ORIGINAL_ARTICLE
The Inquiry of International Standards for Medical Tourism: A Case Study into Hospitals of Tehran University of Medical Sciences
Introduction: Medical tourism is a rapidly growing industry that has provided special opportunities to gain competitive advantage over international health organizations. This study aimed to investigate the quality requirements based on Joint Commission International (JCI) for medical tourism in selected hospitals of Tehran University of Medical Sciences.
Methods: This is a descriptive and cross-sectional study that was conducted at three educational hospitals operated by Tehran University of Medical Sciences in 2013. The data were collected through the last updated checklists (translation of the standards of JCI, comprising 13 axial) completed by the researcher. Data analysis was done using descriptive and analytical tests including frequency, standard deviation and T- Test by means of SPSS 19.0.
Results: Studied hospitals met 76.8% of organization-oriented standards plus 75.4% of patient-oriented standards. There were two patient-oriented standards, namely access to care and its continuity 87.2% alongside anesthesia and surgery care 86.6% which were met at the highest level. On the other side, organization-oriented standard of leadership and guidance 69.2% was the item met at the least.
Conclusion: It seems that studied hospitals are ready to attract medical tourists by the advantage of service quality. Moreover, it is necessary to give attention to the strengths and improve the weaknesses concerning quality of services. Criteria on service charges, waited time and etc, should be scientifically analyzed and reviewed as well.
https://www.ijtmgh.com/article_33280_acee624135a9ff6f8cef21b1dcb21bd9.pdf
2014-06-01
45
50
Quality of health care
Travel
Medical tourism
JCI
Hospitals
Iran
Mehdi
Jafari
1
Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran
AUTHOR
Jamil
Sadeghifar
2
Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran
AUTHOR
Mehdi
Raadabadi
3
Health Service Management Research Center, Kerman University of Medical Sciences, Kerman, Iran
AUTHOR
Seyed Masood
Mosavi
4
Hospital Management Research Center, Iran University of Medical Sciences, Tehran, Iran
AUTHOR
Rahim
Khodayari Zarnaq
5
Tabriz Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
AUTHOR
Mohammadkarim
Bahadori
bahadorihealth@gmail.com
6
Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
LEAD_AUTHOR
Tasan M. Study of the status of the tourism and transport services market in the countries members of the D-8 Group, MSc Thesis. Tehran: Faculty of human sciences, Tarbiat Modares University; 2006. [In Persian]
1
Vajirakachorn T. Implementation of an effective health tourism development plan for Thailand, MSc Thesis. Thailand: The Graduate school, University of Wisconsin; 2004.
2
Gahlinger P. The medical tourism travel guide: Your complete reference to top-quality, low-cost dental, cosmetic, medical care and surgery overseas. Sunrise River Press; 2008.
3
Goodrich N, Janathan B. Health tourism: A new positioning Strategy for tourist destination. In: Global tourist behavior. USA: International Business Press. Muzaffer Uysal; 1994.
4
Bookman MZ, Bookman KR Medical tourism in developing countries: Palgrave Macmillan New York; 2007.
5
Ormond ME. International medical travel and the politics of therapeutic placemaking in Malaysia: University of St Andrews; 2011.
6
Smith M, MacLeod N, Robertson MH. Key concepts in tourist studies: Sage; 2010.
7
Garcia AG, Besinga CA. Challenges and opportunities in the Philippine medical tourism industry. The SVG Review. 2006:41-55.
8
Vaughn P, Whitley B. Dental tourism: a growing concern. Dent Today. 2008;27(12):126-27.
9
De Arellano ABR. Patients without borders: the emergence of medical tourism. International Journal of Health Services. 2007;37(1):193-8.
10
Gupta AS. Medical tourism in India: winners and losers. Indian Journal of Medical Ethics. 2008;5(1):4-5.
11
Fried BJ, Harris DM. Managing healthcare services in the global marketplace. Frontiers of health services management. 2006;24(2):3-18.
12
Shafaghat T, Jabbari AR, Kavoosi Z, Ayoubian A, Zarchi MKR. The capabilities of Iranian hospitals in attracting medical tourists; Based on Joint Commission International: A case study of Shiraz hospitals. Int J Travel Med Glob Health. 2014;2(1):5-9.
