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Showing 2 results for Olyaee Manesh
Stakeholders' perspective on health equity and its indicators in Iran
Hamid Ravaghi, Massomeh Goshtaei, Alireza Olyaee Manesh, Nazanin Abolhassani, Jalal Arabloo,
Volume 29, Issue 1 (1-2015)
Abstract

Background:

In this regard, in Iran a plan was developed and accordingly 52 indicators to measure equity in

health were developed and announced by the Ministry of Health in collaboration with other sectors.

This study aims to obtain a deeper understanding of the development of health equity indicators and

identify their implementation challenges and proposed solutions from the perspective of policy makers

and executives responsible for the indicators development and implementation.

To reduce the health inequity, it is necessary to measure and monitor these inequalities.

Methods

Stakeholders involved in the development and implementation of these health equity indicators (at

national and provincial levels), and the review and analysis of relevant documents including meeting

minutes, working plans and working progress reports. Data were analyzed using a framework analysis

approach.

: In this qualitative study, data were gathered using semi-structured interviews with 15

Results

the use of health equity indicators and process of indicators development, challenges of

development and implementation of the indicators and laying the groundwork for the establishment

of indicators. The findings showed that policy makers' viewpoint on concepts and indicators is different

from those of executives and their perceptions have little in common. The establishment of

indicators requires accurate stakeholders' understanding and accurate insight into the issue of equity

in health, political will, financing, training and empowerment of organization's employees, legal requirements,

and finally a clear action plan.

: Four main themes were identified, including the concept of equity in health and its importance,

Conclusion

and executives. As the attention has been focused recently on the issue, in addition to knowledge

improvement, proper solutions with an intersect oral collaboration approach in order to tackle challenges

should be considered.

: The development of the indicators requires a shared understanding among policy makers
Evaluation of laparoscopic sleeve gastrectomy compared with laparoscopic Roux-en-Y gastric bypass for people with morbid obesity: A systematic review and meta-analysis
Fateme Arabi Basharic, Alireza Olyaee Manesh, Mohammad Ranjbar Ezzat Abadi, Seyed Mostafa Shiryazdi, Hussein Shabahang, Ali Jangjoo,
Volume 30, Issue 1 (1-2016)
Abstract

Background: Prevalence of obesity in the world, in both developed and developing countries, is growing rapidly. Bariatric surgery is now accepted as the treatment for morbid obesity.

Objective: This study compares laparoscopic sleeve gastrectomy's effectiveness (LSG) with the most common bariatric surgery, laparoscopic Roux-en-Y (LRYGB) gastric bypass.

  Methods: A systematic review was performed using relevant search data bases, including Cochrane library, PubMed, Magi ran, Iranmedex, SID and Trip database, with no time limit. Data bases were searched until July 2014 for randomized control trials. The studied population included people aged between 18–60 years, with BMI≥35 and at least one obesity-related disease, or people with BMI≥40. BMI change, as the research outcome, was investigated at least in one-year follow-up period. Cochrane criteria were used to assess quality of studies. The results were extracted from the articles.

  Results: In total, 384 articles were obtained in the search; six RCTs were included in this study. There was no significant difference between the two laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass procedures in BMI, and both groups were similar in weight loss CI [-.1.31, 0.43], p=0.32.

  Conclusion: The two procedures of bariatric surgery are effective and reliable treatments. Performing more trial studies with greater sample size and longer follow-up period for making final decision in selecting a certain surgical procedure is essential.


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