Barriers and Facilitators of People\'s Referral to Health Centers in Kerman City: A Qualitative Study
Background and Objectives: low utility of health care services is one of the main determinants of not achieving desired health indicators in urban areas. This study aimed to investigate the barriers and facilitators of receiving health services from health centers in Kerman city, Iran. Methods: Th...
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| Format: | Article |
| Language: | fas |
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Tehran University of Medical Sciences
2021-09-01
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| Series: | مجله اپیدمیولوژی ایران |
| Subjects: | |
| Online Access: | http://irje.tums.ac.ir/article-1-6997-en.html |
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| author | Zahra Jaafari Zahra Abdolahinia Hajar Ghasemi Ali Esmaeilpour Saeideh Mahmoodzadeh Ali Bahaodini Seyed Vahid Ahmadi Tabatabaei Najmeh Safa Hamid Reza Tohidinik Ali Akbar Haghdoost Ali Sharifi Vahid Yazdi-Feyzabadi Hamid Safari |
| author_facet | Zahra Jaafari Zahra Abdolahinia Hajar Ghasemi Ali Esmaeilpour Saeideh Mahmoodzadeh Ali Bahaodini Seyed Vahid Ahmadi Tabatabaei Najmeh Safa Hamid Reza Tohidinik Ali Akbar Haghdoost Ali Sharifi Vahid Yazdi-Feyzabadi Hamid Safari |
| author_sort | Zahra Jaafari |
| collection | DOAJ |
| description | Background and Objectives: low utility of health care services is one of the main determinants of not achieving desired health indicators in urban areas. This study aimed to investigate the barriers and facilitators of receiving health services from health centers in Kerman city, Iran.
Methods: This study was a qualitative study with a content analysis approach conducted in 2020. After selecting health centers with the experience of desirable or low utility services, purposive sampling continued until information saturation. A total of 78 staff members, recipients, and non-recipients of services citizens were interviewed semi-structured and face-to-face at health centers. All interviews were recorded and coded manually and then reviewed and analyzed using directional content analysis.
Results: The essential services for children and mothers, free services, and service providers' behavior were mentioned as facilitators of referral. Distance and physical factors, knowledge of different types of services, preference of private centers, time access, view of people on regular visits to centers, addresses and telephone numbers registered in the system, responsiveness to health needs, fear of disease disclosure, lack of human resources in the centers, and service providers' behavior, were among the barriers of visiting the centers.
Conclusion: According to the results of this study, an accurate understanding of the under-coverage people's views and perceptions can help national and local planners and policymakers design the necessary strategies to increase the use of health services in urban health centers. |
| first_indexed | 2024-04-13T00:34:23Z |
| format | Article |
| id | doaj.art-6fa82af5f9924860bfc07d53e87aa5ea |
| institution | Directory Open Access Journal |
| issn | 1735-7489 2228-7507 |
| language | fas |
| last_indexed | 2024-04-13T00:34:23Z |
| publishDate | 2021-09-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | مجله اپیدمیولوژی ایران |
| spelling | doaj.art-6fa82af5f9924860bfc07d53e87aa5ea2022-12-22T03:10:23ZfasTehran University of Medical Sciencesمجله اپیدمیولوژی ایران1735-74892228-75072021-09-01172194203Barriers and Facilitators of People\'s Referral to Health Centers in Kerman City: A Qualitative StudyZahra Jaafari0Zahra Abdolahinia1Hajar Ghasemi2Ali Esmaeilpour3Saeideh Mahmoodzadeh4Ali Bahaodini5Seyed Vahid Ahmadi Tabatabaei6Najmeh Safa7Hamid Reza Tohidinik8Ali Akbar Haghdoost9Ali Sharifi10Vahid Yazdi-Feyzabadi11Hamid Safari12 MSc of Epidemiology, Department of Biostatistics and Epidemiology, School of Public Health, Kerman University of Medical Sciences, Kerman, Iran MSc of Epidemiology, Department of Biostatistics and Epidemiology, School of Public Health, Kerman University of Medical Sciences, Kerman, Iran MSc of Epidemiology, Department of Biostatistics and Epidemiology, School of Public Health, Kerman University of Medical Sciences, Kerman, Iran MSc of Epidemiology, Department