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Utilization obstacles to hypertension services provided at comprehensive health centers: a content analysis study
INTRODUCTION: Hypertensive patients' failure to refer to health centers for the management of their disease is the most fundamental public health challenge in most societies. The aim of this study was to identify the utilization obstacles to hypertension services provided at comprehensive healt...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10218771/ https://www.ncbi.nlm.nih.gov/pubmed/37237314 http://dx.doi.org/10.1186/s12961-023-00984-w |
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author | Faraji-Khiavi, Farzad Ghorbani Kalkhajeh, Sasan Gholizadeh, Behnam Dindamal, Behnaz |
author_facet | Faraji-Khiavi, Farzad Ghorbani Kalkhajeh, Sasan Gholizadeh, Behnam Dindamal, Behnaz |
author_sort | Faraji-Khiavi, Farzad |
collection | PubMed |
description | INTRODUCTION: Hypertensive patients' failure to refer to health centers for the management of their disease is the most fundamental public health challenge in most societies. The aim of this study was to identify the utilization obstacles to hypertension services provided at comprehensive health centers (CHCs) from the perspective of patients and the staff of health centers. METHODS: This was a qualitative study using conventional content analysis which was conducted in 2022. Participants included 15 hypertensive patients referring to CHCs and 10 staff (including personnel of CHCs and expert staff) of Ahvaz Jundishapur University of Medical Sciences, Ahvaz, southwest of Iran. Data were collected using semi-structured interviews. Interviews were analyzed using content analysis method, and coding was done manually. RESULTS: In total, 15 codes and 8 categories were extracted from the interviews which were organized in two main themes of "individual problems" and "systemic problems". More particularly, the main theme of “individual problems” involved attitudinal obstacles, occupational obstacles, and economic obstacles. The main theme of "systemic problems" included educational obstacles, motivational obstacles, procedural obstacles, structural obstacles, and managerial obstacles. CONCLUSION: In order to address individual problems associated with the patients' failure to refer to CHCs, we need to take appropriate measures. These include using motivational interviewing techniques and utilizing the effective activity of healthcare liaisons and volunteers in CHCs to increase patients' awareness and change their negative attitudes and misconceptions. To solve systemic problems, it is imperative that effective training courses be held for health center staff. |
format | Online Article Text |
id | pubmed-10218771 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-102187712023-05-28 Utilization obstacles to hypertension services provided at comprehensive health centers: a content analysis study Faraji-Khiavi, Farzad Ghorbani Kalkhajeh, Sasan Gholizadeh, Behnam Dindamal, Behnaz Health Res Policy Syst Research INTRODUCTION: Hypertensive patients' failure to refer to health centers for the management of their disease is the most fundamental public health challenge in most societies. The aim of this study was to identify the utilization obstacles to hypertension services provided at comprehensive health centers (CHCs) from the perspective of patients and the staff of health centers. METHODS: This was a qualitative study using conventional content analysis which was conducted in 2022. Participants included 15 hypertensive patients referring to CHCs and 10 staff (including personnel of CHCs and expert staff) of Ahvaz Jundishapur University of Medical Sciences, Ahvaz, southwest of Iran. Data were collected using semi-structured interviews. Interviews were analyzed using content analysis method, and coding was done manually. RESULTS: In total, 15 codes and 8 categories were extracted from the interviews which were organized in two main themes of "individual problems" and "systemic problems". More particularly, the main theme of “individual problems” involved attitudinal obstacles, occupational obstacles, and economic obstacles. The main theme of "systemic problems" included educational obstacles, motivational obstacles, procedural obstacles, structural obstacles, and managerial obstacles. CONCLUSION: In order to address individual problems associated with the patients' failure to refer to CHCs, we need to take appropriate measures. These include using motivational interviewing techniques and utilizing the effective activity of healthcare liaisons and volunteers in CHCs to increase patients' awareness and change their negative attitudes and misconceptions. To solve systemic problems, it is imperative that effective training courses be held for health center staff. BioMed Central 2023-05-26 /pmc/articles/PMC10218771/ /pubmed/37237314 http://dx.doi.org/10.1186/s12961-023-00984-w Text en © The Author(s) 2023, corrected publication 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Faraji-Khiavi, Farzad Ghorbani Kalkhajeh, Sasan Gholizadeh, Behnam Dindamal, Behnaz Utilization obstacles to hypertension services provided at comprehensive health centers: a content analysis study |
title | Utilization obstacles to hypertension services provided at comprehensive health centers: a content analysis study |
title_full | Utilization obstacles to hypertension services provided at comprehensive health centers: a content analysis study |
title_fullStr | Utilization obstacles to hypertension services provided at comprehensive health centers: a content analysis study |
title_full_unstemmed | Utilization obstacles to hypertension services provided at comprehensive health centers: a content analysis study |
title_short | Utilization obstacles to hypertension services provided at comprehensive health centers: a content analysis study |
title_sort | utilization obstacles to hypertension services provided at comprehensive health centers: a content analysis study |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10218771/ https://www.ncbi.nlm.nih.gov/pubmed/37237314 http://dx.doi.org/10.1186/s12961-023-00984-w |
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