Samin Nobakht; Leila Riahi; Leila Nazarimanesh; Kamran Hajinabi
Abstract
Background: Strengthening primary health care services for the elderly is vital. In this regard, adequate and sustainable financing is necessary for primary health care. Therefore, the present study aimed to investigate the methods of financing primary health care for the elderly in Iran in 2021.Methods: ...
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Background: Strengthening primary health care services for the elderly is vital. In this regard, adequate and sustainable financing is necessary for primary health care. Therefore, the present study aimed to investigate the methods of financing primary health care for the elderly in Iran in 2021.Methods: This is a mixed method cross-sectional study carried out in 2021 with a combination of quantitative and qualitative data. The sample size was estimated to be 254 subjects. Sampling was done in a stratified manner. The studied variables were the result of a comparative study and interview. In this study, to measure the construct validity, exploratory and confirmatory factor analysis method was used. Data were analyzed using SPSS-21 and AMOS-24 software.Results: The results of exploratory factor analysis showed that all variables had factor loadings above 0.3. The results of the second-order confirmatory factor analysis showed that all the items of primary health care financing for the elderly were approved. These items include the allocation of GDP to cover part of the costs of old age care, tax collection, social insurance coverage for the disabled and retired, allocation of subsidies to vulnerable groups, private and supplementary insurances, transfer of employee insurance premiums to medical funds to cover the health and medical expenses in old age, the use of municipal and governorate budgets, and incentive policies. The results showed that the use of municipal and governorate budgets and incentive policies had the highest (0.726) and the lowest (0.531) standard coefficients, respectively.Conclusion: The findings of the study show that the construct validity of the designed model has a good level. Using this model by managers, policymakers, and health planners can improve the financing of primary health care services for the elderly and thus meet their health needs.
Leila Bazrafkan; Sedigheh Ebrahimi
Volume 4, Issue 3 , July 2016, , Pages 137-141
Abstract
Background: Changes in expectations and requirements of the end users of medical education “community members” and evolution in health services necessitate some changes in the medical education curriculum. To achieve this reform in curricula, obtaining insight into the health care needs of community ...
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Background: Changes in expectations and requirements of the end users of medical education “community members” and evolution in health services necessitate some changes in the medical education curriculum. To achieve this reform in curricula, obtaining insight into the health care needs of community members and their comments about their physicians is highly required in community-oriented education. This survey was conducted to determine the attitudes of health care receivers toward the general physicians’ professional behavior in Fars province, Iran. Methods: This is a descriptive study and the subjects were the receivers of health care services. We selected 97 individuals in each city of Fars province using randomized-cluster sampling. The sample size increased to 150 in each city and overall 2500 individuals participated in the study. For data collection, an anonymous questionnaire was developed which was tested for the validity of the contents using the experts’ views and reliability was checked using test-retest. The data were analyzed using SPSS 14 statistical software. Results: The results of this study revealed the participants’ attitudes toward education, treatment and consultative services by physicians in Fars province. Overall, the response rate was about 95%. The patients rated the physicians’ professional behavior, as one of the key determinants of their experiences with healthcare services. Moreover, 73.2% of the participants were fully satisfied with the quality of care they received from their physicians and 24.9% were satisfied to some extent. Conclusion: According to the results of the study, the physician’s educational and consultative roles in medical education curricula must be reviewed and emphasized.