of Biostatistics and Epidemiology, School of Public Health, Kerman University of Medical Sciences, Kerman, Iran MSc of Epidemiology, Department of Biostatistics and Epidemiology, School of Public Health, Kerman University of Medical Sciences, Kerman, Iran MSc of Epidemiology, Department of Biostatistics and Epidemiology, School of Public Health, Kerman University of Medical Sciences, Kerman, Iran Doctor of Medicine and Assistant Professor of Health Education and Health Promotion, Social Determinants of Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran Doctor of Medicine, Health Department, Kerman University of Medical Sciences, Kerman, Iran Assistant Professor of Epidemiology, Department of Biostatistics and Epidemiology, School of Public Health, Kerman University of Medical Sciences, Kerman, Iran Professor of Epidemiology, Modeling in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran Associate professor in Ophthalmology, Department of Ophthalmology, Shafa Hospital, Afzalipour School of Medicine, Kerman University of Medical Sciences, Kerman, Iran Assistant Professor of Health policy, Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran Professor of Epidemiology, HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran Background and Objectives: low utility of health care services is one of the main determinants of not achieving desired health indicators in urban areas. This study aimed to investigate the barriers and facilitators of receiving health services from health centers in Kerman city, Iran. Methods: This study was a qualitative study with a content analysis approach conducted in 2020. After selecting health centers with the experience of desirable or low utility services, purposive sampling continued until information saturation. A total of 78 staff members, recipients, and non-recipients of services citizens were interviewed semi-structured and face-to-face at health centers. All interviews were recorded and coded manually and then reviewed and analyzed using directional content analysis. Results: The essential services for children and mothers, free services, and service providers' behavior were mentioned as facilitators of referral. Distance and physical factors, knowledge of different types of services, preference of private centers, time access, view of people on regular visits to centers, addresses and telephone numbers registered in the system, responsiveness to health needs, fear of disease disclosure, lack of human resources in the centers, and service providers' behavior, were among the barriers of visiting the centers. Conclusion: According to the results of this study, an accurate understanding of the under-coverage people's views and perceptions can help national and local planners and policymakers design the necessary strategies to increase the use of health services in urban health centers.http://irje.tums.ac.ir/article-1-6997-en.htmlbarriersfacilitators factorshealth centersqualitative study |
| spellingShingle | Zahra Jaafari Zahra Abdolahinia Hajar Ghasemi Ali Esmaeilpour Saeideh Mahmoodzadeh Ali Bahaodini Seyed Vahid Ahmadi Tabatabaei Najmeh Safa Hamid Reza Tohidinik Ali Akbar Haghdoost Ali Sharifi Vahid Yazdi-Feyzabadi Hamid Safari Barriers and Facilitators of People\'s Referral to Health Centers in Kerman City: A Qualitative Study مجله اپیدمیولوژی ایران barriers facilitators factors health centers qualitative study |
| title | Barriers and Facilitators of People\'s Referral to Health Centers in Kerman City: A Qualitative Study |
| title_full | Barriers and Facilitators of People\'s Referral to Health Centers in Kerman City: A Qualitative Study |
| title_fullStr | Barriers and Facilitators of People\'s Referral to Health Centers in Kerman City: A Qualitative Study |
| title_full_unstemmed | Barriers and Facilitators of People\'s Referral to Health Centers in Kerman City: A Qualitative Study |
| title_short | Barriers and Facilitators of People\'s Referral to Health Centers in Kerman City: A Qualitative Study |
| title_sort | barriers and facilitators of people s referral to health centers in kerman city a qualitative study |
| topic | barriers facilitators factors health centers qualitative study |
| url | http://irje.tums.ac.ir/article-1-6997-en.html |
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