregnancy, delivery and after birth cares has been considered as a priority Issue. Nowadays, the health structure of the country tries to promote mothers' services with the motto of "healthy mother, healthy society, and healthy life". Method: In a semi-annual research in 2010-2011 in the gynecological ward of Social Security Hospital, required data were extracted and were assessed in respect of interventional effect through questionnaire method; and comparisoncarried out-before and after intervention through double-t test in SPSS software. Target indices in this study include the cesarean %age, patients' average stay and ward's bed occupancy coefficient, mortality, and patients' satisfaction. Findings: The mean %age of unrepeated cesareans before and after intervention was 35% and 30% of the births during the period respectively; and the increase observed in this index was confirmed with an assurance coefficient of 95% and p value=0.001; also, occupancy coefficient, average stay index of patients before and after intervention was 1.98 and 1.71 days respectively with assurance coefficient of 95% p value=0.001 was confirmed. In respect of mortality both before and after intervention was zero. Regarding patients' satisfaction index in gynecologist ward, this index before intervention was 90.81% which after intervention increased to 98.95% indicating a satisfactory increase in gynecological ward. Conclusion: The results indicate that presence of gynecologists in hospitals can affect the controlling and decreasing the redundant & unrepeated cesarean % age and besides, it can decrease the averagestay and optimize the use of hospital beds and decrease the mortality of mothers and ultimately increase the satisfaction which is acquired through continuous controlling and increasing of access level of patients.Keywords
Resident Physician, Unrepeated Cesarean, Satisfaction, Average Mortality, Length of StayFull Text
References
- Basiry M (2001) Coprativestudy of human resources distribution in public and private hospital in Tehran. M.S.Thesis and services administration ,Islamic azad university ,Science and Research (Persian).
- Delavar B (2002) National system of care for maternal death. Tehran Tandis publication (Persian).
- Tabibi J (2002) Review of hospital indicators in hospitals. J. Hospital. 12(9), 22-38.
- GibbonLuz Josem, Belizan Jeremy A lauer, Anap Betran et al. (2010) The numbers and costs of additionally needed and unnecessary cesarean performed per year: overuse as a barrier to universal coverage. World health report. 30, 2-31.
- Emami Afshar N, Jalilvand P, Azemkhahi A, Valafar S and Afrozhedayati G (2002) National system of care for maternal death. Tehran Tandis publication.
- Jafari G, Khalifehgari S, Danaee K, Dolatshahi P, Ramazani M and Rohparvar R (2010) Iranian hospital accreditation standards (Ist Edn). Tehran: Jafari publication.
- Kazemi B (2001) Management of personnel affairs. Tehran: Management and Planning Organization (Persian).
- Chaillet Nils etal. (2007) Evidence-based strategies for reading cesarean section rates:ameta-analysis.Birth.34(1),53-64
- Gamble Jenny ARN, Health RMM, Creedy Debrak RN (2001) Women’s request for a cesarean section: a critique of the literature. Birth J. 4(27),256-263
- Chric mcourt BA, Jane Weaver RM, Helenstatham et al. (2007) Elective cesarean section and precision making: a critical review of the Birth literature. 34,65-79
- Dimick JB (2001) Intensive care unit physician staffing is associated with decrease length of stay, hospital cost, and complication after esophageal resection. Crit. care med. J. 29,753-758.
- Higgins,t;Mcgee,wt;Steinjrub,js.etal.(2003).Early indicators of prolonged intensive care unit stage: impact of illness severity, physician staffing and pre-intensive care unit length of stay.Critical care medicine,31,45-51
- Helling TS, Nelson PW, Shook JW et al. (2003) The presence of in-house attending trauma surgeons doesn’t improve management or outcome of critically injured patients.Journal of trauma,55(1),5-20
- Willette PA, Beery PR, Hartman JF et al. (2009) Does a category II trauma activation warrant the initial presence of an attending trauma surgeon. J. Emergency Med. 23(1), 8-16
- Kumar Kanwal MD ,Ryan zarychaskid Bell, Rezwanmanji et al.(2009) Impact of 24-hour in house intensivists on a predicated cardiac surgery intensive care unit. Official J. Thoracic surgeons. 88,1153-1161
- Golamipour M (2002) The presence of full-time specialist on patients stays in hospital maternity wards and social Gynecology, Yazd, year 1387. J. Med. Council. 28 (2), 175-168.
- Brwon Gsullivan et al. (1989) Effect on mortality of a full-time critical care specialist. 17 Chest J. 96,127-129.
- Badieiyan MN (2005) The causes of maternal mortality and related factors in the cases referred to the Forensic Center of Khorasan from 1988 to 2004. J. Foren. Med. 11 (37), 31-28.
- Hejazi, S., Zeynali, M., Farrokh, E. H. (2009). Review of medical malpractice cases in the field of children referred to the Medical Council of Urmia from 1996 to 2005. Urmia Medical Journal, 20 (2) ,130-123.
- Gajic Ognjen DMD, Bekele Afessa MD, Andrew C Hanson BS et al. (2008) Effect of 24 hour mandatory versus on-demand critical care specialist presence on quality of care family and provider satisfaction in the intensive care unit. Crit. care Med. J. 36, 36-44.