13
Izadi M, Ayoobian A, Nasiri T, Joneidi N, Fazel M, Hosseinpourfard M. Situation of health tourism in Iran; opportunity or threat. Mil Med Journal. 2012;14(2):69-75.
14
Tarighat Monfared MH, Akhavan Behbahani A, Hassanzadeh A. Principles and basis of the national health policy (a comparative study). Tehran: The Office of Social Studies Majlis Research Centre (MRC) Publication, 2008. [In Persian]
15
Johnston R, Crooks VA, Snyder J. I didn’t even know what I was looking for: A qualitative study of the decision-making processes of Canadian medical tourists. Globalization and health. 2012;8(1):23.
16
Debata BR, Patnaik B, Mahapatra S. Development of an instrument for measuring service quality of medical tourism in India. International Journal of Indian Culture and Business Management. 2011;4(6):589-608.
17
Moody M. Medical tourism: employers can save significant healthcare dollars by having employees seek overseas options. Rough Notes. 2007;150(11):114-6.
18
McCallum BT, Jacoby PF. Medical Outsourcing: Reducing Clients' Health Care Risks. Journal of Financial Planning. 2007;20(10):60.
19
Delgoshaei B, Ravaghi H, Abolhassani N. Importance performance analysis of medical tourism in iran from medical tourists and medical services provider’s perspective: 2011. Middle-East Journal of Scientific Research. 2012;12(11):1541-7.
20
Kazemi Z. Study of effective factors for attracting medical tourist in Iran. Unpublished master thesis Lulea University of Technology: Netherlands. 2007.
21
Khodayari R, Tourani S, Qaderi A, Salehi M, Jafari H. Capabilities assessing of teaching hospitals in Iran University of medical sciences in attracting medical tourists according to JCI patient-oriented standards. Hospital. 2010;9(3):51-7. [In Persian]
22
Turner LG. Quality in health care and globalization of health services: accreditation and regulatory oversight of medical tourism companies. International Journal for Quality in Health Care. 2011;23(1):1-7.
23
Karen H. International accreditation and medical tourism: The value equation. International Congress of Medical Tourism. 2006.
24
Pocock NS, Phua KH. Medical tourism and policy implications for health systems: a conceptual framework from a comparative study of Thailand, Singapore and Malaysia. Globalization and Health. 2011;7(12):1-12.
25
Herrick MD. Medical tourism: global competition in health care. NCPA Policy Report. 2007;1(304):556-604.
26
Masoudi Asl I, Nasiri T, Shams L, Hashemidehaghi Z. Relationship between health care organization management standards of the Joint Commission International and health tourism in selected hospitals in Tehran. Int J Travel Med Glob Health. 2014;2(1):19-22.
27
Smith RD, Chanda R, Tangcharoensathien V. Trade in health-related services. Lancet. 2009;373(9663):593-601.
28
Pawitra TA, Tan KC. Tourist satisfaction in Singapore: a perspective from Indonesian tourists. Managing Service Quality. 2003;13(5):399-411.
29
Lunt N, Carrera P. Medical tourism: assessing the evidence on care abroad. Maturitas. 2010;66(1):27-32.
30
Gray HH, Poland SC. Medical tourism: crossing borders to access health care. Kennedy Institute of Ethics Journal. 2008;18(2):193-201.
31
Sorensen L. Accreditation standards of medication management, infection control, assessment and plans of care. Paediatrics and Child Health. 2008;18:S92-S5.
32
Manalo F. The Philippines as the Hub of Cosmetic Surgery in Asia: Plastic Surgeon’s Viewpoint. Thailand: Medical tourism Asia conference; 2008.
33
Cohen E. Medical tourism in Thailand. AU-GSB e-journal. 2008;1(1):24-37.
