Mahmoud Keyvanara

• Professor
• Isfahan University of Medical Sciences

Population aging is one of the challenging phenomena where due to health changes and the importance of different levels of prevention, the country’s health system is most responsible for it. Therefore, it is responsible for providing responsible service and dealing with challenges and obstacles to successfully face the aging phenomenon. In this reg...

Background: There have been criticisms that local authorities develop disaster planning independently, which led to less sensitiveness and responsibility of community-based organizations (CBOs). Disasters planning should incorporate into CBOs' management processes. This study aims to set goals of a community-based plan based on preparedness capaci...

Background and aim: Given the growing trend of aging and the limited resources of the health system, the lack of long-term prior government planning, and reduced growth of the productive force of society, identifying strategies for planning and action to deal with future aging is very important. In this regard, the study was conducted to identify...

Objectives: The goals of global growth of the elderly population and ensuring the health of the elderly is a global event and one of the most important challenges of the health system of countries, especially developing countries and Iran; In this regard, the study was conducted to explain the challenges of the Iranian health system in the face of...

Background: Because of the increasing trend of uncontested divorce in the courts, as two out of every three divorces are related to uncontested divorce, scrutinizing the health and psychological causes of the rate of uncontested divorce is of great importance. The aim of this study was to examine the psychological and health factors affecting uncon...

Background Cardiovascular Diseases (CVDs) are the leading causes of death in the world. Implementation of disease registry can decrease the disease burden. Objective This study aimed the presentation of the national registry strategies for Myocardial Infarction (MI) in Iran based on a comparative research through holding focus group meetings with...

Background: Infectious diseases in the pandemic stage have significant life-threatening, psychological and social effects. Identifying the characteristics associated with peoplechr('39')s cooperation in self-care leads to greater immunity for themselves and others. Therefore, this study was conducted to predict the self-care of the Iranian people a...

Background Complex psychological and physiological changes occur in women’s body during pregnancy. These changes affect both oral health status and oral health-related quality of life (OHRQoL). In almost all of the previous cross-sectional design studies on pregnant women, generic OHRQoL instruments have been used to measure OHRQoL. While such inst...

Background and purpose: The recent Coronavirus (SARS-CoV-2) has resulted in a sudden

Background: Burns and heat-related injuries often lead to mortality and great financial and social costs. This study aimed at investigating the social determinants of burn-related mortalities in a burn specialized hospital in Isfahan, Iran. Materials and Methods: This cross-sectional data secondary analysis study was conducted through the data rela...

Background and aim: Considering the important role of universities in advancing educational, social, cultural, economic, and political affairs and given the significant and effective role of social determinants of health (SDH) in personal and social life, this study aimed to design a preliminary questionnaire to assess the awareness and attitude o...

Background: The operating room staff is exposed to stress due to the frequent contacts with patients, which may ultimately leads to burnout. The aim of this study was to determine burnout and its related factors among the operating room staff in teaching hospitals affiliated with the Isfahan University of Medical Sciencesin 2018. Methods: The prese...

Health professionals respond to biohazards according to international guidelines. However, concerns over the applicability of guidelines do exist since local conditions, as well as cultural traits of communities, tend to differ. Community-Based Health Organisations (CBHOs) are gatekeepers of communities whose roles and responsibilities have been as...

The increased attempted suicide rate is one of the main problems healthcare systems face in many societies. Social meaning is one of the main fields of studying suicide attempts. The main aim of the present study was to investigate the motives of suicide attempts among Iranian women. To explore suicide motives, history of medical or psychological i...

Background: Burnout has negative effects on the performance of employees, especially on the operating room personnel, who are in contact with acute patients. The aim of this study was investigating effective factors on occupational burnout among the operating room staff at the teaching hospitals affiliated with Medical University of Isfahan, Iran....

Background: Holding continuing medical education programs (CME) is one of the recommended global strategies for attaining rational drug prescribing by physicians. The aim of this study was to assess the barriers and fill the gap between the current situation and the favorable status of CME by evaluating experts' viewpoints on the role of these prog...

The purpose of this study was to develop a tool for community-based health organisations (CBHOs) to evaluate the preparedness in biohazards concerning epidemics or bioterrorism. We searched concepts on partnerships of CBHOs with health systems in guidelines of the Centers for Disease Control and Prevention and literature. Then, we validated the res...

