Health system challenges for the management of cardiovascular disease and diabetes: an empirical qualitative study from Syria

Ahmad, Balsam; Fouad, Fouad M.; Elias, Madonna; Zaman, Shahaduz; Phillimore, Peter; Maziak, Wasim

doi:10.1007/s00038-014-0594-2

Cited by 31 publications

(38 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The study on CVD mortality forecast in 2015 has shown that the MENA region will not achieve the target of 25% reduction of CVD mortality by 2025 without achieving all major targets for risk factor reduction (i.e., reducing the prevalence of elevated systolic blood pressure by 25%, reducing the prevalence of smoking by 30%, halting the rise in elevated body mass index, and halting the rise in fasting plasma glucose). Moreover, reports of health system challenges in controlling and managing CVD in some of the EMR countries reemphasize the need for significant investment and improvement of access (Roth et al 2015a , b ; Romdhane et al 2015 ; Ahmad et al 2015 ).…”

Section: Discussionmentioning

confidence: 99%

Burden of cardiovascular diseases in the Eastern Mediterranean Region, 1990–2015: findings from the Global Burden of Disease 2015 study

2017

Int J Public Health

View full text Add to dashboard Cite

ObjectivesTo report the burden of cardiovascular diseases (CVD) in the Eastern Mediterranean Region (EMR) during 1990–2015.MethodsWe used the 2015 Global Burden of Disease study for estimates of mortality and disability-adjusted life years (DALYs) of different CVD in 22 countries of EMR.ResultsA total of 1.4 million CVD deaths (95% UI: 1.3–1.5) occurred in 2015 in the EMR, with the highest number of deaths in Pakistan (465,116) and the lowest number of deaths in Qatar (723). The age-standardized DALY rate per 100,000 decreased from 10,080 in 1990 to 8606 in 2015 (14.6% decrease). Afghanistan had the highest age-standardized DALY rate of CVD in both 1990 and 2015. Kuwait and Qatar had the lowest age-standardized DALY rates of CVD in 1990 and 2015, respectively. High blood pressure, high total cholesterol, and high body mass index were the leading risk factors for CVD.ConclusionsThe age-standardized DALY rates in the EMR are considerably higher than the global average. These findings call for a comprehensive approach to prevent and control the burden of CVD in the region.Electronic supplementary materialThe online version of this article (doi:10.1007/s00038-017-1012-3) contains supplementary material, which is available to authorized users.

show abstract

Section: Discussionmentioning

confidence: 99%

Burden of cardiovascular diseases in the Eastern Mediterranean Region, 1990–2015: findings from the Global Burden of Disease 2015 study

2017

Int J Public Health

View full text Add to dashboard Cite

show abstract

“…Previous researchers have used models to categorise factors influencing policy creation, adoption and adaptation, including Walt and Gilson’s framework [ 34 – 36 ] or Kingdon’s agenda-setting streams [ 37 ]. The framework for this study (Fig.…”

Section: Methodsmentioning

confidence: 99%

What influenced provision of non-communicable disease healthcare in the Syrian conflict, from policy to implementation? A qualitative study

2018

View full text Add to dashboard Cite

BackgroundThere has been increasing focus on tackling the growing burden of non-communicable diseases (NCD) in crisis settings. The complex and protracted crisis in Syria is unfolding against a background of increasing NCD burden. This study investigated factors influencing implementation of NCD healthcare in Syria.MethodsThis is a qualitative study, whereby semi-structured interviews were conducted with fourteen humanitarian health staff working on NCD healthcare in Syria.ResultsChallenges to NCD care implementation were reflected at several stages, from planning services through to healthcare delivery. There was a lack of information on unmet population need; little consensus among humanitarian actors regarding an appropriate health service package; and no clear approach for prioritising public health interventions. The main challenges to service delivery identified by participants were conflict-related insecurity and disruption to infrastructure, hampering continuity of chronic illness care. Collaboration was a key factor which influenced implementation at all stages.ConclusionsThe historical context, the conflict situation, and the characteristics of health actors and their relationships, all impacted provision of NCD care. These factors influenced each other, so that the social views and values (of individuals and organisations), as well as politics and relationships, interacted with the physical environment and security situation. Infrastructure damage has implications for wider healthcare across Syria, and NCD care requires an innovative approach to improve continuity of care. There is a need for a transparent approach to resource allocation, which may be generalisable to the wider humanitarian health sector.Electronic supplementary materialThe online version of this article (10.1186/s13031-018-0178-5) contains supplementary material, which is available to authorized users.

show abstract

“…The problem of lack of political and managerial stability is observed in the majority of developing countries. Examples include Syria and Tunisia [36,37]. Also, the effects of the political climate on health policies in Pakistan show that the rapid change of the governments affects the policies, causing the imperfect implementation of various policies [38].…”

Section: Discussionmentioning

confidence: 99%

Hospital Managers Skills Required and Onward Challenges: A Qualitative Study

Moradi

Ziapour

Abbas

et al. 2020

Preprint

View full text Add to dashboard Cite

Aims: The qualification of managers in terms of management skills is one of the most important factors in the continuous success of each organization and utilizing such skills can have a positive contribution in the effectiveness of the organization while improving the performance of the employees in line with the objectives and goals of the organization. The main objective of the current study was to explore the necessary skills and the challenges of hospital managers from the point of view of managers at different levels of a hospital. Methods: This study is a qualitative one where the statistical population includes the mid-level and senior-level managers of the hospital. The sample size was 22 individuals. The interviews were analyzed by a MAXQDA software application after transcription. Results This study includes 5 main themes and 15 secondary themes. The strategic skill, the perceptive skill, the human relation skill, work experience, and personal characteristics were among the skills necessary for hospital managers. Some of the challenges facing the hospital managers included rapid changes in the policies, the limitations of financial resources, and lack of proportion between the educational and occupational spheres. Conclusion: Because of their existential philosophy and differences with other service sectors, managing hospitals poses a particular sensitivity. In this regard, the role of the hospital manager is very important. Therefore, in order to meet the satisfaction of those receiving services, decision makers, and policy makers must think twice when selecting and appointing hospital managers and evaluate and appraise this group in terms of abilities and skills necessary for managing such an important service section.

show abstract

Health system challenges for the management of cardiovascular disease and diabetes: an empirical qualitative study from Syria

Cited by 31 publications

References 21 publications

Burden of cardiovascular diseases in the Eastern Mediterranean Region, 1990–2015: findings from the Global Burden of Disease 2015 study

Burden of cardiovascular diseases in the Eastern Mediterranean Region, 1990–2015: findings from the Global Burden of Disease 2015 study

What influenced provision of non-communicable disease healthcare in the Syrian conflict, from policy to implementation? A qualitative study

Hospital Managers Skills Required and Onward Challenges: A Qualitative Study

Contact Info

Product

Resources

About