مراقبت سلامت خانگی، ارائه مجموعه‎‌‌ای از خدمات مراقبتی در منزل پیشگیری تا توان‌بخشی و مراقبت‎‌های اولیه حرفه‌ای پرستاری است. این پژوهش یک مدل ریاضی دو‌هدفه بر اساس رویکرد برنامه‎ریزی خطی عدد صحیح مختلط برای مسئله مسیریابی زمان‌بندی مراقبت‎ خانگی با اهداف حداقل‌سازی هزینه‌های سفر پرستاران حداکثر تفاوت‌های زمان کاری بین شده درنظرگرفتن حالت‎‌های دوگانه حمل‌ونقل عمومی خصوصی، مراکز درمانی آغازین پای...

هدف: این پژوهش با هدف ارائه مدل چالش‌های پرورش کودکان کم‌شنوای پیش‌دبستانی از دیدگاه مادران و متخصصان بر اساس نظریه داده‌بنیاد انجام ‌شده است. روش: نمونه 15 مادر کودک کم‌شنوا 4 تا 6 ساله انجمن والدین شهر تهران 5 متخصص حوزه ناشنوا بودند که در سال 1400 استفاده روش نمونه‌گیری هدفمند انتخاب شدند. چالش ­های طریق مصاحبه نیمه ساختاریافته عمیق رسیدن به اشباع نظری جمع‌آوری کدگذاری (کدگذاری باز، محوری ان...

OBJECTIVE We conducted a systematic review identifying users groups' perceptions of barriers and facilitators to implementing electronic prescription (e-prescribing) in primary care. METHODS We included studies following these criteria: presence of an empirical design, focus on the users' experience of e-prescribing implementation, conducted in primary care, and providing data on barriers and...

The idea that outcomes associated with the provision of health care are important is not new. In the 1960s Avedis Donabedian (1) presented health outcomes as changes in health status that were attributable to antecedent health care. For many years, however, evaluations of health care focused on the structure or process of care. As health care moves into the new millennium, financing of health c...

AGAINST THE BACKGROUND of the debate on quality assurance in nonprofit organizations (Chaffee and Sherr, 1993) and growing economic constraints on nonprofit professional opera companies (Coe, 1994), the issue of measuring artistic performance in opera companies comes to the fore. The management literature has explicitly discussed quality and quality management since the end of the 1980s (Hackma...

INTRODUCTION Nigeria ranks among countries with the highest burden of tuberculosis. Yet evidence continues to indicate poor treatment outcomes which have been attributed to poor quality of care. This study aims to identify some of the systemic problems in order to inform policy decisions for improved quality of services and treatment outcomes in Nigeria. METHODS A comparative assessment of th...

As pressure to improve the quality and safety of healthcare delivery continues, debates have ensued regarding which measures are sensitive to or affected by individual providers, technology, and healthcare systems (Doran, 2003). Outcomes must be identifi ed uniformly and systematically to provide patients and consumers the information they need to make informed choices about their care. Healthc...

BACKGROUND Although agreement about the need for quality improvement in health care is almost universal, the means of achieving effective improvement in overall care is not well understood. Avedis Donabedian developed the structure-process-outcome framework in which to think about quality-improvement efforts. ISSUE There is now a robust evidence-base in the quality-improvement literature on p...

OBJECTIVES The Institute of Medicine (IOM) has recommended the development of national standards for the measurement of emergency care performance. The authors undertook this study with the goals of enumerating and categorizing existing performance measures relevant to pediatric emergency care. METHODS Potential performance measures were identified through a survey of 1) the peer-reviewed lit...

D uring the past several years, one of the most perplexing issues for surgeons has been the assessment of quality of care. We, however, owe it to ourselves and our patients to master the substantive issues that underlie current discussions about this subject. What is quality care? Many definitions have been proposed. Donabedian developed the classic triad for measuring quality in health care: s...