scholarly journals Performance evaluation and ranking of regional primary health care and public health Systems in Iran

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Arash Rashidian ◽  
Nader Jahanmehr ◽  
Farshad Farzadfar ◽  
Ardeshir Khosravi ◽  
Mohammad Shariati ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Primary Health Care ◽  
Stochastic Frontier Analysis ◽  
Census Data ◽  
Medical Sciences ◽  
Public Health Services ◽  
Frontier Analysis ◽  
Average Performance ◽  
Primary Health

Abstract Background The present study has been undertaken with the aim to evaluate performance and ranking of various universities of medical sciences that are responsible for providing public health services and primary health care in Iran. Methods Four models; Weighted Factor Analysis (WFA), Equal Weighting (EW), Stochastic Frontier Analysis (SFA), and Data Envelopment Analysis (DEA) have been applied for evaluating the performance of universities of medical sciences. This study was commenced based on the statistical reports of the Ministry of Health and Medical Education (MOHME), census data from the Statistical Center of Iran, indicators of Vital Statistics, results of Multiple Indicator of Demographic and Health Survey 2010, and results of the National Survey of Risk Factors of non-communicable diseases. Results The average performance scores in WFA, EW, SFA, and DEA methods for the universities were 0.611, 0.663, 0.736 and 0.838, respectively. In all 4 models, the performance scores of universities were different (range from 0.56–1, 0.53–1, 0.73–1 and 0.83–1 in WFA, EW, SFA and DEA models, respectively). Gilan and Rafsanjan universities with the average ranking score of 4.75 and 41 had the highest and lowest rank among universities, respectively. The universities of Gilan, Ardabil and Bojnourd in all four models had the highest performance among the top 15 universities, while the universities of Rafsanjan, Ahvaz, Kerman and Jiroft showed poor performance in all models. Conclusions The average performance scores have varied based on different measurement methods, so judging the performance of universities based solely on the results of a model can be misleading. In all models, the performance of universities has been different, which indicates the need for planning to balance the performance improvement of universities based on learning from the experiences of well-performing universities.

scholarly journals Performance evaluation and ranking of regional primary health care and public health systems in Iran

2020 ◽  
Author(s):  
Arash Rashidian ◽  
Nader Jahanmehr ◽  
Farshad Farzadfar ◽  
Ardeshir Khosravi ◽  
Mohammad Shariati ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Primary Health Care ◽  
Health Systems ◽  
Average Score ◽  
Medical Sciences ◽  
Frontier Analysis ◽  
Average Performance ◽  
Public Health Systems ◽  
Primary Health

Abstract Background The present study has been undertaken with the aim to evaluate performance and ranking of various universities of medical sciences that are responsible for providing public health services and primary health care in Iran. Methods Four models; Weighted Factor Analysis (WFA), Equal Weighting (EW), Stochastic Frontier Analysis (SFA), and Data Envelopment Analysis (DEA) have been applied for evaluating the performance of universities of medical sciences. This study was commenced based on the statistical reports of the Ministry of Health and Medical Education (MOHME) census data from the Statistical Center of Iran, indicators of Vital Statistics, results of Multiple Indicator of Demographic and Health Survey 2010, and results of the National Survey of Risk Factors of non-communicable diseases. Results The average performance scores in WFA, EW, SFA, and DEA methods for the universities are 0.611, 0.663, 0.736 and 0.838, respectively. Based on the ranking of Gilan University, with an average score of 4.75, and Rafsanjan University, with an average score of 0.41, these universities have obtained the first and the last rank in the performance of their primary health care and public health systems, respectively. According to the results of all four models, the Universities of Gilan, Ardebil, and Bojnourd were the strongest ranking in this regard and the Universities of Rafsanjan, Kerman, Ahvaz, and Jiroft ranked weakest in performance. Conclusions The average performance of the universities of medical sciences is not acceptable at the present level in which they stand in Iran. Of course, this condition is not prevalent in all universities and there is much dispersion in the performance of universities at the country level today. Designing the evaluation system and annual ranking of universities of medical sciences by using the methodology of the present study can lead to the improvement of performance of this system and, consequently, the improvement of heath indicators, by attracting the society and attention of policymakers to the domain of primary and public health care and creating a healthy competition among different regions of the country.

scholarly journals Perspectives of health workers regarding primary health care delivery to the rural population in the Bothaville district*

Curationis ◽  
1999 ◽  
Vol 22 (4) ◽  
Author(s):  
E Janse van Rensburg
Keyword(s):  
Public Health ◽  
Health Care ◽  
Primary Health Care ◽  
Health Care Delivery ◽  
Rural Areas ◽  
Information Dissemination ◽  
Health Workers ◽  
Care Delivery ◽  
Public Health Services ◽  
Primary Health

