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The range and diversity of providers’ viewpoints towards the Iraqi primary health care system: an exploration using Q-methodology
BACKGROUND: The increasingly recognized need for reorganizing the primary health care services in Iraq calls for a comprehensive assessment of the system to better understand its problems and needs for development. As part of such comprehensive assessment and due to the important role of primary hea...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3606603/ https://www.ncbi.nlm.nih.gov/pubmed/23514334 http://dx.doi.org/10.1186/1472-698X-13-18 |
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author | Shabila, Nazar P Al-Tawil, Namir G Al-Hadithi, Tariq S Sondorp, Egbert |
author_facet | Shabila, Nazar P Al-Tawil, Namir G Al-Hadithi, Tariq S Sondorp, Egbert |
author_sort | Shabila, Nazar P |
collection | PubMed |
description | BACKGROUND: The increasingly recognized need for reorganizing the primary health care services in Iraq calls for a comprehensive assessment of the system to better understand its problems and needs for development. As part of such comprehensive assessment and due to the important role of primary health care providers in adopting any change, we ought to explore the range and diversity of viewpoints of primary health care providers towards the Iraqi primary health care system. METHODS: This explorative study was carried out in Erbil governorate, Iraq from May to July 2011. Data were collected from primary health care providers using Q-methodology to elicit subjective viewpoints and identify shared patterns among individuals. Forty primary health care providers representing eight primary health care centers sorted 41 statements reflecting different aspects of the Iraqi primary health care system into a distribution on a scale of nine from “disagree most” to “agree most”. By-person factor analysis was used to derive latent viewpoints through centroid factor extraction and varimax rotation of factors. RESULTS: Analysis of the participants’ Q-sorts resulted in four distinct viewpoints among primary health care providers toward the current primary health care system. One factor emphasized positive aspects of the current primary health care system that is content with the current primary health care system. The other three factors highlighted the negative aspects and they included (i) professionally-centered viewpoint, (ii) comprehensive perception and problem-based solutions and (iii) critical to leadership/governance aspects of the system. CONCLUSIONS: This study revealed diverse viewpoints of primary health care providers toward the current Iraqi primary health care system and recognized the particular issues related to each viewpoint. The findings can contribute to a better understanding of health policy makers and primary health care managers concerning the problems facing the primary health care system that might contribute to change in the management of this system. |
format | Online Article Text |
id | pubmed-3606603 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-36066032013-03-24 The range and diversity of providers’ viewpoints towards the Iraqi primary health care system: an exploration using Q-methodology Shabila, Nazar P Al-Tawil, Namir G Al-Hadithi, Tariq S Sondorp, Egbert BMC Int Health Hum Rights Research Article BACKGROUND: The increasingly recognized need for reorganizing the primary health care services in Iraq calls for a comprehensive assessment of the system to better understand its problems and needs for development. As part of such comprehensive assessment and due to the important role of primary health care providers in adopting any change, we ought to explore the range and diversity of viewpoints of primary health care providers towards the Iraqi primary health care system. METHODS: This explorative study was carried out in Erbil governorate, Iraq from May to July 2011. Data were collected from primary health care providers using Q-methodology to elicit subjective viewpoints and identify shared patterns among individuals. Forty primary health care providers representing eight primary health care centers sorted 41 statements reflecting different aspects of the Iraqi primary health care system into a distribution on a scale of nine from “disagree most” to “agree most”. By-person factor analysis was used to derive latent viewpoints through centroid factor extraction and varimax rotation of factors. RESULTS: Analysis of the participants’ Q-sorts resulted in four distinct viewpoints among primary health care providers toward the current primary health care system. One factor emphasized positive aspects of the current primary health care system that is content with the current primary health care system. The other three factors highlighted the negative aspects and they included (i) professionally-centered viewpoint, (ii) comprehensive perception and problem-based solutions and (iii) critical to leadership/governance aspects of the system. CONCLUSIONS: This study revealed diverse viewpoints of primary health care providers toward the current Iraqi primary health care system and recognized the particular issues related to each viewpoint. The findings can contribute to a better understanding of health policy makers and primary health care managers concerning the problems facing the primary health care system that might contribute to change in the management of this system. BioMed Central 2013-03-21 /pmc/articles/PMC3606603/ /pubmed/23514334 http://dx.doi.org/10.1186/1472-698X-13-18 Text en Copyright ©2013 Shabila et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Shabila, Nazar P Al-Tawil, Namir G Al-Hadithi, Tariq S Sondorp, Egbert The range and diversity of providers’ viewpoints towards the Iraqi primary health care system: an exploration using Q-methodology |
title | The range and diversity of providers’ viewpoints towards the Iraqi primary health care system: an exploration using Q-methodology |
title_full | The range and diversity of providers’ viewpoints towards the Iraqi primary health care system: an exploration using Q-methodology |
title_fullStr | The range and diversity of providers’ viewpoints towards the Iraqi primary health care system: an exploration using Q-methodology |
title_full_unstemmed | The range and diversity of providers’ viewpoints towards the Iraqi primary health care system: an exploration using Q-methodology |
title_short | The range and diversity of providers’ viewpoints towards the Iraqi primary health care system: an exploration using Q-methodology |
title_sort | range and diversity of providers’ viewpoints towards the iraqi primary health care system: an exploration using q-methodology |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3606603/ https://www.ncbi.nlm.nih.gov/pubmed/23514334 http://dx.doi.org/10.1186/1472-698X-13-18 |
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