Osong Public Health and Research Perspectives

Original Articles

Effects of an arteriovenous fistula stenosis prevention program in patients receiving hemodialysis: Haegyeong Lee, Gyuli Baek, Eunju Lee; Osong Public Health Res Perspect. 2023;14(4):279-290. Published online August 9, 2023; DOI: https://doi.org/10.24171/j.phrp.2023.0101

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Graphical Abstract Abstract PDF: Objectives
To increase the efficiency of hemodialysis, an appropriate vascular pathway must be created, and its function must be maintained. This study aimed to identify the effects of an arteriovenous fistula (AVF) stenosis prevention program on upper muscular strength, blood flow, physiological indexes, and self-efficacy among patients receiving hemodialysis.
Methods
The participants were patients receiving hemodialysis at Keimyung University Dongsan Medical Center in Daegu, Republic of Korea. They were divided into experimental and control groups based on the day of the week they received hemodialysis at the outpatient department and included 25 participants each. The study was conducted for 8 weeks.
Results
The AVF stenosis prevention program was effective in improving upper extremity muscle strength (F=15.23, p<0.001) and blood flow rate (F=36.00, p<0.001). As a result of the program, the phosphorus index level, which is a physiological indicator in hemodialysis patients, decreased (F=8.64, p<0.001). Encouragement and support through text messages and practice lists also resulted in an increase in self-efficacy (F=18.62, p<0.001).
Conclusion
The AVF stenosis prevention program in this study resulted in an increase in upper extremity muscle strength through grip strength exercises and was effective in preventing AVF stenosis by increasing the blood flow rate.

The COVID-19 pandemic and healthcare utilization in Iran: evidence from an interrupted time series analysis: Monireh Mahmoodpour-Azari, Satar Rezaei, Nasim Badiee, Mohammad Hajizadeh, Ali Mohammadi, Ali Kazemi-Karyani, Shahin Soltani, Mehdi Khezeli; Osong Public Health Res Perspect. 2023;14(3):180-187. Published online June 22, 2023; DOI: https://doi.org/10.24171/j.phrp.2023.0041

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1 Web of Science
2 Crossref

Objectives
This study aimed to examine the effect of the coronavirus disease 2019 (COVID-19) outbreak on the hospitalization rate, emergency department (ED) visits, and outpatient clinic visits in western Iran.
Methods
We collected data on the monthly hospitalization rate, rate of patients referred to the ED, and rate of patients referred to outpatient clinics for a period of 40 months (23 months before and 17 months after the COVID-19 outbreak in Iran) from all 7 public hospitals in the city of Kermanshah. An interrupted time series analysis was conducted to examine the impact of COVID-19 on the outcome variables in this study.
Results
A statistically significant decrease of 38.11 hospitalizations per 10,000 population (95% confidence interval [CI], 24.93–51.29) was observed in the first month of the COVID-19 outbreak. The corresponding reductions in ED visits and outpatient visits per 10,000 population were 191.65 (95% CI, 166.63–216.66) and 168.57 (95% CI, 126.41–210.73), respectively. After the initial reduction, significant monthly increases in the hospitalization rate (an increase of 1.81 per 10,000 population), ED visits (an increase of 2.16 per 10,000 population), and outpatient clinic visits (an increase of 5.77 per 10,000 population) were observed during the COVID-19 pandemic.
Conclusion
Our study showed that the utilization of outpatient and inpatient services in hospitals and clinics significantly declined after the COVID-19 outbreak, and use of these services did not return to pre-outbreak levels as of June 2021.

