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other·cardiology, public health, epidemiology, family medicine, internal medicine·PMC10218771

Utilization obstacles to hypertension services provided at comprehensive health centers: a content analysis study

Health Research Policy and Systems · 4 authors, 4 centres

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TL;DR

The central result was the identification of two main themes of obstacles: individual problems and systemic problems.

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This 2022 conventional content analysis study used semi-structured interviews with 15 hypertensive patients and 10 health center staff in Ahvaz, Iran, to identify obstacles to utilizing hypertension services. Analysis extracted 15 codes and 8 categories organized into two main themes: 'individual problems' (attitudinal, occupational, economic) and 'systemic problems' (educational, motivational, procedural, structural, managerial). The study implies that addressing these multifaceted barriers through motivational interviewing, staff training, and improved facilities could enhance service utilization.

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other

SPECIALTY

cardiology

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100% · A

ORIGINAL PAPER

PMC10218771

Utilization obstacles to hypertension services provided at comprehensive health centers: a content analysis study

Health Research Policy and Systems

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ABSTRACT

Abstract Introduction Hypertensive patients' failure to refer to health centers for the management of their disease is the most fundamental public health challenge in most societies. The aim of this study was to identify the utilization obstacles to hypertension services provided at comprehensive health centers (CHCs) from the perspective of patients and the staff of health centers. Methods This was a qualitative study using conventional content analysis which was conducted in 2022. Participants included 15 hypertensive patients referring to CHCs and 10 staff (including personnel of CHCs and expert staff) of Ahvaz Jundishapur University of Medical Sciences, Ahvaz, southwest of Iran. Data were collected using semi-structured interviews. Interviews were analyzed using content analysis method, and coding was done manually. Results In total, 15 codes and 8 categories were extracted from the interviews which were organized in two main themes of "individual problems" and "systemic problems". More particularly, the main theme of “individual problems” involved attitudinal obstacles, occupational obstacles, and economic obstacles. The main theme of "systemic problems" included educational obstacles, motivational obstacles, procedural obstacles, structural obstacles, and managerial obstacles. Conclusion In order to address individual problems associated with the patients' failure to refer to CHCs, we need to take appropriate measures. These include using motivational interviewing techniques and utilizing the effective activity of healthcare liaisons and volunteers in CHCs to increase patients' awareness and change their negative attitudes and misconceptions. To solve systemic problems, it is imperative that effective training courses be held for health center staff. Keywords: Utilization, Hypertension, Comprehensive health centers, Content analysis

CITATION EXPORT

Farzad Faraji-Khiavi, Sasan Ghorbani Kalkhajeh, Behnam Gholizadeh et al.. Utilization obstacles to hypertension services provided at comprehensive health centers: a content analysis study. Health Research Policy and Systems. (2023). https://doi.org/10.1186/s12961-023-00984-w

AUTHORS

4 · 4 CENTRES

Farzad Faraji-Khiavi, Sasan Ghorbani Kalkhajeh, Behnam Gholizadeh, Behnaz Dindamal

1Atherosclerosis Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
2Healthcare Services Management, Department of Public Health, School of Health, Abadan University of Medical Sciences, Abadan, Iran
3Department of Cardiac Surgery, Atherosclerosis Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
4Department of Health Services Management, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran