Indian Journal of Medicine and Healthcare

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The Effect of Gynecologists Permanent Presence on Social Security Hospital Indices: 2010-2011


Affiliations
1 Department of Health Services Management, Science and Research Branch, Islamic Azad University, Tehran, Iran, Islamic Republic of
2 Hospital Management Research Center, Tehran University of Medical Sciences, Tehran, Iran, Islamic Republic of
 

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 Stay
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  • The Effect of Gynecologists Permanent Presence on Social Security Hospital Indices: 2010-2011

Abstract Views: 276  |  PDF Views: 239

Authors

Fatemeh Rahmani
Department of Health Services Management, Science and Research Branch, Islamic Azad University, Tehran, Iran, Islamic Republic of
Kamran Hajinabi
Department of Health Services Management, Science and Research Branch, Islamic Azad University, Tehran, Iran, Islamic Republic of
Mohammad Reza Maleki
Hospital Management Research Center, Tehran University of Medical Sciences, Tehran, Iran, Islamic Republic of

Abstract


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 Stay

References