Citations

Citations to this article as recorded by

The strongest predictors of compliance with health protocols among marketers and guilds based on the transtheoretical model
Shandiz Moslehi, Asghar Tavan, Sajjad Narimani, Fardin shahbazzadeh, Nadia Sedri, Sama Sabahi
BMC Public Health.2024;[Epub] CrossRef
Time series analysis of COVID-19's impact on physician and dentist visits in Iran
Satar Rezaei, Hesam Ghiasvand, Heather Brown
Scientific Reports.2024;[Epub] CrossRef

Epidemiological, imaging, laboratory, and clinical characteristics and factors related to mortality in patients with COVID-19: a single-center study: Zohreh Azarkar, Hamid Salehiniya, Toba Kazemi, Hamid Abbaszadeh; Osong Public Health Res Perspect. 2021;12(3):169-176. Published online May 26, 2021; DOI: https://doi.org/10.24171/j.phrp.2021.0012

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8 Web of Science
8 Crossref

Abstract PDF

Objectives
Coronavirus disease 2019 (COVID-19) is a novel pandemic. Considerable differences in disease severity and the mortality rate have been observed in different parts of the world. The present study investigated the characteristics and outcomes of patients hospitalized with COVID-19 in Iran.
Methods
We established a retrospective cohort to study hospitalized COVID-19 patients in Iran. Epidemiological, imaging, laboratory, and clinical characteristics and outcomes were recorded from medical documents. The chi-square test, t-test, and logistic regression models were used to analyze the data. A p<0.05 was considered to indicate statistical significance.
Results
In total, 364 cases (207 males and 157 females) were analyzed. The most common symptoms were cough, fever, and dyspnea. Multifocal bilateral ground-glass opacities with peripheral distribution were the predominant imaging finding. The mean age of patients was 54.28±18.81 years. The mean age of patients who died was 71.50±14.60 years. The mortality rate was 17.6%. The total proportion of patients with a comorbidity was 47.5%, and 84.4% of patients who died had a comorbidity. Sex, history of diabetes mellitus, and dyslipidemia were not significantly associated with mortality (p>0.05). However, mortality showed significant relationships with body mass index; age; history of hypertension, chronic kidney disease (CKD), ischemic heart disease, cerebrovascular accident (CVA), pulmonary disease, and cancer; and abnormal high-resolution computed tomography (HRCT) findings (p<0.05 for all). Cancer had the highest odds ratio.
Conclusion
Comorbidities (especially cancer, CKD, and CVA), severe obesity, old age, and abnormal HRCT findings affected the health outcomes of patients hospitalized with COVID-19.

Citations

Citations to this article as recorded by

Obesity as a Risk Factor for Complications and Mortality in Individuals with SARS-CoV-2: A Systematic Review
Marielle Priscila de Paula Silva-Lalucci, Déborah Cristina de Souza Marques, Pablo Valdés-Badilla, Leonardo Vidal Andreato, Braulio Henrique Magnani Branco
Nutrients.2024; 16(4): 543. CrossRef
Effects of SARS-CoV-2 infections in patients with cancer on mortality, ICU admission and incidence: a systematic review with meta-analysis involving 709,908 participants and 31,732 cancer patients
Mehmet Emin Arayici, Nazlican Kipcak, Ufuktan Kayacik, Cansu Kelbat, Deniz Keskin, Muhammed Emin Kilicarslan, Ahmet Veli Kilinc, Sumeyye Kirgoz, Anil Kirilmaz, Melih Alihan Kizilkaya, Irem Gaye Kizmaz, Enes Berkin Kocak, Enver Kochan, Begum Kocpinar, Fatm
Journal of Cancer Research and Clinical Oncology.2023; 149(7): 2915. CrossRef
Risk Factors Associated with Severity and Death from COVID-19 in Iran: A Systematic Review and Meta-Analysis Study
Ahmad Mehri, Sahar Sotoodeh Ghorbani, Kosar Farhadi-Babadi, Elham Rahimi, Zahra Barati, Niloufar Taherpour, Neda Izadi, Fatemeh Shahbazi, Yaser Mokhayeri, Arash Seifi, Saeid Fallah, Rezvan Feyzi, Koorosh Etemed, Seyed Saeed Hashemi Nazari
Journal of Intensive Care Medicine.2023; 38(9): 825. CrossRef
The association between stroke and COVID-19-related mortality: a systematic review and meta-analysis based on adjusted effect estimates
Shuwen Li, Jiahao Ren, Hongjie Hou, Xueya Han, Jie Xu, Guangcai Duan, Yadong Wang, Haiyan Yang
Neurological Sciences.2022; 43(7): 4049. CrossRef
Mental health status of dentists during COVID‐19 pandemic: A systematic review and meta‐analysis
Hamid Salehiniya, Sare Hatamian, Hamid Abbaszadeh
Health Science Reports.2022;[Epub] CrossRef
Laboratory biomarker predictors for disease progression and outcome among Egyptian COVID-19 patients
Lamiaa A Fathalla, Lamyaa M Kamal, Omina Salaheldin, Mahmoud A Khalil, Mahmoud M Kamel, Hagar H Fahim, Youssef AS Abdel-Moneim, Jawaher A Abdulhakim, Ahmed S Abdel-Moneim, Yomna M El-Meligui
International Journal of Immunopathology and Pharm.2022; 36: 039463202210962. CrossRef
Obesity and Infection: What Have We Learned From the COVID-19 Pandemic
Emilia Vassilopoulou, Roxana Silvia Bumbacea, Aikaterini Konstantina Pappa, Athanasios N. Papadopoulos, Dragos Bumbacea
Frontiers in Nutrition.2022;[Epub] CrossRef
Mental health of the people of northern Iran during the quarantine time of 2020 following the coronavirus epidemic
Fereshteh Araghian Mojarad, Mohammad Ali Heidari Gorji, Hamid Salehiniya, Tahereh Yaghoubi
Journal of Education and Health Promotion.2021; 10(1): 401. CrossRef

