Compliance of General Health Clinics to National Licensure Standards: A Survey in Northwestern Iran

J. Tabrizi, F. Gharibi, Maryam Ebrahimnejad
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Abstract

Background and Objectives: Monitoring of health organizations by the regulatory bodies is crucial to ensure high performance of health system. Although Iranian health settings are monitored by the MOHME in various ways, periodic evaluation of their continuous commitment to the national licensure standards in health domain is rare. The aim of the present study was to highlight the important of such evaluations by auditing the general health clinics of Tabriz (a metropolitan city in Northwestern Iran) based on national licensure standards. Methods: This across-sectional study surveyed all general health settings in Tabriz city. The data were collected using a validated researcher-made checklist. The collected data were summarized using descriptive statistical methods. The mean values were compared by t-test and ANOVA. Findings: The score of compliance to national licensure standards averaged at 70.5%. The highest level of compliance was observed for medical and non-medical devices dimension (78.2%) whereas the loest compliance was recorded for hygiene dimension (58.4%). Public clinics showed a significantly higher compliance to standards compared to the private settings (P and Conclusions: The level of current compliance of the surveyed clinical settings shows room for considerable improvement. Private health settings and the hygiene domain are the primary targets of focus for monitoring and intervention. Our results encourage further national-wide studies to gain a comprehensive view of the compliance of Iranian clinics to the licensure standards.
一般健康诊所遵守国家执照标准:伊朗西北部的调查
背景和目标:监管机构对卫生组织的监测对于确保卫生系统的高绩效至关重要。尽管卫生部以各种方式对伊朗的卫生机构进行监测,但很少对这些机构持续遵守卫生领域国家许可标准的情况进行定期评估。本研究的目的是根据国家执照标准,通过审计大不里士(伊朗西北部的一个大都市)的普通保健诊所,强调这种评价的重要性。方法:这项横断面研究调查了大不里士市所有的一般卫生机构。数据收集使用一个有效的研究人员制作的检查表。采用描述性统计方法对收集到的资料进行汇总。均值比较采用t检验和方差分析。调查结果:符合国家许可标准的得分平均为70.5%。医疗和非医疗器械方面的合规性最高(78.2%),卫生方面的合规性最低(58.4%)。公立诊所对标准的依从性明显高于私立诊所(P和结论:目前接受调查的临床机构的依从性水平显示出相当大的改善空间。私人卫生机构和卫生领域是监测和干预的主要重点目标。我们的研究结果鼓励进一步的全国性研究,以全面了解伊朗诊所对许可标准的遵守情况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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