?Forty years after Alma-Ata: how people trust primary health care
Forty years after Alma-Ata: how people trust primary health care?
نویسندگان: همایون صادقی بازرگانی , محمد سعادتی شهرک , جعفر صادق تبریزی , مصطفی فرح بخش , مینا گلستانی
کلمات کلیدی: Primary health care, Trust, Public, Policy development
نشریه: 55077 , 942 , 20 , 2020
| نویسنده ثبت کننده مقاله |
محمد سعادتی شهرک |
| مرحله جاری مقاله |
تایید نهایی |
| دانشکده/مرکز مربوطه |
مرکز مدیریت و پیشگیری از مصدومیتهای حوادث ترافیکی |
| کد مقاله |
72619 |
| عنوان فارسی مقاله |
?Forty years after Alma-Ata: how people trust primary health care |
| عنوان لاتین مقاله |
Forty years after Alma-Ata: how people trust primary health care? |
| ناشر |
5 |
| آیا مقاله از طرح تحقیقاتی و یا منتورشیپ استخراج شده است؟ |
بلی |
| عنوان نشریه (خارج از لیست فوق) |
|
| نوع مقاله |
Original Article |
| نحوه ایندکس شدن مقاله |
ایندکس شده سطح یک – ISI - Web of Science |
| آدرس لینک مقاله/ همایش در شبکه اینترنت |
|
| Background: Primary Health Care (PHC) was introduced as the first level of health services delivery after Alma-Ata
declaration. However, after forty years, it needs to be more trustful to achieve its predefined objectives. Public trust
in PHC is one of the neglected issues in the context. The aim of this study is to evaluate public trust in PHC in Iran.
Methods: The present investigation is a household survey conducted in East Azerbaijan Province, Iran. Two-stage
cluster sampling method with Probability Proportional to Size (PPS) approach was used. Totally, 1178 households
were enrolled in the study. PHC trust questionnaire and Ultra-short version of Socio-Economic Status assessment
questionnaire (SES-Iran) was used for data collection. Data were analyzed using STATA software (version 15)
through descriptive statistics and linear regression.
Results: The mean ± SD age of the participants was 41.2 ± 15.1 and most (53.7%) were female. Mean score of PHC
trust was 56.9 ± 24.7 (out of 100). It was significantly different between residents of Tabriz (the capital of province)
and other cities in the province (p < 0.001). Linear regression showed that younger age, gender, insurance type,
being married, and households higher socio-economic status had a significant positive effect on PHC trust level
with R2 = 0.14383.
Conclusions: Public trust in PHC system in Iran needs to be improved. Individual variables had a small but key role
in trust level. PHC trust cannot be only affected by individual’s variables and experiences but also by health system
and health providers’ characteristics and public context in which PHC system exists. PHC trust level could be used
as a public indicator in health systems especially in Low and Middle Income Countries (LMIC) to contribute in
system strengthening policies at the national and international levels. |
| نام فایل |
تاریخ درج فایل |
اندازه فایل |
دانلود |
| s12889-020-09082-w.pdf | 1399/03/31 | 306614 | دانلود |
| Ethics.pdf | 1399/04/28 | 199923 | دانلود |