I am Habib Jalilian. I am PhD candidate of health policy at Tabriz University of Medical Science. my favorite is health system reforms, policy analysis, social science and health economic.
Background The COVID-19 pandemic is a multi-faceted phenomenon with many political, economic and ... more Background The COVID-19 pandemic is a multi-faceted phenomenon with many political, economic and social consequences. Success in managing and controlling this pandemic depends on the coordinated efforts of many organizations and institutions. Therefore, this study aimed to identify and analyze the actors and stakeholders related to managing and controlling this pandemic in Iran. Methods This mix-method stakeholder analysis was conducted in 2021 nationwide as retrospectively. The purposive sampling method was applied when inviting eligible participants to participate in the study. Our study was conducted in two phases. In the qualitative phase, data were collected using a semi-structured interview. An interview guide was developed based on the WHO stakeholder analysis framework. In the quantitative phase, we used a questionnaire developed based on the study framework. Each question was scored on a 5-point Likert scale, with a score greater than 4 was considered as high, 3–4 was consi...
Background Various vaccines have been developed and distributed worldwide to control and cope wit... more Background Various vaccines have been developed and distributed worldwide to control and cope with COVID-19 disease. To ensure vaccines benefit the global community, the ethical principles of beneficence, justice, non-maleficence, and autonomy should be examined and adhered to in the process of development, distribution, and implementation. This study, therefore, aimed to examine ethical considerations of vaccine development and vaccination processes. Methods A scoping review of the literature was conducted based on the Arkesy and O’Malley protocol to identify eligible studies published until November 2021. We searched Web of Science, PubMed, Scopus, and SciELO databases. The search was conducted using combinations of Medical Subject Heading (MeSH) search terms and keywords for Ethics, COVID-19, and vaccines in abstract, keywords, and title fields to retrieve potentially relevant publications. We included any study that reported one of the four principles of medical ethics: autonomy...
Evidence Based Health Policy, Management and Economics
Background: Diabetes is a chronic illness which requires continuous self-care. Appropriate self-c... more Background: Diabetes is a chronic illness which requires continuous self-care. Appropriate self-care can reduce the risks of developing complications and improve the Quality of Life (QoL). This study aimed to examine self-care and its association with quality of life in patients with type 2 diabetes (T2DM) in East Azerbaijan, Iran, in 2018. Methods: This was a cross-sectional study. The statistical population included all patients with type 2 diabetes in East Azerbaijan, in 2018. 310 patients were included using consecutive sampling. The summary of Diabetes Self-Care Activities Questionnaire (SDSCA) and the 12-Item Short Form Health Survey questionnaire (SF-12) were used for data collection. Data were analyzed using SPSS22. Descriptive statistics such as mean, Standard Deviation (SD), frequency, and percentage were applied to describe the characteristics of the respondents. The Spearman correlation, Mann Whitney U and Kruskal–Wallis tests were applied for statistical analysis. Res...
Background and Objectives: Due to the rapid growth of tourism industry, appropriate management an... more Background and Objectives: Due to the rapid growth of tourism industry, appropriate management and supervision of tourism centers by improving the sanitary, welfare and security situation of these centers is essential. Accordingly, this study aimed to investigate sanitary and welfare status of tourism centers in Lorestan province. Material and Methods: This research is a qualitative study conducted through semi-structured Interview with tourists. Data analysis was done using content analysis. After collecting and analyzing data, findings were classified into themes and sub-themes. Results: The findings were categorized into 6 main themes and 24 sub-themes. The main themes were general sanitary conditions, welfare facilities, transportation, healthcare services, security, and management and supervision. Conclusion: According to the findings and participants' points of view, tourists are not satisfied with health care status of tourist centers. Therefore, in order to minimize the ...