34
Afshani A, Khodadadi R. Role of public relations in development of medical tourism market. The 3rd Regional Congress on International Health Services of Iran; Nov,4; Urmia: Urmia University of Medical Sciences; 2009. [In Pesian]
35
Turner L. Medical tourism Family medicine and international health-related travel. Canadian Family Physician. 2007;53(10):1639-41
36
ORIGINAL_ARTICLE
Localization of the Knowledge Workers’ Productivity Questionnaire and Evaluation of the Productivity of Knowledge Workers of the Central Field of Shiraz University of Medical Sciences
Introduction: Human resources impose a vast expense on health organizations. Therefore, improvement of the productivity of human resources is of considerable concern to executive managers of every country.
Methods: In the present study, first, the knowledge workers’ productivity assessment questionnaire was localized. Then, the knowledge workers of the central field of Shiraz University of Medical Sciences were investigated regarding productivity and affecting factors thereof.
Results: In this analytic and cross-sectional study, the questionnaire designed by Antikainen et al, was used as the pattern. 300 knowledge workers of the central field of this University were selected through the stratified random sampling in June 2011. Moreover, the data were analyzed through factor analysis, and etc.
Conclusion: Factor analysis led to the identification of eight main components of the knowledge workers’ productivity. The reliability of the new version of the questionnaire was confirmed by the Cronbach’s alpha coefficient of 0.945. Additionally, in this sample, productivity level of 19.3% of employees was low and 80.7% was favorable. In this regard, attempts must be made in order to improve the productivity.
https://www.ijtmgh.com/article_33281_fdd5a294547c13e5b9ead883958cbbf3.pdf
2014-06-01
51
60
Organization and administration
Manpower
Productivity
Questionnaire
Factor analysis
statistical
Nahid
Hatam
1
Department of Health Service Management, Faculty of Management and Medical Information, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Zahra
Kavosi
2
Department of Health Service Management, Faculty of Management and Medical Information, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Mehrzad
Lotfi
3
Department of Radiology, Faculty of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Masoomeh
Zarifi
zarifim@sums.ac.ir
4
Department of Health Service Management, Faculty of Management and Medical Information, Shiraz University of Medical Sciences, Shiraz, Iran
LEAD_AUTHOR
Ali
Tavakoli
5
Manager of Support Service Office, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Mohammad Kazem
Rahimi
6
Student Research Committee, School of Management and Medical Information, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Poz MRD, Gupta N, Quain E, Soucat ALB. Challenges and opportunities. In Handbook on monitoring and evaluation of human resources for health: with special applications for low- and middle-income countries. Geneva, Switzerland: World Health Organization, 2009, p:3.
1
Kabene SM, Orchard C, Howard JM, Soriano MA, Leduc R. The importance of human resources management in health care: a global context. Human Resources for Health. 2006;4(20):1-17.
2
Combs J, Liu Y, Hall A, Ketchen D. How much do high-performance work practices matter? a meta-analysis of their effects on organizational performance. Personnel Psychology. 2006;59:501-28.
3
Ramírez YW, & Nembhard DA. Measuring knowledge worker productivity. Journal of Intellectual Capital , 2004;5(4):602-28.
4
Dehghan Nayeri N, Salehi T, Asadi Noughabi AA. Assessing the quality of work life, productivity of nurses and their relationship. Journal of Nursing Research. Spring and Summer 2008;3(8):27-37. [In Persian]
5
Okereke CI, Daniel A. Staff welfare and productivity in Patani local government council, Delta State Nigeria. Journal of Economics and International Finance. 2010;2(12):313-20.
6
Kemppilä S, Mettänen P. Innovations in knowledge-intensive services. Paper presented in 5th International CINet Conference, Sydney 22-25 September 2004.
7
Antikainen R, Lönnqvist A. Knowledge work productivity assessment. Proceeding of the 3rd conference on performance measurement and management; 2005, September; Nice, France.
8
Salamzade Y, Mansouri H, Farid D. The relationship between quality of work life and productivity of human resources in health services (Case study: Yazd hospital nurses). Journal of Urmia Nursing School. Summer 2008;4(2):60-70. [In Persian]
9
Alizadeh F, Tabibi SJ, Nasiripour AA, Gouhari MR. Work-life quality and manager’s productivity in social security hospitals (Tehran; 2007-2008). Journal of Health Administration. Winter 2009;11(34):21-26. [In Persian]
10
Nasiripour AA, Raeisi P, hedayati SP. The relationship between organizational cultures and employees productivity in educational hospitals of Iran university medical sciences, Journal of Health Administration. Spring 2009;12(35):17-24. [In Persian]
11
Rezaian A. Principles of Organizational Behavior Management, 7th edition, Tehran: SAMT, 2006, p:417-21. [In Persian]
12
Monajemzade Z, Baradaran M. Analysis of factors affecting the quality of working life and employee performance Ramin, Ahwaz University of Agriculture and Natural Resources. Journal of Agricultural and Development Economics Research of Iran. 2009,40-2(3):39-47. [In Persian]
13
Moqadas AA, Ahmadi Noudeh KH. A sociological study of factors effective on the productivity of staff of governmental organizations in Shiraz. Journal of Social sciences and Humanities of Shiraz University. Winter 2003;19(1):138-51. [In Persian]
14
Koonmee K, Singhapakdi A, Virakul B, Lee DJ. Ethics institutionalization, quality of work life, and employee job-related outcomes: A survey of human resource managers in Thailand. Journal of Business Research. 2010;63:20-6.
15
Nekooei Moghadam M, Mirrezaei N. Impact of in-service training on productivity of employee of Kerman University of Medical Science. Journal of Health Management and Information. Spring & Summer 2005;2(1):40-6. [In Persian]
16
Najafi A, Afrazeh A, Jahanshahi M .Relationship of stress and knowledge workers productivity in Mess-Sarcheshmeh Company. Iran Occupational Health Journal. Spring 2010;7(1):34-43. [In Persian]
17
Phusavat K, Anussornnitisarn P, Rassameethes B, Kess P. Productivity improvement: Impacts from Quality of Work Life. International Journal of Management and Enterprise Development. 2009;6(4):465-78.
18
Sabokrou M, Vafayi Yegane M, Kashani S. Employee productivity and quality of work life insurance companies in light of emotional intelligence. Journal of the insurance industry. Spring 2010;25(1):179-202. [In Persian]
19
ORIGINAL_ARTICLE
Coronary Artery Disease Risk Factors in Patients Undergoing Coronary Artery Bypass Graft Surgery
Introduction: Nowadays, with the advancement of technology and industrial life, the prevalence of heart diseases including coronary artery diseases has considerably increased. Coronary artery diseases are one of the most common and serious diseases that threaten human life.
Methods: The present study is a comparative-descriptive research. The statistical population were 188 patients admitted in surgery ward of Rasht medical centers to receive coronary artery bypass graft surgery in 2012. Data gathered by questionnaire individual information and risk factors of coronary artery disease, and analyzed by SPSS software.
Results: In this study in both youth and adults groups, 38.30% had smoking history and 42% had the positive family history of heart disease. According to Chi-square test, there was no significant difference among risk factors of smoking, hypertension, hyperglycemia, higher level of LDL, elevated triglycerides, and age of the participants (P> 0/05); while there was a significant difference between positive family history of heart disease and age (p<0.005), and also between heart disease history and age (p<0.005). The findings of the present study indicated that in young patients the highest percentage increase in laboratory risk factors and behavioral risk factors belonged to triglycerides (52. 4 %) and smoking (43%), respectively.
Conclusion: It is ultimately concluded that social misconceptions about the refusal of coronary artery heart disease risk factors at the youth age should be changed, and through taking necessary educational measures guide the society towards health promotion, lifestyle changes and modification of coronary artery disease including smoking and triglyceride level.
https://www.ijtmgh.com/article_33283_a2849a86ffbd72203ac5c8ee35fcccfd.pdf
2014-06-01
61
63
patients
Hospitals
Coronary Artery Disease
Coronary Artery Bypass
Mahmood
Emami
1
Yazd Cardiovascular Research Center, Shahid Sadoghi University of Medical Sciences, Yazd, Iran
AUTHOR
Seyed Ali
Majidi
salimajidi@yahoo.com
2
Lecturer, Islamic Azad University, Rasht Branch, Rasht, Iran
LEAD_AUTHOR
Tohid
Emami Meybodi
3
Yazd Cardiovascular Research Center, Shahid Sadoghi University of Medical Sciences, Yazd, Iran
AUTHOR
Naghavi M. The feature of death in 18 provinces of Iran in 2001. Department of health; Iran Ministry of Health, 2003. [ In Persian]
1
Taha AZ, Bella H. Heart diseas risk factor: prevalance and knowlledge in primary care setting, Saudi Arabia. Estern Mediterranean Health Journal. 1998;4(2):293-100.
2
Khan MS, Bawany FI, Khan A, Hussain M, Ali SS, Shah SR, et al. Risk assessment for obstructive sleep apnea and anxiety in a Pakistani population with coronary artery disease. Sleep Breath. 2014 Jun 13. [Epub ahead of print]
3
Lerner DJ, Kannel WB. Patterns of coronary heart disease morbidity and mortality in the sexes: a 26-year follow-up of the Framingham population. American heart journal. 1986;111(2):383-90.
4
Lloyd-Jones D, Adams RJ, Brown TM, Carnethon M, Dai S, De Simone G, et al. Heart disease and stroke statistics--2011 update: A report from the American Heart Association. Circulation. 2010;121(7):e46-e215.
5
Fuster V, Badimon L, Badimon JJ, Chesebro JH. The pathogenesis of coronary artery disease and the acute coronary syndromes. New England Journal of Medicine. 1992;326(4):242-250.
6
Schenbel RJ, Zorn H, Silber Re, Kuss O, Moraweitz H, Holtz J, et al. Age-dependent depression in circulating endothelial progenitor cells in patients undergoing coronary artery bypass grafting. J Am coll cardiol. 2003 Des 17;42(12):2037-80.
7
Lopez AD, Mathers CD, Ezzati M, Jamison DT, Murray CJ. Global and regional burden of disease and risk factors, 2001: systematic analysis of population health data. Lancet. 2006 May 27;367(9524):1747-57.
8
Lim GB. Coronary artery disease: Long-term superiority of CABG surgery for three-vessel disease confirmed. Nat Rev Cardiol. 2014 Jun 10. doi: 10.1038/nrcardio.2014.82.
9
De Backer G, Ambrosioni E, Borch-Johnsen K, Brotons C, Cifkova R, Dallongeville J, et al. European guidelines on cardiovascular disease prevention in clinical pr actice. Third Joint Task Force of European and other Societies on Cardiovascular Dise ase Prevention in Clinical Practice (constituted by representatives of eight societies and by invited experts). Atherosclerosis. 2004 Apr;173(2):381-91.
10
Assmann G, Cullen P, Schulte H. Simple scoring scheme for calculating the risk of acute coronary events based on the 10-year follow-up of the prospective cardiovascular Münster (PROCAM) study. Circulation. 2002 Jan 22;105(3):310-5.
11
Sorrention S. Text book For Nursing Assistavts. ST. Louis, The C.V.Mosby co, 2004.
12
Kwang chein, Yee. About coronary blood Flow and its application, 1999.
13
Halfon ST, Tamir D, Bronner S. Determinants of blood pressure in 7th grade Jerusalem school children. Eur J Epidemiol. 1987 Mar;3(1):39-45.
14
Harrison 2001. MODULAR COMPILERS AND THEIR CORRECTNESS PROOFS. BY. WILLIAM LAWRENCE HARRISON. B .A. University of California, Berkeley 1986. Copyright by William Lawrence
15
ORIGINAL_ARTICLE
Health Tourism Development Strategies in Ardabil
Introduction: Health tourism industry is growing in border provinces of the country, especially in the areas where tourists feel more comfortable as a result of distance from stressful urban life. This research was done to promote Health Tourism Industry in Ardabil.
Methods: This is an analytic study. The data were gathered by means of library technique from academic sites as well as experts' opinions. Then, 20 questionnaires were distributed among administrators and political authorities of health tourism. At last, the results were analyzed by SPSS software.