Introduction: Today, social determinants of health are defined as one of the most important approaches in examining health differences among communities as well as within them. In this approach, Early Childhood Development has been a centeral theme in the comprehensive evolution of the child. This study endeavored to examine the content analysis of...

Background: Burn gives rise to a high mortality and socio-economic burdens. The present study aimed to assesses epidemiological characteristics of burn patients and their relationship with mortality caused by burn in Imam Musa Kazim Hospital, Isfahan, Iran During a 4-year period. Materials and Methods: The current descriptive-analytic study was pe...

Introduction: Irrational use and prescribing of medications is a major problem in healthcare systems worldwide. The factors affecting prescribing and use of drugs can be assessed in educational, management, supervision and financial areas. Present study was designed to investigate the role of financial incentives in this field. Methods: This qualit...

Introduction: Cardiovascular diseases have high morbidity and mortality rate. Disease registry system is a clinical information system designed and implemented for patient information management and one of the essential steps in its implementation is the analysis of collected data. Since the basis of data collection in each data registry system is...

Methods: A qualitative study was used. Midwifery students from three universities in Iran participated. The study used a convenience sample of eighteen students. Data for this study was collected using semi-structured interviews (N=12) and focus groups (N=6). Data were recorded on a digital audio recorder and then transcribed. The qualitative data...

Background Studies have shown that the relationship between social capital (SC) and quality of life (QOL) has an important role in care, prevention, and treatment of some patients. The present study was conducted with the aim to determine the relationship between social capital and QOL of patients with type 2 diabetes. Materials and Methods This d...

Background: Maternity care in Iran is provided mainly within a medical model of care. The majority of women give birth in hospital, where care is provided by midwives who work under the direction and supervision of an obstetrician. Midwives within the medically dominated system lack autonomy and have very little opportunity to gain experience in p...

Objectives: The aim of this study was to explore key informants’ experiences about challenges and recommendations of patient identification and tracking in past earthquakes in Iran. Methods: A qualitative survey of key informants’ experiences and views was carried out on emergency physicians and nurses, first responders and managers of red crescen...

Background: The health transformation plan (HTP) was put into action in Iran, in 2014, with 8 service packages. This plan was not implemented as a pilot and therefore, various problems and barriers have since emerged. Objectives: The aim of this study was to identify the economic challenges of inpatient payment reduction directive in HTP from the p...

BACKGROUND As one of the indicators of actual growth and scientific development capacity of countries, the importance of the research is steadily increasing. Knowing that success depends on the work done by researchers so identified identify these barriers and pave the way for one of the concerned authorities of their research. METHODS This qualit...

Background Compassion is an important part of nursing. It fosters better relationships between nurses and their patients. Moreover, it gives patients more confidence in the care they receive. Determining facilitators of compassion are essential to holistic care. The purpose of this study was to explore these facilitators. Materials and Methods Thi...

Background: Self-immolation is among the most damaging types of injuries from burns, causes serious physical injuries and has psychological and economic effects on the person and his or her family. This study assessed the epidemiological characteristics of patients hospitalized in Imam Musa Kazim hospital, Isfahan, Iran, due to self-immolation duri...

Background: After a disaster, all victims have to be rapidly and accurately identified for locating, tracking and regulating them. The purpose of this study was to summarize people's experiences that how the patients were tracked in past earthquake disasters in Iran. Methods: A qualitative study was carried out in 2015. This was an interview-bas...

Moral hazards are the result of an expansive range of factors mostly originating in the patients’ roles. The objective of the present study was to investigate patient incentives for moral hazards using the experiences of experts of basic Iranian insurance organizations. This was a qualitative research. Data were collected through semi-structured in...

Aim: As we know, due to the undesirable structural and functional changes arise from aging, old people need more healthcare services than other groups in society. Many factors affect utilization of health services in this age group. Cultural factors can be named as the most important since they play a basic role in determining people's lifestyle an...

Background: One of the main concerns for patient safety in disaster is continuous patient trace from disaster scene to a care center, including victims' identification, data register at the scene, records of the initial medical assessment, real-time alerts regarding patients' situation, and update location of them. This process is called patient tr...