Characteristics of Inpatients Who Survive Suicide Attempts: Sang Mi Kim, Hyun-Sook Lee; Osong Public Health Res Perspect. 2019;10(1):32-38. Published online February 28, 2019; DOI: https://doi.org/10.24171/j.phrp.2019.10.1.07

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Abstract PDF

Objectives

The purpose of this study was to analyze the characteristics and factors affecting the survival of inpatients admitted following a suicide attempt.

Methods

A total of 3,095 cases retrieved from the Korean National Hospital Discharge In-depth Injury Survey data (from 2011 to 2015) were grouped according to survival and death and analyzed using descriptive statistics chi-square and logistic regression analysis.

Results

The following factors had statistically significant risks on reducing survival: female (OR = 2.352, p < 0.001), 40–59 years old (OR = 0.606, p = 0.014), over 60 years old (OR = 0.186, p < 0.001), poisoning (OR = 0.474, p = 0.009), hanging (OR = 0.031, p < 0.001), jumping (OR = 0.144, p < 0.001), conflicts with family (OR = 2.851, p < 0.001), physical diseases (OR = 1.687, p = 0.046), mental health problems (OR = 2.693, p < 0.001), financial problems (OR = 3.314, p = 0.002), 2014 (OR = 2.498, p = < 0.001) and 2015 (OR = 2.942, p = 0.005).

Conclusion

The survival group that had a history of attempted suicide (high-risk suicide group), should be further characterized. It is necessary to identify the suicide methods and risk factors for suicide prevention management policies and to continuously expand the management policy according to these characteristics.

Citations

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Patterns and characteristics of visits to psychiatric emergency departments: a three-year data study in China
Youping Wang, Xida Wang, Mingfeng Bi, Penglin Mou, Ruizhi Zhang, Cuiling Zhang, Shuyun Li, Miaoling Jiang, Lin Mi, Zezhi Li
European Archives of Psychiatry and Clinical Neuro.2024;[Epub] CrossRef
Factors Affecting Inpatients’ Mortality through Intentional Self-Harm at In-Hospitals in South Korea
Sulki Choi, Sangmi Kim, Hyunsook Lee
International Journal of Environmental Research an.2023; 20(4): 3095. CrossRef
The economic burden of adolescent internet addiction: A Korean health cost case study
Robert W. Mead, Edward Nall
The Social Science Journal.2023; : 1. CrossRef
Loss to follow-up in a population-wide brief contact intervention to prevent suicide attempts - The VigilanS program, France
Larissa Djembi Fossi, Christophe Debien, Anne-Laure Demarty, Guillaume Vaiva, Antoine Messiah, Xenia Gonda
PLOS ONE.2022; 17(3): e0263379. CrossRef