Background As one of the disadvantaged groups, slum-dwellers face health disparities. These dispa... more Background As one of the disadvantaged groups, slum-dwellers face health disparities. These disparities can also be attributed to inequalities in health care utilization. Therefore, this study aimed to investigate health care utilization among patients with type 2 diabetes living in Tabriz's slums in 2022. Methods A cross-sectional study was conducted. Our study included participants who were over 18 years old, did not suffer from physical and psychological disabilities and had lived in slums for at least 5 years. 13155 patients with type 2 diabetes live in slums in Tabriz, according to the official statistics of the Vice Chancellor for Health at Tabriz University of Medical Sciences. Thus, we selected 400 patients using stratified systematic random sampling. A questionnaire was used to collect data, and SPSS version 22 was used to analyze the results. Results Of the 400 patients, 215 were female (53.8%), 323 were illiterate or could read and write (58%) and 303 had low income (...
Background: novel coronavirus disease-19 (COVID-19) announced as a global pandemic in the year 20... more Background: novel coronavirus disease-19 (COVID-19) announced as a global pandemic in the year 2020. With the spread of the disease, a better understanding of patient outcomes associated with their symptoms in diverse geographic levels is vital. We aimed to analysis clinical outcomes of COVID-19 patients by disease symptoms in Ilam province of Iran. Methods: This is a retrospective study. Data were collected from integrated health system records for all hospitals affiliated to Ilam University of Medical Sciences between 26 Jan 2020 and 02 May 2020. All patients with definite positive test were enrolled in this study. We used descriptive analyses, chi-square test and binary logistic regression to analyze the data using SPSS version 22. Results: The mean age was 46.47 years. Of 3608 patients, 3477 (96.1%) were discharged and 129 (3.9%) were died. 54.2% of the patients were male and were in the age group of 30-40 years old age. Cough, sore throat, shortness of breath or difficulty brea...
Article History: Received: 17 Nov 2017 Revised: 24 Dec 2017 Accepted: 18 Mar 2018 Background: Smo... more Article History: Received: 17 Nov 2017 Revised: 24 Dec 2017 Accepted: 18 Mar 2018 Background: Smoking is a global issue, Iran as one of the youngest contemporary societies, is involved in this dilemma. Therefore, this study was conducted with the aim of studying the implementation of programs and policies on preventing and controlling smoking in schools in Tabriz in 2017 using school health profiles from the viewpoint of school administrators and health educators. Methods: This is a cross-sectional study. The statistical population included all school administrators and health educators in Tabriz in 2017. In the first stage, stratified proportional sampling and in the second stage systematic randomized sampling was applied. The data collection tool was schools health profiles. Relevant questionnaires were filled out by school administrators and health instructors. The data were analyzed by SPSS version 22 using descriptive statistics (frequency and percentage). Results: 34.4% of sch...
Background and Objectives: Stroke has an unexpected and destructive effect on patients' lives... more Background and Objectives: Stroke has an unexpected and destructive effect on patients' lives and affects their quality of life. The aim of this study was to evaluate the quality of life and its related factors in patients with stroke in Tabriz city. Material and Methods: This was a descriptive-analytic, cross-sectional study. The study population consisted of all patients who visited the neurological department of the Razi Hospital in 2015 with a diagnosis of stroke in Tabriz city. The quality of life in 72 patients was assessed by the quality of life questionnaire (SIS-16) using census method. To evaluate the relationship of quality of life with demographic variables and clinical features, one-way ANOVA and t-test were applied using SPSS (version 23) software. Results: In this study, the mean of total quality of life score was 73.66 ± 29.18. Results showed that there was a significant relationship between educational level and physical therapy with quality of life (p 0.05). Co...
BACKGROUND AND AIM : Oral diseases are very important because they impose economic and social bur... more BACKGROUND AND AIM : Oral diseases are very important because they impose economic and social burden on societies. Given the resource scarcity, it is necessary to devise cost-effective and scientific strategies to prevent and control oral diseases. This study aimed to estimate the potential cost-savings for dental caries treatment associated with Community Water Fluoridation Program (CWFP) in Kerman, Iran. METHODS : An economic model to compare the costs of CWFP with treatment savings achieved through averted tooth decay was developed. Direct cost of prevented caries was taken equal to treatment savings. Implementation cost and the associated savings was estimated for Kerman in 2016. We obtained required data and parameters for costs and savings estimation through published documents and other sources. RESULTS : Annual cost-savings associated with implementing the water fluoridation in Kerman was estimated about $11160415.5 to $44350544.11. About $34.9 to $136 could be achieved per ...