Introduction: During the past 10 years, drug budget have grown enormously from 500 million Dollars to 3 billion Dollars in Iran. Irrational drug prescription can cause additional costs on people/government and can waste the resources. Designing and implementing appropriate interventions to control drug prescription and usage can be effective in con...

Background: Quality of life (QOL) is one of the health indexes for which many efforts have been made to define and measure during the last four decades of the 20(th) century in many countries. This paper is aimed at studying the QOL in relation to socioeconomic status of the general population of Isfahan in 1390. Materials and methods: We applie...

Background and Objectives: IInduced demand in healthcare is referred to as provision of unnecessary services to the patient by the health services providers, while the patient is not aware of their un-necessity. Apart from being unethical, this practice can potentially disturb the supply and demand balance in the health market, pose financial load...

Violence is now regarded as a serious problem and its complication causes heavy costs on the healthcare systems. The present study aimed to investigate the correlation between some demographic characteristics and confrontation with violence. Since there is no study on the prevalence of violence among the support and administration staff of hospital...

Background and Objectives: Effective communication between managers and staff is a prerequisite to organization success. Cultural competence is key to effective communication. The aim of this study was to survey cultural competence in managers of selected hospitals. Methods: Twenty teaching hospital managers and four private hospital managers of se...

In all areas of life including health, choices have widely increased and concerns over getting hold of further choices have made trust a necessary element. This study, taking into consideration the interconnection of three concepts of trust, risk, and body, aims at describing and interpreting different types of trust experienced in a risky medical...

Abstract Background: Changes in modern societies develop the perception that the external environment is essential in organization’s practices, especially in the way they deal with aspects such as human rights, community needs, market demands and environmental interests. These issues are usually under the umbrella of the concept of social responsib...

Background and Aims: One of the controversial topics in the health economy is the theory of induced demand. Physicians as experts enjoy superior knowledge and information and can use their extra knowledge for persuading patients to use unnecessary healthcare. The objective of the present study is to investigate the factors affecting on physicians’...

Introduction: Today violence is considered as one of the issues relating to health and occupational safety of the people and is also one of the existing occupational hazards in hospital. Therefore, the present study was conducted to investigate strategies of reducing violence in hospital from the viewpoint of support-administrative staff to take ne...

Background and Aim: The hypothesis of supplier induced demand has attracted a lot of attention over the past three decades. Most studies in this field agree that healthcare providers have the ability to influence the demand for their products. The purpose of this study is to evaluate the role of institutions in the phenomenon of induced demand. Thi...

Background: The probability and severity of effects of induced demand are because of the interaction between a range of factors that can affect physicians and patients behavior. It is also affected by the laws of the markets and organizational arrangements for medical services. This article studies major factors that affect the phenomenon of induce...

Introduction: Cultural intelligence and social compatibility are two acquired processes that their education and reinforcement between dormitory's students who have inter cultural interactions with each other can conclude with results that tension diminution, inter cultural contrast and conflict, social divisions and consequently healthy and peacef...

Background: Numerous researches conducted on about the quality of perception of media messages shows that the people are not passive receivers but they have the ability of understanding, interpreting and accepting or rejecting messages. In order to make clear the relationship of information and communication technologies with social changes and to...

Background: Today, much attention has been paid to the patient role as the central factor in the management of their own health. It is focused on the issue that the patient has a more critical role compared with the health-care provider in controlling the patient own health. defines health literacy as the degree to which individuals have the capac...

Context: One of the most important subjects in health economics and healthcare management is the theory of induced demand. There are different views about the concept of induced demand. Extensive texts have been presented on induced demand, however a compatible concept has not necessarily been provided for this phenomenon and it has not been define...

Violence against women is, despite increasing developments of the 21st century, still one of the most important violations of human rights, and one of the most essential problems of millions of women, who are harassed because of their gender. This research aims to study the spread of spousal abuse and affecting factors in the city of Isfahan in 201...

Introduction: Induced demand is a debatable subject in health care economy. It is defined as inducing provision, care and delivers an inessential service to clients of health care system using provider’s power. It eventually increases health care costs and catastrophic cost index by confronting unlimited needs and limited resources. This article ai...