Factors Related to Healthcare Service Quality in Long-term Care Hospitals in South Korea: A Mixed-methods Study: Minsung Sohn, Mankyu Choi; Osong Public Health Res Perspect. 2017;8(5):332-341. Published online October 31, 2017; DOI: https://doi.org/10.24171/j.phrp.2017.8.5.07

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Abstract PDF

Objectives

The environment of long-term care hospitals (LTCHs) is critical to the management of the quality of their services and to patient safety, as highlighted by international studies. However, there is a lack of evidence on this topic in South Korea. This study aimed to examine the factors affecting healthcare quality in LTCHs and to explore the effectiveness of their quality management.

Methods

This study used a mixed methods approach with quantitative data collected in a national survey and qualitative data from semi-structured interviews with practice-based managers. The samples included 725 nationally representative LTCHs in South Korea for the quantitative analysis and 15 administrators for the in-depth interviews.

Results

A higher installation rate of patient-safety and hygiene-related facilities and staff with longer-tenures, especially nurses, were more likely to have better healthcare quality and education for both employees and patients.

Conclusion

The need for patient-safety- and hygiene-related facilities in LTCHs that serve older adults reflects their vulnerability to certain adverse events (e.g., infections). Consistent and skillful nursing care to improve the quality of LTCHs can be achieved by developing relevant educational programs for staff and patients, thereby strengthening the relationships between them.

Citations

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Improving Preparedness for and Response to Coronavirus Disease 19 (COVID-19) in Long-Term Care Hospitals in Korea
Tark Kim
Infection & Chemotherapy.2020; 52(2): 133. CrossRef
Identifying Potentially Avoidable Emergency Department Visits of Long-Term Care Hospital Residents in Korea: A Multicenter Retrospective Cohort Study
Keon Kim, Dong Hoon Lee, Ho Young Yune, Jung Hee Wee, Duk Ho Kim, Eui Chung Kim, Jee Yong Lim, Seung Pil Choi
BioMed Research International.2019; 2019: 1. CrossRef

Analysis of Hospital Volume and Factors Influencing Economic Outcomes in Cancer Surgery: Results from a Population-based Study in Korea: Jung-A Lee, So-Young Kim, Keeho Park, Eun-Cheol Park, Jong-Hyock Park; Osong Public Health Res Perspect. 2017;8(1):34-46. Published online February 28, 2017; DOI: https://doi.org/10.24171/j.phrp.2017.8.1.05

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Abstract PDF

Objectives

To evaluate associations between hospital volume, costs, and length of stay (LOS), and clinical and demographic outcome factors for five types of cancer resection. The main dependent variables were cost and LOS; the primary independent variable was volume.

Methods

Data were obtained from claims submitted to the Korean National Health Insurance scheme. We identified patients who underwent the following surgical procedures: pneumonectomy, colectomy, mastectomy, cystectomy, and esophagectomy. Hospital volumes were divided into quartiles.

Results

Independent predictors of high costs and long LOS included old age, low health insurance contribution, non-metropolitan residents, emergency admission, Charlson score > 2, public hospital ownership, and teaching hospitals. After adjusting for relevant factors, there was an inverse relationship between volume and costs/LOS. The highest volume hospitals had the lowest procedure costs and LOS. However, this was not observed for cystectomy.

Conclusion

Our findings suggest an association between patient and clinical factors and greater costs and LOS per surgical oncologic procedure, with the exception of cystectomy. Yet, there were no clear associations between hospitals’ cost of care and risk-adjusted mortality.

