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

Family Medicine and Community Health 2019年第1期7卷 1-7页

作者： Mostafa Farahbakhsh Homayoun Sadeghi Bazargani Mohammad Saadati Jafar Sadegh Tabrizi mina golestani Akram Zakery Psychiatrics Research Center Tabriz University of Medical SciencesTabrizIran Road Traffic Injury Research Center Statistics and Epidemiology DepartmentSchool of HealthTabriz University of Medical SciencesTabrizIran Road Traffic Injury Research Center Tabriz University of Medical SciencesTabrizIran Tabriz Health Services Management Research Center Tabriz University of Medical SciencesTabrizIran

Objective The aim of this study was to describe health services utilisation and responsiveness in East Azerbaijan province,*** A cross-sectional household study as part of a larger research on primary healthcare *** We carried out the study in East Azerbaijan Province,northwest Iran from July to September *** A total of 1318 households were *** Most of the participating households had social security health *** failure or hypertension care,general outpatient care and arthritis care were the most used *** 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),*** 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).Conclusions Differences in the utilisation and responsiveness of health services and distribution of health resources were observed between Tabriz and ***,health system responsiveness in both Tabriz and PRS was at low *** results demonstrate the need for changing resource distribution policies and employing reactive health policies to response the public health.

关键词： services northwest household

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Road safety data collection systems in Iran: A comparison based on relevant organizations

引用

Chinese Journal of Traumatology 2020年第5期23卷 265-270页

作者： Homayoun Sadeghi-Bazargani Sakineh Sharifian Davoud Khorasani-Zavareh Raana Zakeri Mehdi Sadigh mina golestani Mousa Amiri Reza Masoudifar Farzad Rahmani Nasser Mikaeeli Javad Namvaran Khalil Pour-Ebrahim Mahdi Rezaei Babak Arabzadeh Bahram Samadirad Aliashraf Seyffarshad Fariba Mirza-Mohammadi-Teimorloue Shahin Kazemnezhad Soudabe Marin Saeede Sheikhi Reza Mohammadi Research Center for Evidence-Based Medicine Tabriz University of Medical SciencesTabrizIran Department of Health in Emergencies and Disasters School of Public Health and SafetyShahid Beheshti University of Medical SciencesTehranIran Workplace Health Promotion Research Center(WHPRC) Department of Health in Emergencies and DisastersShahid Beheshti University of Medical SciencesTehranIran Department of Health Services Management Iranian International Safe Community Support CenterTabriz University of Medical SciencesTabrizIran Road Traffic Injury Research Center Tabriz University of Medical SciencesTabrizIran Iranian Traffic Police TehranIran University of Tabriz Islamic Azad TabrizIran Department of Emergency Medicine Road Traffic Injury Research CenterTabriz University of Medical SciencesTabrizIran Iranian Traffic Police TabrizIran Payame Noor University(PNU) TehranIran Karafarin Insurance TabrizIran Legal Medicine Research Center Legal Medicine OrganizationTehranIran Shohada Medical Research and Training Hospital Tabriz University of Medical SciencesTabrizIran Department of Biostatistics and Epidemiology School of HealthTabriz University of Medical SciencesTabrizIran Department of Neurobiology Care Sciences and Society(NVS)H1Division of Family Medicine and Primary CareHuddingeSweden

Purpose:Various organizations and institutions are involved in road traffic injury(RTI)and crash registration such as police,forensic medicine organization,hospitals and emergency medical *** there is a substantial uncertainty in interpreting the data,duplicated data collection and missing data in relation to RTI in most *** study aims to identify data sources for RTI surveillance in Iran and to explore traffic safety data source domains,data elements and detailed information by each data ***:This is a qualitative study which was conducted in 2017 in *** were collected employing semi-structured interviews with informants in road safety organizations in relation to traffic safety including Police,Ministry of Health and Medical Education as well as Forensic Medicine Organization and other *** completing the preliminary extraction information,the minimum data set was used and compared in each ***:Eight different organizations relevant to road traffic safety were *** main domain of data provided by each one consists of Emergency Medical System form,Police KAM114 form,Ministry of Transport and Road Administration,Red Crescent Organization/Disaster Management Information System,Ministry of Health and Medical Education,Forensic Medicine Organization,Insurance Company and Ministry of *** system has its own database,based upon its scope and mainly at crash and postcrash status and little on pre-crash ***:All current registry systems are not surveillance systems for RTI *** data have been collected in various registry systems in Iran,but most of the collected variables are duplicated in each *** the other hand,some variables like alcohol and substance abuse,child seat belt,helmet use in relation to RTI prevention are missed in all ***,it is a critical need to integrate and establish a comprehensive surveillance system,with focus on the

关键词： Accidents,traffic Integrated surveillance system Prevention and control

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