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

Iranian Red Crescent Medical Journal
Mehdi Zanganeh BaygiMehdi Jafari Sirizi

Abstract

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. 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. 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. 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. Because of the ch...Continue Reading

References

May 7, 2002·Social Science & Medicine·Lynne Miller FrancoRuth Kanfer
Apr 23, 2003·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Tim ScottMartin N Marshall
Mar 18, 2008·Eastern Mediterranean Health Journal = La Revue De Santé De La Méditerranée Orientale = Al-Majallah Al-ṣiḥḥīyah Li-sharq Al-mutawassiṭ·A AghajanianS Kazemipour
Mar 24, 2009·Health Policy and Planning·Mohammad MovahediAli Akbar Haghdoost
Jul 30, 2010·The International Journal of Health Planning and Management·Mehdi JafariMohammad Arab
Oct 20, 2011·The International Journal of Health Planning and Management·Mahmoud Nekoei MoghadamSahar Parva
Jun 15, 2012·The International Journal of Health Planning and Management·Phudit TejativaddhanaMary Cruickshank
Mar 1, 2009·The HIM Journal·Jennie Shepheard

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Citations

Apr 30, 2016·Scientifica·Heshmatolah HeydariAlireza Nikbakht Nasrabadi

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Software Mentioned

SPSS
MOHME
Daft

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