Citations

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Impact of hospital volume on failure to rescue for complications requiring reoperation after elective colorectal surgery: multicentre propensity score–matched cohort study
Marie T Grönroos-Korhonen, Laura E Koskenvuo, Panu J Mentula, Taina P Nykänen, Selja K Koskensalo, Ari K Leppäniemi, Ville J Sallinen
BJS Open.2024;[Epub] CrossRef
Volume-outcome relationships in laryngeal trauma processes of care: a retrospective cohort study
David Forner, Christopher W. Noel, Matthew P. Guttman, Barbara Haas, Danny Enepekides, Matthew H. Rigby, S. Mark Taylor, Avery B. Nathens, Antoine Eskander
European Journal of Trauma and Emergency Surgery.2022; 48(5): 4131. CrossRef
Association between Stroke Quality Assessments and Mortality within 30 Days among Patients Who Underwent Hemorrhagic Stroke Surgeries in South Korea
Mi-Na Lee, Wonjeong Jeong, Sung-In Jang, Sohee Park, Eun-Cheol Park
Cerebrovascular Diseases.2022; 51(1): 82. CrossRef
Impact of surgeon and hospital factors on length of stay after colorectal surgery systematic review
Zubair Bayat, Keegan Guidolin, Basheer Elsolh, Charmaine De Castro, Erin Kennedy, Anand Govindarajan
BJS Open.2022;[Epub] CrossRef
Crucial areas of the economic analysis of public cancer care
D. A. Andreev, K. I. Polyakova, A. A. Zavyalov, T. N. Ermolaeva, A. G. Fisun, A. D. Ermolaeva, V. A. Dubovtseva, T. E. Maksimova
FARMAKOEKONOMIKA. Modern Pharmacoeconomic and Phar.2020; 12(4): 310. CrossRef
Initial Diagnosis of Colorectal Cancer through Colonoscopy or Emergent Surgery-Clinicopathological Features that Support Early Screening
Konstantinos A Paschos, A Chatzigeorgiadis
Hellenic Journal of Surgery.2020; 92(2): 51. CrossRef
What Matters in the Performance of a Medial Institution?
Hae-Wol Cho, Chaeshin Chu
Osong Public Health and Research Perspectives.2017; 8(1): 1. CrossRef

Knowledge Management Enablers and Process in Hospital Organizations: Hyun-Sook Lee; Osong Public Health Res Perspect. 2017;8(1):26-33. Published online February 28, 2017; DOI: https://doi.org/10.24171/j.phrp.2017.8.1.04

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121 Download
11 Crossref

Abstract PDF

Objectives

This research aimed to investigate the effects of knowledge management enablers, such as organizational structure, leadership, learning, information technology systems, trust, and collaboration, on the knowledge management process of creation, storage, sharing, and application.

Methods

Using data from self-administered questionnaires in four Korean tertiary hospitals, this survey investigated the main organizational factors affecting the knowledge management process in these organizations. A total of 779 questionnaires were analyzed using SPSS 18.0 and AMOS 18.0.

Results

The results showed that organizational factors affect the knowledge management process differently in each hospital organization.

Conclusion

From a managerial perspective, the implications of these factors for developing organizational strategies that encourage and foster the knowledge management process are discussed.

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Knowledge management effects and performance in health care: a systematic literature review
Ritva Kosklin, Johanna Lammintakanen, Tuula Kivinen
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Muhammad Yaqub, Abdullah Alsabban
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Lovemore Motsi, Bester Chimbo
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Guilherme Agnolin, Lúcia Worma, Édis Mafra Lapolli, Cristiano José Castro de Almeida Cunha
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Olateju J. Ajanaku, Stephen Mutula
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Andreia Mesquita, Diana Santos, Vítor Raposo
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Health Scope.2020;[Epub] CrossRef
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Li Han, Jing Li, Wenfeng Chen
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Modeling the Pathways of Knowledge Management Towards Social and Economic Outcomes of Health Organizations
Ion Popa, Simona Ștefan
International Journal of Environmental Research an.2019; 16(7): 1114. CrossRef
Implementation of Knowledge Management in Chinese Hospitals
Qiao-yuan Yan, Fei Xiang, Xiao-xu Shi, Qin Zhu
Current Medical Science.2018; 38(2): 372. CrossRef

Evaluating Service Quality from Patients' Perceptions: Application of Importance–performance Analysis Method: Rafat Mohebifar, Hana Hasani, Ameneh Barikani, Sima Rafiei; Osong Public Health Res Perspect. 2016;7(4):233-238. Published online August 31, 2016; DOI: https://doi.org/10.1016/j.phrp.2016.05.002

