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Health Complex Model as the Start of a New Primary Healthcare Reform in Iran: Part B: The Intervention Protocol

BACKGROUND: For overcoming the existing problems and finding a pathway for realization of universal health care, health complexes were implemented in the form of a pilot project in Tabriz suburban area. METHODS: Tabriz Health Complex Project was designed in 2013 in the provincial health center of Ea...

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Autores principales: TABRIZI, Jafar Sadegh, KARAMOUZ, Majid, SADEGHI-BAZARGANI, Homayoun, NIKNIAZ, Alireza, NIKNIAZ, Leila, HASANZADEH, Roya, HANAEE, Jalal, FARAHBAKHSH, Mostafa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Tehran University of Medical Sciences 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6401566/
https://www.ncbi.nlm.nih.gov/pubmed/30847323
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author TABRIZI, Jafar Sadegh
KARAMOUZ, Majid
SADEGHI-BAZARGANI, Homayoun
NIKNIAZ, Alireza
NIKNIAZ, Leila
HASANZADEH, Roya
HANAEE, Jalal
FARAHBAKHSH, Mostafa
author_facet TABRIZI, Jafar Sadegh
KARAMOUZ, Majid
SADEGHI-BAZARGANI, Homayoun
NIKNIAZ, Alireza
NIKNIAZ, Leila
HASANZADEH, Roya
HANAEE, Jalal
FARAHBAKHSH, Mostafa
author_sort TABRIZI, Jafar Sadegh
collection PubMed
description BACKGROUND: For overcoming the existing problems and finding a pathway for realization of universal health care, health complexes were implemented in the form of a pilot project in Tabriz suburban area. METHODS: Tabriz Health Complex Project was designed in 2013 in the provincial health center of East Azerbaijan. In terms of execution schedule, this intervention had 4 phases including 1) study phase, 2) planning phase, 3) pilot phase, and 4) implementation phase. Each health complex covers a population of 40,000 to 120,000 in a defined geographic area and consists of a Comprehensive Health Center (CHC) including health centers and a management center, which usually located in CHC. The important features of this project are as follows: people-centered primary health care, special attention to health promotion and prevention and establishment of a referral system within the region (organic connection between the first and second levels). RESULTS: An accountable and responsive health care system has been established to deliver integrated care services to people in a defined catchment area against identified per capita payment, under district health centre policies and regulations. Each health team consisted of a general practitioner and a family health nurse who covered around 4000 people to deliver prevention, promotion, and treatment services especially in and NCDs field. CONCLUSION: Health complex as a model of public-private participation and practical solution to address many of the problems in the primary care system of the country. The project can organize the PHC system and family medicine program.
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spelling pubmed-64015662019-03-07 Health Complex Model as the Start of a New Primary Healthcare Reform in Iran: Part B: The Intervention Protocol TABRIZI, Jafar Sadegh KARAMOUZ, Majid SADEGHI-BAZARGANI, Homayoun NIKNIAZ, Alireza NIKNIAZ, Leila HASANZADEH, Roya HANAEE, Jalal FARAHBAKHSH, Mostafa Iran J Public Health Original Article BACKGROUND: For overcoming the existing problems and finding a pathway for realization of universal health care, health complexes were implemented in the form of a pilot project in Tabriz suburban area. METHODS: Tabriz Health Complex Project was designed in 2013 in the provincial health center of East Azerbaijan. In terms of execution schedule, this intervention had 4 phases including 1) study phase, 2) planning phase, 3) pilot phase, and 4) implementation phase. Each health complex covers a population of 40,000 to 120,000 in a defined geographic area and consists of a Comprehensive Health Center (CHC) including health centers and a management center, which usually located in CHC. The important features of this project are as follows: people-centered primary health care, special attention to health promotion and prevention and establishment of a referral system within the region (organic connection between the first and second levels). RESULTS: An accountable and responsive health care system has been established to deliver integrated care services to people in a defined catchment area against identified per capita payment, under district health centre policies and regulations. Each health team consisted of a general practitioner and a family health nurse who covered around 4000 people to deliver prevention, promotion, and treatment services especially in and NCDs field. CONCLUSION: Health complex as a model of public-private participation and practical solution to address many of the problems in the primary care system of the country. The project can organize the PHC system and family medicine program. Tehran University of Medical Sciences 2019-01 /pmc/articles/PMC6401566/ /pubmed/30847323 Text en Copyright© Iranian Public Health Association & Tehran University of Medical Sciences http://creativecommons.org/licenses/by/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
TABRIZI, Jafar Sadegh
KARAMOUZ, Majid
SADEGHI-BAZARGANI, Homayoun
NIKNIAZ, Alireza
NIKNIAZ, Leila
HASANZADEH, Roya
HANAEE, Jalal
FARAHBAKHSH, Mostafa
Health Complex Model as the Start of a New Primary Healthcare Reform in Iran: Part B: The Intervention Protocol
title Health Complex Model as the Start of a New Primary Healthcare Reform in Iran: Part B: The Intervention Protocol
title_full Health Complex Model as the Start of a New Primary Healthcare Reform in Iran: Part B: The Intervention Protocol
title_fullStr Health Complex Model as the Start of a New Primary Healthcare Reform in Iran: Part B: The Intervention Protocol
title_full_unstemmed Health Complex Model as the Start of a New Primary Healthcare Reform in Iran: Part B: The Intervention Protocol
title_short Health Complex Model as the Start of a New Primary Healthcare Reform in Iran: Part B: The Intervention Protocol
title_sort health complex model as the start of a new primary healthcare reform in iran: part b: the intervention protocol
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6401566/
https://www.ncbi.nlm.nih.gov/pubmed/30847323
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