Background The COVID-19 pandemic is a multi-faceted phenomenon with many political, economic and ... more Background The COVID-19 pandemic is a multi-faceted phenomenon with many political, economic and social consequences. Success in managing and controlling this pandemic depends on the coordinated efforts of many organizations and institutions. Therefore, this study aimed to identify and analyze the actors and stakeholders related to managing and controlling this pandemic in Iran. Methods This mix-method stakeholder analysis was conducted in 2021 nationwide as retrospectively. The purposive sampling method was applied when inviting eligible participants to participate in the study. Our study was conducted in two phases. In the qualitative phase, data were collected using a semi-structured interview. An interview guide was developed based on the WHO stakeholder analysis framework. In the quantitative phase, we used a questionnaire developed based on the study framework. Each question was scored on a 5-point Likert scale, with a score greater than 4 was considered as high, 3–4 was consi...
Background Various vaccines have been developed and distributed worldwide to control and cope wit... more Background Various vaccines have been developed and distributed worldwide to control and cope with COVID-19 disease. To ensure vaccines benefit the global community, the ethical principles of beneficence, justice, non-maleficence, and autonomy should be examined and adhered to in the process of development, distribution, and implementation. This study, therefore, aimed to examine ethical considerations of vaccine development and vaccination processes. Methods A scoping review of the literature was conducted based on the Arkesy and O’Malley protocol to identify eligible studies published until November 2021. We searched Web of Science, PubMed, Scopus, and SciELO databases. The search was conducted using combinations of Medical Subject Heading (MeSH) search terms and keywords for Ethics, COVID-19, and vaccines in abstract, keywords, and title fields to retrieve potentially relevant publications. We included any study that reported one of the four principles of medical ethics: autonomy...
Evidence Based Health Policy, Management and Economics
Background: Diabetes is a chronic illness which requires continuous self-care. Appropriate self-c... more Background: Diabetes is a chronic illness which requires continuous self-care. Appropriate self-care can reduce the risks of developing complications and improve the Quality of Life (QoL). This study aimed to examine self-care and its association with quality of life in patients with type 2 diabetes (T2DM) in East Azerbaijan, Iran, in 2018. Methods: This was a cross-sectional study. The statistical population included all patients with type 2 diabetes in East Azerbaijan, in 2018. 310 patients were included using consecutive sampling. The summary of Diabetes Self-Care Activities Questionnaire (SDSCA) and the 12-Item Short Form Health Survey questionnaire (SF-12) were used for data collection. Data were analyzed using SPSS22. Descriptive statistics such as mean, Standard Deviation (SD), frequency, and percentage were applied to describe the characteristics of the respondents. The Spearman correlation, Mann Whitney U and Kruskal–Wallis tests were applied for statistical analysis. Res...
Background and Objectives: Due to the rapid growth of tourism industry, appropriate management an... more Background and Objectives: Due to the rapid growth of tourism industry, appropriate management and supervision of tourism centers by improving the sanitary, welfare and security situation of these centers is essential. Accordingly, this study aimed to investigate sanitary and welfare status of tourism centers in Lorestan province. Material and Methods: This research is a qualitative study conducted through semi-structured Interview with tourists. Data analysis was done using content analysis. After collecting and analyzing data, findings were classified into themes and sub-themes. Results: The findings were categorized into 6 main themes and 24 sub-themes. The main themes were general sanitary conditions, welfare facilities, transportation, healthcare services, security, and management and supervision. Conclusion: According to the findings and participants' points of view, tourists are not satisfied with health care status of tourist centers. Therefore, in order to minimize the ...
Background As one of the disadvantaged groups, slum-dwellers face health disparities. These dispa... more Background As one of the disadvantaged groups, slum-dwellers face health disparities. These disparities can also be attributed to inequalities in health care utilization. Therefore, this study aimed to investigate health care utilization among patients with type 2 diabetes living in Tabriz's slums in 2022. Methods A cross-sectional study was conducted. Our study included participants who were over 18 years old, did not suffer from physical and psychological disabilities and had lived in slums for at least 5 years. 13155 patients with type 2 diabetes live in slums in Tabriz, according to the official statistics of the Vice Chancellor for Health at Tabriz University of Medical Sciences. Thus, we selected 400 patients using stratified systematic random sampling. A questionnaire was used to collect data, and SPSS version 22 was used to analyze the results. Results Of the 400 patients, 215 were female (53.8%), 323 were illiterate or could read and write (58%) and 303 had low income (...
