RESUMO
Chaharshanbeh souri is a historical Persian firework festival which has several health and financial damages for Iranians near celebration of New Year. In this study we tried to find effectiveness of Chaharshanbeh souri educational campaign on decreasing burden of injuries due to fireworks of this day. In this before-after study, an educational campaign was done for 2017 focusing on children and students. Data of a registry which was designed for gathering information of injuries and mortalities of this festival was used to show effectiveness of the program. Disability adjusted life years was calculated and compared before and after intervention. The results of this study showed that mean age of injuries was increased from 27.75 to 32.65 years and DALY decreased significantly after the intervention (P=0.0460) showing that the intervention was effective. Educational programs might be effective to decrease burden of injuries related to Chaharshanbeh souri festival.
Assuntos
Queimaduras/prevenção & controle , Traumatismos Oculares/prevenção & controle , Promoção da Saúde/métodos , Férias e Feriados , Adulto , Distribuição por Idade , Queimaduras/epidemiologia , Criança , Estudos Transversais , Traumatismos Oculares/epidemiologia , Feminino , Carga Global da Doença , Humanos , Irã (Geográfico)/epidemiologia , Masculino , Mortalidade , Anos de Vida Ajustados por Qualidade de Vida , Estudantes , Ferimentos e Lesões/epidemiologia , Ferimentos e Lesões/prevenção & controleAssuntos
Transtornos Cerebrovasculares/cirurgia , Países em Desenvolvimento , Neurocirurgia/tendências , Acreditação/tendências , Competência Clínica , Procedimentos Endovasculares/educação , Procedimentos Endovasculares/estatística & dados numéricos , Procedimentos Endovasculares/tendências , Previsões , Regulamentação Governamental , Política de Saúde/tendências , Acessibilidade aos Serviços de Saúde/tendências , Necessidades e Demandas de Serviços de Saúde/tendências , Humanos , Irã (Geográfico) , Neurocirurgia/educação , Neurocirurgia/estatística & dados numéricos , Política , Qualidade da Assistência à Saúde/tendências , Sociedades Médicas/tendências , Equipamentos Cirúrgicos/provisão & distribuição , Equipamentos Cirúrgicos/tendênciasRESUMO
OBJECTIVES: The health transformation program was a recent reform in the health system of Iran that was implemented in early 2014. Some of the program's important goals were to improve the equity of payments and to reduce out-of-pocket (OOP) payments and catastrophic health expenditures (CHE). In this study, these goals were evaluated using a before-and-after analysis. METHODS: Data on household income and expenditures in Guilan Province were gathered for the years 2013 and 2015. OOP payments for outpatient, inpatient, and drug services were calculated, and the results were compared using the propensity score matching technique after adjusting for confounding variables. Concentration indices and curves were added to quantify changes in inequity before and after the reform. The incidence of catastrophic expenditures was then calculated. RESULTS: Overall and outpatient service OOP payments increased by approximately 10 dollars, while for other types of services, no significant changes were found. Inequity and utilization of services did not change after the reform. However, a significant reduction was observed in CHE incidence (5.75 to 3.82%). CONCLUSIONS: The reform was successful in decreasing the incidence of CHE, but not in reducing the monetary amount of OOP payments or affecting the frequency of health service utilization.