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Iran Quality of Care in Medicine Program (Iqcamp): Design and Outcomes Publisher Pubmed



Shahraz S1 ; Shahin S2 ; Farzi Y2 ; Modirian M2 ; Shahbal N3 ; Azmin M2 ; Mohebi F4 ; Naderian M5 ; Aminesmaeili M6 ; Ahmadi N2 ; Seyfi S2 ; Zokaei H2 ; Samadi R7 ; Mohajer B2 Show All Authors
Authors
  1. Shahraz S1
  2. Shahin S2
  3. Farzi Y2
  4. Modirian M2
  5. Shahbal N3
  6. Azmin M2
  7. Mohebi F4
  8. Naderian M5
  9. Aminesmaeili M6
  10. Ahmadi N2
  11. Seyfi S2
  12. Zokaei H2
  13. Samadi R7
  14. Mohajer B2
  15. Sherafatkazemzadeh R8
  16. Balouchi A9
  17. Mesgarpour B10
  18. Parsaeian M11
  19. Gorgani F2
  20. Rahimi S2
  21. Moghadam SS2
  22. Khezrian M2
  23. Amin A12
  24. Baheshmat S13
  25. Beyranvand MR14
  26. Haghjoo M15
  27. Mahdavimazdeh M16
  28. Mehrpour M17
  29. Moradi G18
  30. Peiman S19
  31. Rahimi B20
  32. Rahimimovaghar A21
  33. Rikhtegar R22
  34. Roshani S2
  35. Saadatnia M23
  36. Ardestani SMS24
  37. Khatibzadeh S25
Show Affiliations
Authors Affiliations
  1. 1. Tufts Medical Center, Institute for Clinical Research and Health Policy Studies, Boston, MA, United States
  2. 2. Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. School of Agriculture and Food Science, The University of Queensland, Brisbane, Australia
  4. 4. Haas School of Business, University of California, Berkeley, CA, United States
  5. 5. Tehran Heart Center, Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States
  7. 7. Psychiatry and Behavioral Sciences Research Center, Department of Psychiatry, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
  8. 8. Institute for Global Health and Development, The Heller School for Social Policy and Management, Brandeis University, Waltham, MA, United States
  9. 9. Nursing Department, Iranshahr University of Medical Sciences, Iranshahr, Iran
  10. 10. Department of Pharmacology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  11. 11. Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom
  12. 12. Cardiogenetics Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
  13. 13. Department of Neuroscience and Addiction Studies, School of Advanced Technologies in Medicine (SATiM), Tehran University of Medical Sciences, Tehran, Iran
  14. 14. Department of Cardiology, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  15. 15. Cardiac Electrophysiology Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
  16. 16. Iranian Tissue Bank and Research Center, Tehran University of Medical Sciences, Tehran, Iran
  17. 17. Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  18. 18. Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
  19. 19. Department of Internal Medicine, AdventHealth Orlando Hospital, Orlando, FL, United States
  20. 20. Advanced Thoracic Research Centre, Tehran University of Medical Science, Tehran, Iran
  21. 21. Iranian National Center for Addiction Studies (INCAS), Tehran University of Medical Sciences, Tehran, Iran
  22. 22. Institute for Diagnostic and Interventional Radiology, Alfried Krupp Hospital Ruttenscheid, Essen, Germany
  23. 23. Isfahan Neurosciences Research Centre, Alzahra Research Institute, Department of Neurology, Isfahan University of Medical Sciences, Isfahan, Iran
  24. 24. Departments of Psychiatry, Behavioral Sciences Research Center, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  25. 25. Heller School of Social Policy and Management, Brandeis University, Waltham, MA, United States

Source: Archives of Iranian Medicine Published:2023


Abstract

Background: Assessment of quality and cost of medical care has become a core health policy concern. We conducted a nationwide survey to assess these measures in Iran as a developing country. To present the protocol for the Iran Quality of Care in Medicine Program (IQCAMP) study, which estimates the quality, cost, and utilization of health services for seven diseases in Iran. Methods: We selected eight provinces for this nationally representative short longitudinal survey. Interviewers from each province were trained comprehensively. The standard definition of seven high-burden conditions (acute myocardial infarction [MI], heart failure [HF], diabetes mellitus [DM], stroke, chronic obstructive pulmonary (COPD) disease, major depression, and end-stage renal disease [ESRD]) helped customize a protocol for disease identification. With a 3-month follow-up window, the participants answered pre-specified questions four times. The expert panels developed a questionnaire in four modules (demographics, health status, utilization, cost, and quality). The expert panel chose an inclusive set of quality indicators from the current literature for each condition. The design team specified the necessary elements in the survey to calculate the cost of care for each condition. The utilization assessment included various services, including hospital admissions, outpatient visits, and medication. Results: Totally, 156 specialists and 78 trained nurses assisted with patient identification, recruitment, and interviewing. A total of 1666 patients participated in the study, and 1291 patients completed all four visits. Conclusion: The IQCAMP study was the first healthcare utilization, cost, and quality survey in Iran with a longitudinal data collection to represent the pattern, quantity, and quality of medical care provided for high-burden conditions. © 2023 Academy of Medical Sciences of I.R. Iran. All rights reserved.
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