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Abstract PDF

Objectives
Providing high service quality is one of the main functions of health systems. Measuring service quality is the basic prerequisite for improving quality. The aim of this study was to evaluate the quality of service in teaching hospitals using importance–performance analysis matrix.
Methods
A descriptive–analytic study was conducted through a cross-sectional method in six academic hospitals of Qazvin, Iran, in 2012. A total of 360 patients contributed to the study. The sampling technique was stratified random sampling. Required data were collected based on a standard questionnaire (SERVQUAL). Data analysis was done through SPSS version 18 statistical software and importance–performance analysis matrix.
Results
The results showed a significant gap between importance and performance in all five dimensions of service quality (p < 0.05). In reviewing the gap, “reliability” (2.36) and “assurance” (2.24) dimensions had the highest quality gap and “responsiveness” had the lowest gap (1.97). Also, according to findings, reliability and assurance were in Quadrant (I), empathy was in Quadrant (II), and tangibles and responsiveness were in Quadrant (IV) of the importance–performance matrix.
Conclusion
The negative gap in all dimensions of quality shows that quality improvement is necessary in all dimensions. Using quality and diagnosis measurement instruments such as importance–performance analysis will help hospital managers with planning of service quality improvement and achieving long-term goals.

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Assessment of Service Quality in Teaching Hospitals of Yazd University of Medical Sciences: Using Multi-criteria Decision Making Techniques: Milad Shafii, Sima Rafiei, Fatemeh Abooee, Mohammad Amin Bahrami, Mojtaba Nouhi, Farhad Lotfi, Khatere Khanjankhani; Osong Public Health Res Perspect. 2016;7(4):239-247. Published online August 31, 2016; DOI: https://doi.org/10.1016/j.phrp.2016.05.001

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Abstract PDF

Objectives
Hospitals as integrated parts of the wide-ranging health care systems have dominant focus on health care provision to meet, maintain and promote people's health needs of a community. This study aimed to assess the service quality of teaching hospitals of Yazd University of Medical Sciences using Fuzzy Analytical Hierarchy Process (FAHP) and Technique for Order Preference by Similarity to Ideal Solution (TOPSIS).
Methods
A literature review and a qualitative method were used to obtain experts' viewpoints about the quality dimensions of hospital services to design a questionnaire. Then, using a self-made questionnaire, perceptions of 300 patients about the quality of delivered services were gathered. Finally, FAHP was applied to weigh each quality dimension and TOPSIS method to rank hospital wards.
Results
Six dimensions including responsiveness, assurance, security, tangibles, health communication and Patient orientation were identified as affecting aspects of hospital services quality among which, security and tangibles got the highest and lowest importance respectively (0.25406, 0.06883). Findings also revealed that in hospital A, orthopedics and ophthalmology wards obtained the highest score in terms of quality while cardiology department got the lowest ranking (0.954, 0.323). In hospital B, the highest and the lowest ranking was belonged to cardiology and surgical wards (0.895, 0.00) while in hospital C, surgical units were rated higher than internal wards (0.959, 0.851).
Conclusion
Findings emphasized that the security dimension got the lowest ranking among SERVQUAL facets in studied hospitals. This requires hospital executives to pay special attention to the issue of patients’ security and plan effectively for its promotion.

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The Mediating Role of Organizational Learning in the Relationship of Organizational Intelligence and Organizational Agility: Mohammad Amin Bahrami, Mohammad Mehdi Kiani, Raziye Montazeralfaraj, Hossein Fallah Zadeh, Morteza Mohammad Zadeh; Osong Public Health Res Perspect. 2016;7(3):190-196. Published online June 30, 2016; DOI: https://doi.org/10.1016/j.phrp.2016.04.007