Introduction: Induced demand utilizes the advantage of higher information in respect to patients and too much care is presented with suspicious value. Therefore, the theory of induced demand is based on the assumption of asymmetric information between physician and patient. The patients do not have sufficient expertise to assess the level and quali...

Today violence is considered as one of the issues relating to health and occupational safety of people, and healthcare workers are exposed to more violence than the others. This mater has not been well known in Iran too and limited actions have been done to evaluate the related risk factors of violence and thereby prevent and reduce its incidence i...

Medical tourism for any study area is complex. Using full articles from other databases, Institute for Scientific Information (ISI), Science Direct, Emerald, Oxford, Magiran, and Scientific Information Database (SID), to examine systematically published articles about medical tourism in the interval 2000-2011 paid. Articles were obtained using desc...

Policy makers and decision makers must identify the stakeholders in medical tourism, who will be affected by and/or affect this industry, and determine their status for partnership. The aim of this study was to identify the main stakeholders in Isfahan's medical tourism, analyze them, and provide strategies for developing this industry. A qualitati...

Plagiarism is defined as intentional deceiving or lack of honesty, which deprives others from both material and spiritual possessions. Ethics is considered as one of the most important aspects of evaluating the quality of higher education. Moreover, scientific ethics should be reflected from university values, as a specialized institution, rather t...

Suicide is one of the most prominent problems in health care system in current Iran. It could be impacted by various factors such as social, economic, individual and so on. Researchers show that socio-economic factors and suicide has significantly related. The people in low social class may more engage with social problems than higher social class....

At the modern age, to acquire knowledge and experience, the individuals with their own specific culture have to enter contexts with cultural diversity, adapt to different cultures and have social interactions to be able to have effective inter-cultural relationships.To have such intercultural associations and satisfy individual needs in the society...

Glycaemic control is an essential component in diabetes management. There is growing attention on the protective effects of social capital on health, where social capital comprises features of society that facilitate co-operation for mutual benefit. The aim of this study was to investigate its role as a social determinant of health in the glycaemic...

Background and aims: 20TManagers decision making style can function effectively correct departments in universities and its positive impact on organizational health group will increase efficiency. The present study aims to examine the relationship between the decision-making styles and organizational health departments in Isfahan University of Medi...

Diabetes is one of the chronic diseases that have been considered by policy makers. Diabetes causes premature mortality, disability and sometimes irreversible problems. Although it is under consideration of doctors, there is no study about the role of the socioeconomic status of the patient in control of diabetes in our society. The main purpose of...

Diabetes causes premature mortality, disability and sometimes irreversible health consequences. Scholars believe that social factors directly and indirectly could impact patient in control of diabetes. The main purpose of this research is to understand how social support related to control of diabetes. 320 diabetic patients were randomly chosen fro...

This paper seeks to illuminate the sociocultural contexts of attempting suicide among Iranian youth. A qualitative approach was employed to uncover the social and cultural dimensions of attempting suicide. In-depth interviews were conducted with 25 participants aged 14-17 years who attempted suicide and were admitted to 2 of the hospitals in Isfaha...

In this study, we investigated the sociocultural contexts of suicide attempts among women in Iran. Fifty women who attempted suicide and were admitted to the two main hospitals in Isfahan in 2006 were interviewed. The main themes identified were family problems, marriage and love, social stigma, pressure of high expectations, and poverty. We observ...

Objective: Presently, the issue of attempted suicide now poses one of the major challenges facing the healthcare providers in Iran and other countries. Although in previous years, the number of people entering to hospital emergency departments after deliberately taking overdoses or injuring themselves has been steadily increased in Iran, however, t...

Background & Objective : An appropriate relationship between a physician and a patient will lead to earning patients’ trust, prevention of frequent referrals to multiple physicians and patients’ bewilderment, and lastly, it results in saving time and money. Hence, this study was conducted to determine the dominant model of relationship between phys...

Background and aimsToday for access to effective organizations, notice to the work quality factors is very important. The aim of this study is investigating the happiness level among the staff of the faculties in Isfahan University of Medical Sciences.Methods For achieving this descriptive, survey research, with random sampling, we selected 144 per...