A qualitative study on human resources for primary health care in Iran

Moghadam, Mahmood Nekoei; Amiresmaili, Mohammadreza; Sadeghi, Vahideh; Zeinalzadeh, Alihossein; Tupchi, Mahmud; Parva, Sahar

doi:10.1002/hpm.2405

Cited by 20 publications

(18 citation statements)

References 18 publications

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“…PHC workers perform several tasks and are under great pressure, especially in rural and deprived areas. On the other hand, they have limited career development and opportunity for job promotion [21,30]. In addition, Iran’s Health Transformation Plan (HTP) has been under way since 2014.…”

Section: Introductionmentioning

confidence: 99%

“…The HTP includes reforms to primary health care, including a non-communicable diseases control plan and implementation of an electronic health record system. This has led to new tasks (in addition to primary tasks) and more expectations of primary health care workers [31], and due to inadequate numbers of primary healthcare workers [30], it has led to an increased workload and stress for them [32]. In the study by Peikan pour et al, job burnout among health staff was identified as one of the weaknesses of the HTP due to the increase in the number of patient visits [33].…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of Burnout among Primary Health Care Staff and Its Predictors: A Study in Iran

Zarei

Ahmadi

Sial

et al. 2019

IJERPH

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: Burnout, which is an emerging challenge in health systems, is very common among primary health care (PHC) workers. The aim of this study was to investigate the level of burnout among PHC workers, and its predictive factors, in a region in the west of Iran.In this cross-sectional study, all the health network staff (n = 539) were enrolled. The data collection instrument was the Maslach Burnout Inventory (MBI), which consists of 22 items and the three subscales of emotional exhaustion (EE), depersonalization (DP), and personal achievement (PA). High scores in EE and DP and low scores in PA are indicative of high burnout. Logistic regression was used to determine the predictors of high burnout. The data were analyzed using SPSS version 16. The findings showed that 90.5% of the staff had high DP, 55.3% had high EE, and 98.9% had low PA scores. Also, 52.9% (277 people) of the staff suffered from high burnout. Single people (OR = 3.33), less experienced employees (OR = 9.09), people aged over 35 years (OR = 2.35), physicians (OR = 1.72), and staff with permanent employment (OR = 5.0) were more likely to suffer high levels of burnout. We conclude that burnout is a common problem in PHC workers. Less experienced, younger, single employees and physicians were more at risk of suffering from high burnout. Preventive measures, such as strengthening social skills, communication competencies, and coping strategies, and reduction of risk factors such as job stress, are suggested for reducing employees’ risk of burnout.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Prevalence of Burnout among Primary Health Care Staff and Its Predictors: A Study in Iran

Zarei

Ahmadi

Sial

et al. 2019

IJERPH

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“…According to a draft by WHO in 2000, Iranian health system ranked 100th in terms of responsiveness worldwide. Previous literature have declared that in response to the changing burden of disease and health needs, Iran health system should deepen its reform to improve the quality and accessibility of primary care service 22 29…”

Section: Discussionmentioning

confidence: 99%

“…Previous literature have suggested that in order to meet the changing burden of disease and health issues, Iranian primary healthcare (PHC) system needs to have a reform 29. According to WHO, every health system has three basic functions including responsiveness, improving health outcome and fair financial contribution which must be fulfilled 22.…”

Section: Introductionmentioning

confidence: 99%

Health services utilisation and responsiveness profiles in Iran: a provincial household study

et al. 2019

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ObjectiveThe aim of this study was to describe health services utilisation and responsiveness in East Azerbaijan province, Iran.DesignA cross-sectional household study as part of a larger research on primary healthcare system.SettingWe carried out the study in East Azerbaijan Province, northwest Iran from July to September 2015.ParticipantsA total of 1318 households were included.ResultsMost of the participating households had social security health insurance. Heart failure or hypertension care, general outpatient care and arthritis care were the most used services. High services cost and inadequate medicine and medical equipment were introduced to be the main barriers to health services utilisation in Tabriz and province representative sample (PRS), respectively. Health system responsiveness mean score (the maximum is 100) was 33.71±16.15 (95% CI 32.45 to 34.97) in Tabriz and 32.02±14.3 (95% CI 30.9 to 33.13) in PRS, which showed significant difference (p≤0.02).ConclusionsDifferences in the utilisation and responsiveness of health services and distribution of health resources were observed between Tabriz and PRS. Evidently, health system responsiveness in both Tabriz and PRS was at low level. The results demonstrate the need for changing resource distribution policies and employing reactive health policies to response the public health.

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“…In order to influence human resources and their traditional roles, endeavors for the amelioration of human resources is flourishing exponentially (1).…”

Section: Introductionmentioning

confidence: 99%

Correlation of Performance Indicators and Productivity: A Cross Sectional Study of Emergency Departments in Tehran, Iran During Year 2016

Nobakht¹,

Jahangiri²,

Hajinabi³

2018

Trauma Mon

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Background: Effective manpower is the main factor in success and the most significant achievement of health organizations. Objectives: This study was conducted to assess nursing perceptions about performance indicators and its correlation with productivity within the emergency departments of hospitals affiliated to Shahid Beheshti University of Medical Sciences in Tehran, Iran, during year 2016. Methods: This study was conducted by the cross sectional method, during year 2016. In this cross sectional study, the emergency departments of 4 hospitals of Shahid Beheshti University of Medical Sciences in Tehran were assessed. All nurses of emergency departments were selected through Census sampling methods. One of the researchers made a set of questionnaires for the assessment of the performance of nurses and a checklist as a means of productivity indicators to collect the data. Statistical analysis was conducted by the SPSS software version 18 and Pearson correlation test, T test, and analysis of variance (ANOVA). Results: The performance of the nurses had a positive aptitude with the percentage of the patients, whose condition was determined within 6 hours and the percentage of the remaining patients, whose condition was resolved within 12 hours in the studied hospitals. On the contrary, the performance of the nurses had a negative correlation with average triage duration in the studied hospitals. Moreover, according to Pearson's correlation coefficient, it could be said that the performance of the nurses had a negative correlation with unsuccessful CPR percentage indicator and also with the percentage of discharge against medical advice in the studied hospitals. Conclusions: According to the results, in order to achieve maximum outputs as productivity, the dimensions of performances are needed to be improved. The items for Kardex evaluation items and shift reception evaluation achieved the lowest scores and need greater attention.

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A qualitative study on human resources for primary health care in Iran

Cited by 20 publications

References 18 publications

Prevalence of Burnout among Primary Health Care Staff and Its Predictors: A Study in Iran

Prevalence of Burnout among Primary Health Care Staff and Its Predictors: A Study in Iran

Health services utilisation and responsiveness profiles in Iran: a provincial household study

Correlation of Performance Indicators and Productivity: A Cross Sectional Study of Emergency Departments in Tehran, Iran During Year 2016

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