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Abstract PDF

Objectives
Organizational learning is defined as creating, absorbing, retaining, transferring, and application of knowledge within an organization. This article aims to examine the mediating role of organizational learning in the relationship of organizational intelligence and organizational agility.
Methods
This analytical and cross-sectional study was conducted in 2015 at four teaching hospitals of Yazd city, Iran. A total of 370 administrative and medical staff contributed to the study. We used stratified-random method for sampling. Required data were gathered using three valid questionnaires including Alberkht (2003) organizational intelligence, Neefe (2001) organizational learning, and Sharifi and Zhang (1999) organizational agility questionnaires. Data analysis was done through R and SPSS 18 statistical software.
Results
The results showed that organizational learning acts as a mediator in the relationship of organizational intelligence and organizational agility (path coefficient = 0.943). Also, organizational learning has a statistical relationship with organizational agility (path coefficient = 0.382).
Conclusion
Our findings suggest that the improvement of organizational learning abilities can affect an organization's agility which is crucial for its survival.

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Competitive Strategy for Successful National University Hospital Management in the Republic of Korea: Munjae Lee; Osong Public Health Res Perspect. 2016;7(3):149-156. Published online June 30, 2016; DOI: https://doi.org/10.1016/j.phrp.2016.02.002

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Abstract PDF

Objectives
This study provides information to aid decision making for managers and the staff of national university hospitals through analyzing their financial statements.
Methods
In order to analyze the finances of national university hospitals, this study used the report of final accounts announced by each hospital from 2009 to 2012 as baseline data. The research participants were 10 national university hospitals.
Results
According to the results of the analysis, most hospitals (except for a few) had medical expenses exceeding their medical revenues, resulting in a net deficit; however, there were significant differences amongst the hospitals. The result of adjustments based on a standard size of 100 beds showed that most hospitals had medical revenue deficits, and there were significant differences between hospitals in terms of medical revenues and medical costs.
Conclusion
It is not clear whether an expansion of national university hospitals is always beneficial for increasing net revenues, and it is necessary to establish a differentiation strategy to increase profitability by securing financial soundness instead of externally-oriented growth.

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Role of Organizational Climate in Organizational Commitment: The Case of Teaching Hospitals: Mohammad Amin Bahrami, Omid Barati, Malake-sadat Ghoroghchian, Razieh Montazer-alfaraj, Mohammad Ranjbar Ezzatabadi; Osong Public Health Res Perspect. 2016;7(2):96-100. Published online April 30, 2016; DOI: https://doi.org/10.1016/j.phrp.2015.11.009

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Abstract PDF

Objective The commitment of employees is affected by several factors, including factors related to the organizational climate. The aim of this study was to investigate the relationship between organizational commitment of nurses and the organizational climate in hospital settings.
Methods
A cross-sectional study was conducted in 2014 at two teaching hospitals in Yazd, Iran. A total of 90 nurses in these hospitals participated. We used stratified random sampling of the nursing population. The required data were gathered using two valid questionnaires: Allen and Meyer's organizational commitment standard questionnaire and Halpin and Croft's Organizational Climate Description Questionnaire. Data analysis was done through SPSS 20 statistical software (IBM Corp., Armonk, NY, USA). We used descriptive statistics and Pearson's correlation coefficient for the data analysis.
Results
The findings indicated a positive and significant correlation between organizational commitment and organizational climate (r = 0.269, p = 0.01). There is also a significant positive relationship between avoidance of organizational climate and affective commitment (r = 0.208, p = 0.049) and between focus on production and normative and continuance commitment (r = 0.308, p = 0.003).
Conclusion
Improving the organizational climate could be a valuable strategy for improving organizational commitment.

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Financial Analysis of National University Hospitals in Korea: Munjae Lee; Osong Public Health Res Perspect. 2015;6(5):310-317. Published online October 31, 2015; DOI: https://doi.org/10.1016/j.phrp.2015.10.007

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Abstract PDF

Objectives
This paper provides information for decision making of the managers and the staff of national university hospitals.
Methods
In order to conduct a financial analysis of national university hospitals, this study uses reports on the final accounts of 10 university hospitals from 2008 to 2011.
Results
The results of comparing 2008 and 2011 showed that there was a general decrease in total assets, an increase in liabilities, and a decrease in total medical revenues, with a continuous deficit in many hospitals. Moreover, as national university hospitals have low debt dependence, their management conditions generally seem satisfactory. However, some individual hospitals suffer severe financial difficulties and thus depend on short-term debts, which generally aggravate the profit and loss structure. Various indicators show that the financial state and business performance of national university hospitals have been deteriorating.
Conclusion
These research findings will be used as important basic data for managers who make direct decisions in this uncertain business environment or by researchers who analyze the medical industry to enable informed decision-making and optimized execution. Furthermore, this study is expected to contribute to raising government awareness of the need to foster and support the national university hospital industry.

