طراحی بسته‌ خدمات سلامت مادر و کودک بر اساس مدل تطبیقی کشورهای توسعه‌ یافته

نوع مقاله: اصیل پژوهشی

نویسندگان

1 دانش‌آموخته دکترای تخصصی، گروه مدیریت خدمات بهداشتی درمانی، واحد علوم و تحقیقات، دانشگاه آزاد اسلامی، تهران، ایران.

2 دانشیار گروه مدیریت خدمات بهداشتی درمانی، واحد علوم و تحقیقات، دانشگاه آزاد اسلامی، تهران، ایران.

3 استاد گروه مدیریت خدمات بهداشتی درمانی، واحد علوم و تحقیقات، دانشگاه آزاد اسلامی، تهران، ایران.

4 دانشیار گروه مدیریت خدمات بهداشتی درمانی، دانشکده مدیریت و اطلاع‌رسانی پزشکی، دانشگاه علوم پزشکی ایران، تهران، ایران.

چکیده

مقدمه: سلامت زنانجامعهبهدلایلمختلفآسیب‌پذیرترازمرداناستکهعلاوهبر ویژگی‌های بیولوژیکی،تحتتأثیرعواملتعیین‌گرفرهنگی،اجتماعی،اقتصادیوسیاسیقراردارد. امروزه موضوعمدیریتتوسعهسلامتمادران درزمرهاولویت‌هایسازمانجهانیبهداشت قراردارد. مطالعه حاضر با هدف بهبود بسته خدمات سلامت مادر و کودک ارائه ‌شده در ایران از طریق ارائه متغیرهای برگرفته از مطالعه تطبیقی کشورهای توسعه‌ یافته منتخب انجام شد.
روش‌کار: در این مطالعه تطبیقی کشورهای مورد مطالعه (سنگاپور، استرالیا، انگلستان، ژاپن) با مقایسه شاخص‌های بهداشت مادر و کودک کشورها به روش نمونه‌گیری خوشه‌ای از قاره‌های مختلف انتخاب ‌شده و با مطالعه بسته خدمات سلامت مادر و کودک در آن‌ها از طریق رجوع به اسناد معتبر بهداشتی، متغیرهای مهم و ابعاد مورد نظر شناسایی‌ و بر اساس آن و جدول تطبیقی طراحی‌ شده، نتیجه‌گیری شد.
یافته‌ها: کلاس‌های رایگان آموزشی و ورزشی با شرکت همسران، شبکه‌ گسترده‌ اورژانس مادران به‌صورت شبانه‌روزی و تخصصی، تنوع وسایل نقلیه برای انتقال به مراکز اورژانس، بسته‌های حمایت روحی مادران، ویزیت و زایمان در منزل، امکانات جراحی و مراقبت رایگان نوزادان، امکانات غربالگری مادران باردار به ‌صورت رایگان، وجود کتابچه راهنما و ثبت خدمات به‌ صورت متحدالشکل در کل مراکز کشور را می‌توان از عوامل شناسایی ‌شده در بسته موفق خدمات سلامت مادر و کودک معرفی کرد.
نتیجه‌گیری: نقش برخی عوامل شناسایی‌ شده نظیر ویزیت و زایمان در منزل در بسته خدمات سلامت ایران کم است و یا وجود ندارد. اجرای موارد پیشنهادی می‌تواند نقش مؤثری در ارتقاء شاخص‌های سلامت مادر و کودک ایران داشته باشد.

کلیدواژه‌ها


عنوان مقاله [English]

Designing the maternal and child health services package based on comparative study of developed countries models

نویسندگان [English]

  • Mojgan Neinavae 1
  • Amir Ashkan Nasiripour 2
  • Seyed Jamaledin Tabibi 3
  • Pouran Raeissi 4
1 PhD, Department of Health Services Management, Science and Research Branch, Islamic Azad University, Tehran, Iran.
2 Associate Professor, Department of Health Services Management, Science and Research Branch, Islamic Azad University, Tehran, Iran.
3 Professor, Department of Health Services Management, Science and Research Branch, Islamic Azad University, Tehran, Iran
4 Associate Professor, Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
چکیده [English]

Introduction: Community women's health is more vulnerable than men due to various reasons, in addition to biological characteristics; it is influenced by cultural, social, economic and political factors. Nowadays,managing maternal health development is one of the World Health Organization priorities.This study was performed with aim to improve maternal and child health service package in Iran by providing variables derived from a comparative study conducted in selected developed countries.
Methods: In thiscomparative study, the studied countries(Singapore, Australia, England and Japan) wereselectedby comparingmaternal-child healthindicators from different continentsusing cluster sampling and with studying of their maternal and child health service package through referring to valid health documents, important variablesanddimensions were identified, and based on itand designed comparative tables, the conclusion was made.
Results: Free sportsandtraining classeswiththe husbands' presence, extensive maternal network emergency as specialized and boarding, varietyof vehicles fortransportto emergency centers,emotional supportpackages, home visit and delivery, newbornsfreesurgical facilitiesandcare, pregnant womenscreeningfacilitiesfor free, guideline booklet and unifiedrecording of servicesin allcountrycenters are the factorsidentified in successfulmaternal- child health servicespackage.
Conclusion: The role ofsome identified factors such as home visit and deliveryis loworabsent in Iran health service package. Implementation ofthesuggested factors canplay an important rolein promotingmaternal-child healthindicators inIran.

کلیدواژه‌ها [English]

  • Comparative Study
  • Developed Countries
  • Health Services
  • Maternal -child health services
  • Model
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