Viewpoint of Isfahan, Iran Health Managers with Philosophical Principles of Primary Health Care

Document Type : Original Article

Authors
Asadollah Shams 1
Mojgan Mosaddegh 2
Elham Asadi 2
Saeed Afrough 3
1 Assistant Professor, Health Management, Health Management and Economic Research Center, Isfahan University of Medical Sciences, Isfahan, Iran. (Corresponding Author) Email: shams@mng.mui.ac.ir
2 BSc Student, Health Care Management, School of Health Management and Medical Informatics, Isfahan University of Medical Sciences, Isfahan, Iran
3 Information Technology Management, Tiran Branch, Islamic Azad University, Tiran, Iran
Abstract
Introduction: Nowadays, more than ever we have forgotten that solving health problems depends upon
what people should do for themselves. Helping people is a vital issue along with intelligent health
services, against treatment services which make people depended, and are high-cost and less effective.
The aim of the present study was to assess the philosophical principles of the prevention in primary health
care (PHC) and the knowledge and belief of the directors of the health care in this regard.
Methods: This was a descriptive-analytical survey. Research tools was a researcher-made questionnaire with
three types of basic, knowledge and attitude questions about 9 philosophical principles of PHC. Validity and
reliability were approved by experts and Cronbach’s alpha (84%), repectively. Study population included
384 individuals of top, middle and executive managers of Isfahan, Iran Health Institutions in 2002. Student’s
t-test, analysis of variance (ANOVA) and Pearson’s correlation tests were used.
Results: The highest mean knowledge score of the nine philosophical principles of PHC belonged to "love
and motivation" (98.3 ± 41.1) and the lowest philosophical dimension score belonged to "equality and
justice" (65.7 ± 29.2). The highest average score of philosophical attitude was in "coordinate between
section” (81.5 ± 23.0) and the lowest philosophical dimension belonged to "equality" (49.1 ± 12.8).
Conclusion: The average score for all the categories of knowledge management was a little higher than
80. The mean attitude score was 65. This result was not good for the system; because the attitude of
managers plays a key role in the run up to the principles of PHC.

Keywords

1. Park G. Health Services Manual. Trans. Shojaei Tehrani H. Rasht, Iran: Guilan University of Medical Sciences; 2006.
2. Asefzadeh S, Reza Pour A. Health and Treatment Management. Qazvin, Iran: Qazvin University of Medical
Sciences; 2006.
3. Oliaei Manesh A. Iranian program of social factors about determine dimension of health. Proceedings of the
National Congress of Equity in Health System; 2009 Mar 11-12; Tehran, Iran; 2009. p. 34-6. [In Persian].
4. Mosadeg Rad AM. Principles of health and treatment services management. Tehran, Iran: Dibagaran Publication;
2002. p. 24-6.
5. Hammad AE, Smith DL. Primary Health Care Reviews: Guidelines and Methods. Geneva, Switzerland: World
Health Organization; 1992.
6. Sham A. Survey of effective factors in referral system in Isfahan Province of Educational Hospitals Isfahan
University of Medical Sciences. Proceedings of the National Congress of Equity in Health System; 2009 Mar
11-12; Tehran, Iran; 2009. p. 369-73.
7. Chalmers KI, Luker KA, Bramadat IJ. Students' knowledge of and attitudes towards primary health care. Nurse
Educ Today 1998; 18(5): 399-405.
8. Ballard RC. Syndromic case management of STDs in Africa. Afr Health 1998; 20(3): 13-5.
9. Jazestani M. Survey of Family Medicine Effective on the Health Index Promotion in Isfahan Health Center.
Proceedings of the National Congress of Equity in Health System; 2009 Mar 11-12; Tehran, Iran; 2009.
10.Gaffary A. Create level treatment services of map to down. Journal of Biomedical Engineering and Laboratory
Equipment 2006; 6(69): 9-10.
11. Shojaei H, Ebadi Farazar F. Health Services Principles, Tehran, 2005. Tehran, Iran: Samat Publication; 2005.
12. Tarigat H. Referral system based on family medicine. Proceedings of the National Congress of Equity in Health
System; 2009 Mar 11-12; Tehran, Iran; 2009.                                                                                                                              
Health Information Management
Volume 9, Issue 7
Autumn 2012
Pages 1081-1086