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Türkiye’de 2009-2021 Yılları Arasında Sağlık İşletmelerinde Gerçekleşen Finansal Performans Analizi
İzzet AYDEMİR
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Financial and non-financial determinants of the indebtedness of hospitals. The case of Poland
Katarzyna Miszczyńska, Elżbieta Antczak
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The Hospital Cost Reduction Strategies from the Managers’ Point of View: A Qualitative Study in Iran
Hesam Seyedin, Mona Moghimi, Salime Goharinezhad, Mohamad Azmal, Rohollah Kalhor
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Financial Performance and Profile of Brazilian Hospitals
Mariana Guerra, Beatriz Fátima Morgan, Micael Conoring D’Assumpção Alves
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International Journal of Environmental Research an.2021; 18(9): 4596. CrossRef
Financial Performance of Public Hospitals: A Cross-Sectional Study among Polish Providers
Katarzyna Dubas-Jakóbczyk, Ewa Kocot, Anna Kozieł
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Assessment of Intensive Vaccination and Antiviral Treatment in 2009 Influenza Pandemic in Korea: Chaeshin Chu, Sunmi Lee; Osong Public Health Res Perspect. 2015;6(1):47-51. Published online February 28, 2015; DOI: https://doi.org/10.1016/j.phrp.2014.11.007

3,079 View
19 Download
2 Crossref

Abstract PDF

Objectives
We characterized and assessed public health measures, including intensive vaccination and antiviral treatment, implemented during the 2009 influenza pandemic in the Republic of Korea.
Methods
A mathematical model for the 2009 influenza pandemic is formulated. The transmission rate, the vaccination rate, the antiviral treatment rate, and the hospitalized rate are estimated using the least-squares method for the 2009 data of the incidence curves of the infected, vaccinated, treated, and hospitalized.
Results
The cumulative number of infected cases has reduced significantly following the implementation of the intensive vaccination and antiviral treatment. In particular, the intensive vaccination was the most critical factor that prevented severe outbreak.
Conclusion
We have found that the total infected proportion would increase by approximately six times under the half of vaccination rates.

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Modeling influenza transmission dynamics with media coverage data of the 2009 H1N1 outbreak in Korea
Yunhwan Kim, Ana Vivas Barber, Sunmi Lee, Roberto Barrio
PLOS ONE.2020; 15(6): e0232580. CrossRef
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Article

Improving Service Quality in Long-term Care Hospitals: National Evaluation on Long-term Care Hospitals and Employees Perception of Quality Dimensions: Jinkyung Kim, Woosok Han; Osong Public Health Res Perspect. 2012;3(2):94-99. Published online June 30, 2012; DOI: https://doi.org/10.1016/j.phrp.2012.04.005

3,210 View
18 Download
10 Crossref

Abstract PDF

Objectives
To investigate predictors for specific dimensions of service quality perceived by hospital employees in long-term care hospitals.
Methods
Data collected from a survey of 298 hospital employees in 18 long-term care hospitals were analysed. Multivariate ordinary least squares regression analysis with hospital fixed effects was used to determine the predictors of service quality using respondents’ and organizational characteristics.
Results
The most significant predictors of employee-perceived service quality were job satisfaction and degree of consent on national evaluation criteria. National evaluation results on long-term care hospitals and work environment also had positive effects on service quality.
Conclusion
The findings of the study show that organizational characteristics are significant determinants of service quality in long-term care hospitals. Assessment of the extent to which hospitals address factors related to employeeperceived quality of services could be the first step in quality improvement activities. Results have implications for efforts to improve service quality in longterm care hospitals and designing more comprehensive national evaluation criteria.

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