Volume 17, Issue 2 (Vol 17,No.2, Summer 2021 2021)
irje 2021, 17(2): 194-203 |
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Jaafari Z, Abdolahinia Z, Ghasemi H, Esmaeilpour A, Mahmoodzadeh S, Bahaodini A, et al . Barriers and Facilitators of People's Referral to Health Centers in Kerman City: A Qualitative Study. irje 2021; 17 (2) :194-203
URL: http://irje.tums.ac.ir/article-1-6997-en.html
URL: http://irje.tums.ac.ir/article-1-6997-en.html
Barriers and Facilitators of People's Referral to Health Centers in Kerman City: A Qualitative Study
Zahra Jaafari1 
, Zahra Abdolahinia1 , Hajar Ghasemi1 , Ali Esmaeilpour1 , Saeideh Mahmoodzadeh1 , Ali Bahaodini1 , Seyed Vahid Ahmadi Tabatabaei2 , Najmeh Safa3 , Hamid Reza Tohidinik4 , Ali Akbar Haghdoost5 , Ali Sharifi6 , Vahid Yazdi-Feyzabadi7 , Hamid Safari * 8
, Zahra Abdolahinia1 , Hajar Ghasemi1 , Ali Esmaeilpour1 , Saeideh Mahmoodzadeh1 , Ali Bahaodini1 , Seyed Vahid Ahmadi Tabatabaei2 , Najmeh Safa3 , Hamid Reza Tohidinik4 , Ali Akbar Haghdoost5 , Ali Sharifi6 , Vahid Yazdi-Feyzabadi7 , Hamid Safari * 8
1- MSc of Epidemiology, Department of Biostatistics and Epidemiology, School of Public Health, Kerman University of Medical Sciences, Kerman, Iran
2- Doctor of Medicine and Assistant Professor of Health Education and Health Promotion, Social Determinants of Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
3- Doctor of Medicine, Health Department, Kerman University of Medical Sciences, Kerman, Iran
4- Assistant Professor of Epidemiology, Department of Biostatistics and Epidemiology, School of Public Health, Kerman University of Medical Sciences, Kerman, Iran
5- Professor of Epidemiology, Modeling in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
6- Associate professor in Ophthalmology, Department of Ophthalmology, Shafa Hospital, Afzalipour School of Medicine, Kerman University of Medical Sciences, Kerman, Iran
7- Assistant Professor of Health policy, Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
8- Professor of Epidemiology, HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran ,hsharifi@kmu.ac.ir
2- Doctor of Medicine and Assistant Professor of Health Education and Health Promotion, Social Determinants of Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
3- Doctor of Medicine, Health Department, Kerman University of Medical Sciences, Kerman, Iran
4- Assistant Professor of Epidemiology, Department of Biostatistics and Epidemiology, School of Public Health, Kerman University of Medical Sciences, Kerman, Iran
5- Professor of Epidemiology, Modeling in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
6- Associate professor in Ophthalmology, Department of Ophthalmology, Shafa Hospital, Afzalipour School of Medicine, Kerman University of Medical Sciences, Kerman, Iran
7- Assistant Professor of Health policy, Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
8- Professor of Epidemiology, HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran ,
Abstract: (1726 Views)
Background and Objectives: low utility of health care services is one of the main determinants of not achieving desired health indicators in urban areas. This study aimed to investigate the barriers and facilitators of receiving health services from health centers in Kerman city, Iran.
Methods: This study was a qualitative study with a content analysis approach conducted in 2020. After selecting health centers with the experience of desirable or low utility services, purposive sampling continued until information saturation. A total of 78 staff members, recipients, and non-recipients of services citizens were interviewed semi-structured and face-to-face at health centers. All interviews were recorded and coded manually and then reviewed and analyzed using directional content analysis.
Results: The essential services for children and mothers, free services, and service providers' behavior were mentioned as facilitators of referral. Distance and physical factors, knowledge of different types of services, preference of private centers, time access, view of people on regular visits to centers, addresses and telephone numbers registered in the system, responsiveness to health needs, fear of disease disclosure, lack of human resources in the centers, and service providers' behavior, were among the barriers of visiting the centers.
Conclusion: According to the results of this study, an accurate understanding of the under-coverage people's views and perceptions can help national and local planners and policymakers design the necessary strategies to increase the use of health services in urban health centers.
Methods: This study was a qualitative study with a content analysis approach conducted in 2020. After selecting health centers with the experience of desirable or low utility services, purposive sampling continued until information saturation. A total of 78 staff members, recipients, and non-recipients of services citizens were interviewed semi-structured and face-to-face at health centers. All interviews were recorded and coded manually and then reviewed and analyzed using directional content analysis.
Results: The essential services for children and mothers, free services, and service providers' behavior were mentioned as facilitators of referral. Distance and physical factors, knowledge of different types of services, preference of private centers, time access, view of people on regular visits to centers, addresses and telephone numbers registered in the system, responsiveness to health needs, fear of disease disclosure, lack of human resources in the centers, and service providers' behavior, were among the barriers of visiting the centers.
Conclusion: According to the results of this study, an accurate understanding of the under-coverage people's views and perceptions can help national and local planners and policymakers design the necessary strategies to increase the use of health services in urban health centers.
Type of Study: Research |
Subject:
Epidemiology
Received: 2021/11/24 | Accepted: 2021/09/21 | Published: 2021/09/21
Received: 2021/11/24 | Accepted: 2021/09/21 | Published: 2021/09/21
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