Results: According to the findings, factors affecting the development of health tourism in Ardabil were prioritized. The most important factors were as follows: costs, infrastructure, target market, services.
Conclusion: Considering the great potential development of health tourism industry in Ardabil due to hot mineral water, comprehensive and operational planning in this regard is required to push the province at the top of this industry in Iran.
https://www.ijtmgh.com/article_33286_62390ae0c580f57505bc4a6e95b78aeb.pdf
2014-06-01
65
67
Tourists
Health tourism
Strategies
Rasul
Fani Khiavi
rasulfani49@gmail.com
1
Faculty Member of Islamic Azad University, Meshgin Shahr Branch, Ardabil, Iran
LEAD_AUTHOR
TRAM. Medical Tourism: a global analysis, a report by tourism research and marketing. Atlas publication, Netherlands. 2006.
1
Jabbari A. Designing a Model for Iran Medical Tourism 2009. Ph.D Dissertation. School of Management and Medical Information, Iran University of Medical Sciences, Tehran, 2009. [ In Persian]
2
Kazemi Z. Study of effective factors for attracting medical tourist in Iran. Unpublished master thesis Lulea University of Technology: Netherlands. 2007.
3
Mahdavi Y, Mardani S, Hashemidehaghi Z, Mardani N. The Factors in Development of Health Tourism in Iran. Int J Travel Med Glob Health. 2013;1(3)2013:113-18.
4
Ayoubian A, Tourani S, Hashemidehaghi Z. Medical Tourism Attraction of Tehran Hospitals. Int J Travel Med Glob Health. 2013;1(2)2013:95-98.
5
Chanda R. Trade in Health Services. Indian Council for Research on International Economic Relations 2001;70.
6
Pourkhaghan Z, Ebrahimi Pour Faez S, Pourkhaghan S, Ghahrieh S. Interaction of Economic Indicators and Medical Tourism Industry. Int J Travel Med Glob Health. 2013;1(3)2013:133-39.
7
Yavari K GA, Shahhosseini S, Zeraati M, Mirmo-hammadi H,. Tourism cluster: a new approach in expanding tourism industry. The Institute for Trade Studies and Research 2006 [In Persian].
8
Agharahimi, Z. Medical Tourism Survey in Selected Countries and Proposals for Iran,[M.A. Tesise], Tehran University of Medical Science,2009. [In Persian].
9
Iran Trade Promotion Organization. Iran and the world health tourism, Departmanet of Marketing and Market, Office market of goods and services, First Edition,2008. [In Persian].
10
Ranjbarian B, Zahedi M. The services of tourism industry. 3rd Addition, Isfahan: Chaharbagh Publication, 1388. [In Persian]
11
Boyd SW, Butler RW. Managing ecotourism: an opportunity spectrum approach. Tourism management. 1996;17(8):557-66.
12
Kazemi Z, Atafar A. The role of entrepreneurship in health tourism industry. First Conference in Health Tourism, 1395. [In Persian]
13
Cultural Heritage, Handcrafts, and Tourism Organization. The comprehensive plan for enhancing the number of coming tours and technical enabling of tour leaders of Iran, report 1, 1387. [In Persian]
14
Ayoubian A. Relationship between information mechanisms and medical tourism attraction in Tehran hospitals. Master Thesis. School of Management and Economics, Islamic Azad University, Sciences and Research Branch of Tehran, 2010. [In Persian]
15
ORIGINAL_ARTICLE
Deaths: Leading Causes for 2011-2012
Introduction: This report presents 2011-2012 data on leading causes of death in the Islamic Republic of Iran by Province.
Methods: Data in this report are based on information from all death certificates filed in the 31 provinces in 2011-2012 . Causes of death classified by the International Classification of Diseases, Tenth Revision (ICD–10) are ranked according to the number of deaths assigned to rank able causes
Results: In 2011-2012 the 5 leading causes of death were, in rank order: Diseases of the Circulatory System (including Heart Disease); Neoplasms; Accidents (Unintentional Injuries); Diseases of the Respiratory System; Diseases of the Nervous System. First cause of death in all over the country and in each province was Diseases of the Circulatory System (including Heart Disease).
