伊朗地方一级初级卫生保健系统的结构和背景方面。

IF 0.4 4区 医学
Iranian Red Crescent Medical Journal Pub Date : 2014-12-22 eCollection Date: 2015-01-01 DOI:10.5812/ircmj.17222
Mehdi Zanganeh Baygi, Hesam Seyedin, Masoud Salehi, Mehdi Jafari Sirizi
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引用次数: 21

摘要

背景:近年来,家庭医生计划被确立为伊朗卫生系统的主要战略,而初级卫生保健系统的组织结构仍与30年前相同。目的:本研究旨在说明伊朗地方一级初级卫生保健系统中组织结构的结构和上下文维度以及它们之间的关系。材料与方法:2013年1月至6月进行横断面定量研究,向伊朗医科大学城市卫生中心的高级和初级管理人员发放121份问卷。问卷经专家确认效度(CVI = 0.089, CVR > 0.85),信度采用Cronbach α (α = 0.904)。本研究采用多阶段抽样方法,数据分析采用SPSS软件,采用不同的检验方法。结果:伊朗地方一级初级卫生保健系统具有机械结构,但在情境维度上表现出不同类型。结构维度与情境维度存在显著相关(r = 0.642, P值< 0.001)。目标和文化维度对结构维度的影响最大。结论:由于近年来伊朗卫生系统的目标和战略发生了变化,迫切需要改革当前的结构,以提高系统的效率和有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Structural and contextual dimensions of Iranian primary health care system at local level.

Structural and contextual dimensions of Iranian primary health care system at local level.

Background: In recent years, family physician plan was established as the main strategy of health system in Iran, while organizational structure of the primary health care system has remained the same as thirty years ago.

Objectives: This study was performed to illustrate structural and contextual dimensions of organizational structure and relationship between them in Iranian primary health care system at local level.

Materials and methods: A cross-sectional quantitative study was conducted from January to June 2013, during which 121 questionnaires were distributed among senior and junior managers of city health centers at Medical Sciences universities in Iran. Validity of the questionnaire was confirmed by experts (CVI = 0.089 and CVR more than 0.85) and Cronbach α was utilized for reliability (α = 0.904). We used multistage sampling method in this study and analysis of the data was performed by SPSS software using different tests.

Results: Local level of primary health care system in Iran had mechanical structure, but in contextual dimensions the results showed different types. There was a significant relationship between structural and contextual dimensions (r = 0.642, P value < 0.001). Goals and culture dimensions had strongest effects on structural dimensions.

Conclusions: Because of the changes in goals and strategies of Iranian health system in recent years, it is urgently recommended to reform the current structure to increase efficiency and effectiveness of the system.

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来源期刊
Iranian Red Crescent Medical Journal
Iranian Red Crescent Medical Journal 医学-医学:内科
自引率
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期刊介绍: The IRANIAN RED CRESCENT MEDICAL JOURNAL is an international, English language, peer-reviewed journal dealing with general Medicine and Surgery, Disaster Medicine and Health Policy. It is an official Journal of the Iranian Hospital Dubai and is published monthly. The Iranian Red Crescent Medical Journal aims at publishing the high quality materials, both clinical and scientific, on all aspects of Medicine and Surgery
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