Volume 7, Issue 1 (Winter 2019)
Iran J Health Sci 2019, 7(1): 46-54 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Eri M, Kabir M J, Babazadeh Gashti A, Mirkarimi K, Heidari A, Mahmoodishan G, et al . Iranian Primary Healthcare providers` Perspectives on Providing Pre-hospital Emergency Services in Primary Levels of Healthcare System: A Qualitative Study. Iran J Health Sci 2019; 7 (1) :46-54
URL: http://jhs.mazums.ac.ir/article-1-613-en.html
URL: http://jhs.mazums.ac.ir/article-1-613-en.html
Maryam Eri 
, Mohammad Javad Kabir * , Ashrafi Babazadeh Gashti , Kamal Mirkarimi , Alireza Heidari , Gholamreza Mahmoodishan , Shirali Mirdarvatan , Fatemeh Hosseini Rostami
, Mohammad Javad Kabir * , Ashrafi Babazadeh Gashti , Kamal Mirkarimi , Alireza Heidari , Gholamreza Mahmoodishan , Shirali Mirdarvatan , Fatemeh Hosseini Rostami
Golestan University of Medical Sciences, Gorgan
Abstract: (3407 Views)
Background and purpose: Due to the important role of emergencies and accidents as mainspring of mortality and morbidity, providing emergency services must be taken into account at all levels of health system. The aim of this study was to investigate the perspectives of healthcare providers on providing pre-hospital emergency services and its challenges in primary healthcare (PHC) levels in Golestan Province, northern Iran.
Materials and Methods: The researchers conducted 31 interviews totally (n=21 community health workers and n=10 family physicians) using semi-structured and in-depth interviews in Golestan Province, north of Iran in the year 2014. All interviews were digitally recorded and transcribed. The collected data was then analyzed through qualitative content analysis.
Results: In total, three categories were identified related to emergency services in the primary healthcare system, including 1) Different status of providing primary preventive and emergency care in primary healthcare levels, 2) Need to develop the emergency services in health houses, and 3) Challenges of providing appropriate emergency services in the primary levels of healthcare system, such as lack of physical and human resources, weakness in monitoring and education system, inadequate skills, motivation in health team, heavy workload, and insufficient cooperation with other related organizations.
Conclusion: The primary levels of healthcare system were not properly serviced in emergencies. They were also faced with numerous challenges that necessitate health policy makers to plan for promoting and providing required services at this level of healthcare system.
Materials and Methods: The researchers conducted 31 interviews totally (n=21 community health workers and n=10 family physicians) using semi-structured and in-depth interviews in Golestan Province, north of Iran in the year 2014. All interviews were digitally recorded and transcribed. The collected data was then analyzed through qualitative content analysis.
Results: In total, three categories were identified related to emergency services in the primary healthcare system, including 1) Different status of providing primary preventive and emergency care in primary healthcare levels, 2) Need to develop the emergency services in health houses, and 3) Challenges of providing appropriate emergency services in the primary levels of healthcare system, such as lack of physical and human resources, weakness in monitoring and education system, inadequate skills, motivation in health team, heavy workload, and insufficient cooperation with other related organizations.
Conclusion: The primary levels of healthcare system were not properly serviced in emergencies. They were also faced with numerous challenges that necessitate health policy makers to plan for promoting and providing required services at this level of healthcare system.
Keywords: Emergency Medical Services, Family Physicians, Community Health Workers, Qualitative Research
Type of Study: Original Article |
Subject:
Health
References
1. Hatamabadi HR, Vafaee R, Haddadi M, Abdalvand A, Soori H. Necessity of an integrated road traffic injuries surveillance system: a community-based study. Traffic injury prevention. 2011;12(4):358-62. [DOI:10.1080/15389588.2011.566656] [PMID]
2. Instruction of family physician and Rural insurance program [Internet]. Health Deputy of Minister of Health. 2013.
3. Javanparast S, Baum F, Labonte R, Sanders D. Community health workers' perspectives on their contribution to rural health and well-being in Iran. American journal of public health.2011;101(12):2287-92. [DOI:10.2105/AJPH.2011.300355] [PMID] [PMCID]
4. Mahfouz AA, Abdelmoneim I, Khan MY, Daffalla AA, Diab MM, El-Gamal MN, Al-Sharif A. Primary health care emergency services in Abha district of southwestern Saudi Arabia. Eastern Mediterranean Health Journal; 2007; 13 (1): 103-112. [PMID]
5. Yorganci M, Yaman H. Preparedness of primary healthcare centers for critical emergency situations in southwest Turkey. Prehospital and Disaster Medicine, 2008; 23(4):342–345. [DOI:10.1017/S1049023X00005987] [PMID]
6. Javanparast S, Baum F, Labonte R, Sanders D, Rajabi Z, Heidari G. The experience of community health workers training in Iran: a qualitative study. BMC Health Services Research. 2012; 12 (1):291. [DOI:10.1186/1472-6963-12-291] [PMID] [PMCID]
7. Nafissi N, Saghafinia M, Balochi K. Improving trauma care in rural Iran by training existing treatment chains. Rural Remote Health. 2008; 8(4):881. [PMID]
8. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse education today. 2004; 24(2):105-12. [DOI:10.1016/j.nedt.2003.10.001] [PMID]
9. Guba EG, Lincoln YS. Competing paradigms in qualitative research. Handbook of qualitative research. 1994;2(163-194):105.
10. Elo S, Kyngas H. The qualitative content analysis process. Journal of advanced nursing. 2008;62(1):107-15. [DOI:10.1111/j.1365-2648.2007.04569.x] [PMID]
11. Carret ML, Fassa AC, Domingues MR. Inappropriate use of emergency services: a systematic review of prevalence and associated factors. Cadernos de Saúde Pública. 2009;25(1):7-28. [DOI:10.1590/S0102-311X2009000100002] [PMID]
12. Arab M, Shafiee M, Iree M, Safari H, Habibi F, Akbari Sari A, Khabiri R. Surveying the Attitude of Family Physicians Working in Health Centers of Tehran University of Medical Sciences towards their Profession Using a Qualitative Approach. Journal of Hospital. 2013; 12(3):19-28
13. Sadeghikho Sh, Yazdani Sh, Rahbar M, Ahmadi M. Behvarzes Viewpoints on their Abilities in Delivering Health Services. Hakim Health System Research 2014; 17(2):102- 107.
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
This is an open access article distributed under the terms of the Creative Commons Attribution License (CC-By-NC), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
Contact Information