Conclusion: Improving diagnostic methods to diagnose Diseases of the Circulatory System sooner and also improving level of access to advanced cardiac care in all over the country is highly recommended.
https://www.ijtmgh.com/article_33287_91fe700201ada5cc9cee1b1cf539267b.pdf
2014-06-01
69
80
mortality
Cause of Death
ICD-10
Seyed Mojtaba
Jamali
1
Health Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
AUTHOR
Morteza
Izadi
morteza_izadi@yahoo.com
2
Health Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
LEAD_AUTHOR
National Office of Vital Statistics. Leading causes of death: United States and each state, 1949. Vital statistics—Special reports, national summaries; vol 36 no 20. Washington, DC: Public Health Service. 1952.
1
National Office of Vital Statistics. Summary report of the third annual meeting of the Public Health Conference on Records and Statistics. Washington, DC: Public Health Service. 1951.
2
Statistical Center of Iran. Iran Statistical Year Book, 1390. [In Persian]
3
World Health Organization. International statistical classification of diseases and related health problems, tenth revision (ICD–10). 2nd ed. Geneva, Switzerland. 2004.
4
ORIGINAL_ARTICLE
Health Technology Assessment of CAD/CAM in Dentistry
Introduction: Computer-Aided Design and Computer-Aided Manufacturing (CAD/CAM) are the latest achievements of Prosthodontics and Restorative Dentistry. The aim of this research is to help make appropriate decision whether to use this technology in Iran.
Methods: Studies were included in this review that compared Dental CAD/CAM with conventional restorative methods in terms of safety, efficacy and cost-effectiveness using Cochrane Library, CRD and Pub med. Results were analyzed using qualitative methods.
Results: Six articles were used. Different indices of effectiveness in two types of application were found through the studies. Total failure rate for dental inlays was obtained as 0, 2.6% in 3 studies during a 4-year period and 1.75% in a 7-year period. It was 0.53% and 3.61% in two studies for prosthesis. Five-year survival rate for dental inlays was obtained from 91.6% to 100% and for prosthesis 72.2% to 100% in two studies. In terms of cost-effectiveness ratio of this technique compared to traditional methods, using ceramics fabricated along with chair side CAD/CAM is higher than traditional method; thus using it provides higher cost-effectiveness ratio than restoration by gold.
Conclusion: This technology seems to be safe and effective and if this application is performed by specialists in the field of prosthetics, it will have favorable results. Although this HTA study confirmed the cost effectiveness of the dental CAD/CAM, economic evaluation of the technology in Iran is recommended for the future.
https://www.ijtmgh.com/article_33288_c539621b9ab74364bfd4beae2afb5456.pdf
2014-06-01
81
85
Cerec
Dentistry
review
Mohammadreza
Mobinizadeh
1
Young Researchers and Elites club, Science and Research Branch, Islamic Azad University, Tehran, Iran
AUTHOR
Shila
Doaee
2
Head of Health Technology Assessment (HTA) Department, Deputy of Curative Affairs, Ministry of Health and Medical Education, Tehran, Iran
AUTHOR
Alireza
Olyaeemanesh
arolyaee@yahoo.com
3
National Institute for Health Research, Tehran University of Medical Sciences, Tehran, Iran
LEAD_AUTHOR
Mahdi
Azadbakht
4
School of Health Management and Information Sciences, Tehran University of Medical Sciences, Tehran, Iran
AUTHOR
Mina
Nejati
5
Standardization and Tariff Office, Deputy of Curative Affairs, Ministry of Health and Medical Education. Tehran, Iran
AUTHOR
Parisa
Aboee
6
National Institute for Health Research, Tehran University of Medical Sciences, Tehran, Iran
AUTHOR
Gandjour A, Kerschbaum T. Technology assessment in dentistry: A comparison of the longevity and cost-effectiveness of inlays.International Journal of Technology Assessment in Health Care. 2005; 21(3):319-25. PMID: 16110711
1
Wuttke A. CAD/CAM Technology in oralImplantology. European Journal for Dental Implantologist. 2009; 5.