Background: novel coronavirus disease-19 (COVID-19) announced as a global pandemic in the year 20... more Background: novel coronavirus disease-19 (COVID-19) announced as a global pandemic in the year 2020. With the spread of the disease, a better understanding of patient outcomes associated with their symptoms in diverse geographic levels is vital. We aimed to analysis clinical outcomes of COVID-19 patients by disease symptoms in Ilam province of Iran. Methods: This is a retrospective study. Data were collected from integrated health system records for all hospitals affiliated to Ilam University of Medical Sciences between 26 Jan 2020 and 02 May 2020. All patients with definite positive test were enrolled in this study. We used descriptive analyses, chi-square test and binary logistic regression to analyze the data using SPSS version 22. Results: The mean age was 46.47 years. Of 3608 patients, 3477 (96.1%) were discharged and 129 (3.9%) were died. 54.2% of the patients were male and were in the age group of 30-40 years old age. Cough, sore throat, shortness of breath or difficulty brea...
Article History: Received: 17 Nov 2017 Revised: 24 Dec 2017 Accepted: 18 Mar 2018 Background: Smo... more Article History: Received: 17 Nov 2017 Revised: 24 Dec 2017 Accepted: 18 Mar 2018 Background: Smoking is a global issue, Iran as one of the youngest contemporary societies, is involved in this dilemma. Therefore, this study was conducted with the aim of studying the implementation of programs and policies on preventing and controlling smoking in schools in Tabriz in 2017 using school health profiles from the viewpoint of school administrators and health educators. Methods: This is a cross-sectional study. The statistical population included all school administrators and health educators in Tabriz in 2017. In the first stage, stratified proportional sampling and in the second stage systematic randomized sampling was applied. The data collection tool was schools health profiles. Relevant questionnaires were filled out by school administrators and health instructors. The data were analyzed by SPSS version 22 using descriptive statistics (frequency and percentage). Results: 34.4% of sch...
Background and Objectives: Stroke has an unexpected and destructive effect on patients' lives... more Background and Objectives: Stroke has an unexpected and destructive effect on patients' lives and affects their quality of life. The aim of this study was to evaluate the quality of life and its related factors in patients with stroke in Tabriz city. Material and Methods: This was a descriptive-analytic, cross-sectional study. The study population consisted of all patients who visited the neurological department of the Razi Hospital in 2015 with a diagnosis of stroke in Tabriz city. The quality of life in 72 patients was assessed by the quality of life questionnaire (SIS-16) using census method. To evaluate the relationship of quality of life with demographic variables and clinical features, one-way ANOVA and t-test were applied using SPSS (version 23) software. Results: In this study, the mean of total quality of life score was 73.66 ± 29.18. Results showed that there was a significant relationship between educational level and physical therapy with quality of life (p 0.05). Co...
BACKGROUND AND AIM : Oral diseases are very important because they impose economic and social bur... more BACKGROUND AND AIM : Oral diseases are very important because they impose economic and social burden on societies. Given the resource scarcity, it is necessary to devise cost-effective and scientific strategies to prevent and control oral diseases. This study aimed to estimate the potential cost-savings for dental caries treatment associated with Community Water Fluoridation Program (CWFP) in Kerman, Iran. METHODS : An economic model to compare the costs of CWFP with treatment savings achieved through averted tooth decay was developed. Direct cost of prevented caries was taken equal to treatment savings. Implementation cost and the associated savings was estimated for Kerman in 2016. We obtained required data and parameters for costs and savings estimation through published documents and other sources. RESULTS : Annual cost-savings associated with implementing the water fluoridation in Kerman was estimated about $11160415.5 to $44350544.11. About $34.9 to $136 could be achieved per ...
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