This article reports on the views of public health workers regarding recent changes in the delivery of primary health care to people living and working in the Bothaville rural area. These changes in mobile health care form part of the Initiative for Sub-District Support’s programme to provide sustained, concerted support to sub-districts to bring about improvements in health care management and health care delivery. Main shortcomings of the recent changes were identified as inadequate transportation facilities in rural areas, insufficient information dissemination to rural dwellers and lack of farmers’ participation in rural health matters. Furthermore, poor communication and co-operation between different public health services prevailed and the need for an integration of these services was emphasised.

scholarly journals Organization of primary health care in pandemics

2021 ◽  
Vol 16 (43) ◽  
pp. 2655
Author(s):  
Thiago Dias Sarti ◽  
Welington Serra Lazarini ◽  
Leonardo Ferreira Fontenelle ◽  
Ana Paula Santana Coelho Almeida
Keyword(s):  
Public Health ◽  
Health Care ◽  
Primary Health Care ◽  
Empirical Studies ◽  
Morbidity And Mortality ◽  
Action Plans ◽  
Public Health Services ◽  
Public Health Emergencies ◽  
Primary Health ◽  
The World

Background: The world is experiencing one of the greatest public health emergencies in history with the global spread of COVID-19. Health systems, including Primary Health Care (PHC) services, are pillars of pandemic coping strategies. Objective: To systematic review of the literature that analyzes the effectiveness of PHC organization strategies in the context of epidemics. Methods: We performed a rapid systematic literature review on MEDLINE (via PubMed), EMBASE and LILACS (via VHL), in order to analyze empirical studies on the effectiveness of PHC organization strategies in the context of epidemics to improve access and reduce morbidity and mortality. There was no assessment of risk of bias, and the synthesis was narrative. PROSPERO CRD42020178310.Results: We selected seven articles, which studied the responses to different epidemic–s in different parts of the world. In terms of access, the studies suggest positive results with the adoption of adjustments of work processes of the teams and the structure of the services, combined with diversification of actions (including call center), adequate provision of inputs and personal protective equipment, adequate action plans and communication strategies, and effective integration with public health services and other levels of care. No study analyzed population morbidity and mortality. The included studies suggest also that community-oriented PHC is more effective in crisis scenarios, indicating the necessity of strengthening of the Family Health Strategy in the Brazilian context. Conclusion: PHC can be effective in coping with public health emergencies. Action plans should be built with broad participation by the actors involved in coping with the epidemic. Emphasis is placed on the importance of empowering the link between the healthcare service and its registered population.

scholarly journals Humanized Embracement in Public Health Services in Brazil

2019 ◽  
Vol 4 (7) ◽  
pp. 178-188
Author(s):  
Paula Janaynne De Souza ◽  
Wantuil Matias Neto ◽  
Modesto Leite Rolim Neto
Keyword(s):  
Public Health ◽  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
Public Health System ◽  
Care Practice ◽  
Interdisciplinary Care ◽  
Public Health Services ◽  
Unified Health System ◽  
Primary Health

User embracement humanization aims to enable interdisciplinary care considering the patient's reality. This literature review compiles the perspectives on humanized embracement in the Brazilian Unified Health System. We performed a BVS platform search on the keywords “attendance”, “humanization” and “primary health care”, filtering the results using the PRISMA protocol. It was obtained 8 articles regarding humanization in public health system care, highlighting its conditions and difficulties. It was concluded that humanized care practice is important as an improvement tool in the health system and that professionals need to adapt to the humanized model.        Keywords: User embracement; Humanization; Primary Health Care

scholarly journals Organization of Primary Health Care in pandemics: a rapid systematic review of the literature in times of COVID-19

2020 ◽  
Author(s):  
Thiago Dias Sarti ◽  
Welington Serra Lazarini ◽  
Leonardo Ferreira Fontenelle ◽  
Ana Paula Santana Coelho Almeida
Keyword(s):  
Public Health ◽  
Health Care ◽  
Primary Health Care ◽  
Empirical Studies ◽  
Morbidity And Mortality ◽  
Public Health Services ◽  
Health Crisis ◽  
Primary Health ◽  
The World ◽  
Crisis Scenarios

The world is experiencing one of the greatest public health emergencies in history with the global spread of COVID-19. Health systems, including Primary Health Care (PHC) services, are pillars of pandemic coping strategies, and there are important gaps in the literature on the best ways to organize PHC in health crisis scenarios such as the one currently experienced. Given the urgency of responses, we performed a rapid systematic literature review on MEDLINE (via PubMed), EMBASE and LILACS (via VHL), in order to analyze empirical studies on the effectiveness of PHC organization strategies in the context of epidemics to improve access and reduce morbidity and mortality. We selected seven articles, which studied the responses to different epidemics in different parts of the world. In terms of access, the studies suggest positive results with the adoption of adjustments of work processes of the teams and the structure of the services, combined with diversification of actions (including call center), adequate provision of inputs and personal protective equipment, adequate action plans and communication strategies, and effective integration with public health services and other levels of care. No study analyzed population morbidity and mortality. The included studies suggest also that community-oriented PHC is more effective in crisis scenarios, indicating the necessity of strengthening of the Family Health Strategy in the Brazilian context.

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