2
Martin N, Jedynakiewicz NM. Clinical performance of CEREC ceramic inlays: a systematic review. Dent Mater. 1999 Jan; 15(1):54-61. PMID: 10483396
3
Kapos T, Ashy LM, Gallucci GO, Weber HP, Wismeijer D. Computer-Aided Design and Computer-Assisted Manufacturing in Prosthetic Implant Dentistry. International Journal of Oral & Maxillofacial Implants. 2009; 24 Suppl: 110-7. PMID: 19885438
4
Hayashi M, Wilson N H, Yeung CA. Systematic review of ceramic inlays. Clinical Oral Investigations. 2003; 7(1): 8-19. PMID: 12673432
5
Harder S, Kern M. Survival and complications of computer aided-designing and computer-aided manufacturing vs. conventionally fabricated implant-supported reconstructions. Clinical Oral Implants Research. 2009; 20:48-54. PMID: 19663948
6
Wittneben JG, Wright RF, Weber HP, Gallucci GO. A systematic review of the clinical performance of CAD/CAM single-tooth restorations. Journal of Prosthodontics. 2009; 22(5): 466-471. PMID: 20095195
7
Otto T, De Nisco S. Computer-aided direct ceramic restorations: a10-year prospective clinical study of CEREC CAD/CAM inlays andonlays. Int J Prosthodont. 2002;15(2):122-8. PMID: 11951800
8
Posselt A, Kerschbaum T. Longevity of 2328 chairside CERECinlays and onlays. Int J Comput Dent. 2003;6:231-48. PMID: 14601187
9
Berg NG, Derand T. A 5-year evaluation of ceramic inlays (CEREC). Swed Dent J. 1997;21:121-7. PMID: 9413909
10
Fasbinder, Dennis J. Clinical performance of chairside CAD/CAM restorations. Journal of the American Dental Association. 2006; Suppl 1: 22S-31S. PMID: 16950934
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ORIGINAL_ARTICLE
Data Mining: A Novel Outlook to Explore Knowledge in Health and Medical Sciences
Today medical and Healthcare industry generate loads of diverse data about patients, disease diagnosis, prognosis, management, hospitals’ resources, electronic patient health records, medical devices and etc. Using the most efficient processing and analyzing method for knowledge extraction is a key point to cost-saving in clinical decision making. Data mining, sometimes called data or knowledge discovery, is the process of analyzing data from different perspectives and summarizing it into useful information. In medicine, this process is distinct from that in other fields, because of heterogeneity and voluminosity of the data. Herein we reviewed some of published articles about application of data mining in several fields in medicine and healthcare.
https://www.ijtmgh.com/article_33289_223d34e6a7d8026d4ce571e16b3d6fb3.pdf
2014-06-01
87
90
Medicine
knowledge
Medical Informatics
Data mining
Golbarg
Mehrpoor
1
School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
AUTHOR
Mohammad Mehdi
Azimzadeh
mehdiazimzadeh19@yahoo.com
2
School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
LEAD_AUTHOR
Amirhossein
Monfared
3
Department of Industrial Intelligence Research Group, ACECR, Zanjan Branch, Zanjan, Iran
AUTHOR
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1
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3
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4
Fayyad U, Piatetsky-Shapiro G, Smyth P, Uthurusamy R. Advance in knowledge discovery and data mining. 01 February 1996.
5
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8
Han J, Kamber M. Data Mining: Concepts and Techniques. Morgan Kaufmann Publishers, 2001.
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10
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11
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Miyaki K. Takei I. Watanabe K. Nakashima H, Watanabe K, Omae K. Novel statistical classification model of type 2 diabetes mellitus patients for tailor-made prevention using data mining algorithm. J epidemiol. 2002;12(3): 243-8.
20
Rohlfing CL, Wiedmeyer HM, Little R, England JD, Tennill A, Goldstein DE. Defining the relationship between plasma glucose and HbA1c: analysis of glucose profiles and HbA1c in the Diabetes Control and Complications Trial. Diabetes Care. 2002;25(2):275-8.
21
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23
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24
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25
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26
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27
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32
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33
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