فهرست مطالب هادی عبدالله تبار

The health system as the main custodian of health in Iran has a history of nearly a century and during this period has witnessed many changes to the current form and structure. This study aims to investigate the factors affecting the formation and evolution of the health system and the policy-making process in it with an interdisciplinary perspective.

The research has been conducted in a historical way and historical texts about the health system and its sub-sectors including health care and education have been reviewed and analyzed with an institutionalist approach.

The government, civil society, private sector, family and international institutions have been the main agents of health policy in Iran from the beginning until now, which in the context of situational, structural, cultural and external factors have directed the health system and its developments in Iran. They have been effective.

Although the government has been the main agent of health policy in Iran from the beginning, but many institutional factors have been effective on its efficiency and performance in the field of health, and this institution needs more serious attention to community elements to formulate health policies and pave the way for social justice. Civility and the characteristics of families and leaving matters to the private sector, and in this way interaction with international institutions and the use of their experiences, especially in the field of health is of particular importance.

Since one of the main areas of understanding of social policy, and that of health policy, is the attention to how the government focuses on the economic, social, political, and cultural development of the country; therefore, it can be traced to its development through the evolution of countries. This research was carried out with the aim of investigating the changes in the health system of Iran during development and development programs before and after the 1979 revolution. The present study was conducted using a comparative method with qualitative content analysis technique based on data collection from valid sources related to the health system in Iran (including medicine, health, etc.) ,the text of development programs ,evaluations , andrelated reports. In this way, the success or failure of development and development programs before and after the Islamic Revolution was compared to achieve social policy objectives, including health policy, and the impact of previous programs on future policies and programs. The research data were extracted from first-hand sources, second-hand sources,  previous evaluation, and research reports, and they were analyzed using the basic concepts of institutionalization approach. In addition to analyzing the impact of developmental plans and development on the changes in the health system, and showing the trend of these changes, the differences and similarities between developmental plans and their impact on health system orientation were counted. The main difference in the planning of the two study periods is the orientation of the established governments; in the government of Pahlavi and modernization of the country happened based on the nation-state andlarge-scale decisions and policies, but in the government of the Islamic Republic, establishing social justice is the basis of large-scale policy making and the welfare of the people. It is also part of the realization of these goals. Another difference is that there was not a long history of programming in Pahlavi era and strategies for achieving goals, and development plans were often conducted with the guidance and involvement of European and American experts and planners. Moreover,hardware infrastructures, such as asphalt roads and railways, appropriate communication facilities, and software infrastructures, such as the level of education and desire to participate in the advancement of programs are very insignificant, and this impediment has been an obstacle to many of the development goals, especially in the field of health.. However, in the post-revolutionary period  due to the particular circumstances of the revolution, the thinking of the mid-term planning was abandoned (the sixth development plan was generally ignored), and attempts to approve the development plan had not survived until 1988, but development plans one after the other was developed internally by experts and, in some cases, by modeling afterother countries. Besides, the required hardware and software infrastructure was provided to a large extent, and implementation of health and medical programs was facilitated more easily.  the planning differences in the two pre and post-revolutionary phases is related to foreign relations and international conditions. In the second half of the year, with the exception of the short period after the nationalization of the oil industry, there was little international pressure on Iran’s economy. After 1332 the American influence onIran’s politics and economy, and financial advisers hasalways been advocating for a dependence on the United States after implementing the policies of the White Revolution. After the 1357 revolution, consideringthe anti-capitalist ideology of the revolutionary architect from the very first days of opposition to the United States and other influential countries, such as the Soviet ::::::::::::::union:::::::::::::: and the United Kingdom beganas a result. After the revolution,the country has always been subject to international tensions and pressures. The imposition of eight years of war, the confiscation of the properties of the state and the Iranian people in the United States, the adoption of a variety of economic, scientific, and military sanctions, and ultimately, the boycott of Iranian oil purchases over the past decade have been examples of the measures that have always been an obstacle to the implementation of development and justice promotion programs. The most important similarity of development planning and social policy before and after the revolution is the dependence of the program resources on the proceeds from the sale of oil, which is the main component of the development and development costs of oil money, and ithas two major consequences for the health system: The formation of the rentier government, the reduction of government accountability to the public ,the creation of uncertainty in the provision of resources for development programs, and the failure to implement many social policies, including health policies. The other similarity of the administrative system before and after the revolution is thatthe scope of the government’s involvement in the administration of state affairs and recruitment has had its roots in both corruption and ineffective administration. Finally, as it is the case in many developing countries, the share of health financing has been very low, and the efforts made to transfer part of health care to the private sector have not been so successful; hence, allocating more funding to the health sector can help improve the health of the people. After seven decades of development planning in Iran, despite the advances and changesmade in the health sector, equity in health, especially in the treatment sector, has not yet been achieved, and inequalities in access to health servicesstill exists, and its cost is high and has increased over the past decade, partly due to rising health care costs and the other part because of lower income levels and an increase in the gap between income groups, which is not reflected in the objectives of development plans in other headings, especially the economic headline. Therefore, the success of the implementation of health policy and the realization of social justice depends on developingprograms based on data and rational and realistic estimates, moving towards mixed plans (guiding grammar), and implementing fundamental structural reforms in social and economic planning.

Today, the role of religion and spiritual care has been considered in prevention and treatment of mental health problem. The purpose of the Present study was to detect the association between praying related attitude and behaviors and students’ mental health in Gorgan University of medical sciences. The subjects of this descriptive-crossectional study were 144 students (71 male and 73 female) selected via convenience sampling. The instruments were General health questionnaire (GHQ) and Praying Related Attitude and Behavior questionnaire. We did data analysis by using Pearson correlation coefficient, mann-whitney and kruskal-wallis (SPSS 16 soft ware). The age of 63.9 percent of Participants is between 20-25 years. There is a significant difference between mental health and praying related attitude and behavior (P<0.05). Mean rank of male and female student's attitude toward praying is significantly different (P<0.05). Female respondents have better attitude toward praying. There is no significant difference between male and female student's praying related behaviors. According to positive relation between mental health and praying, it seems reasonable to conclude that student's mental health is promoted by having positive attitude toward praying and related activities.

Health of society is based on its individual. Person’s healthy life is product of interaction between personal choices and their enveloping socioeconomic environment. In 1948, the World Health Organization identified social well-being as one of several facets of an individual’s overall health. Social well-being is defined as an individual’s self-report of the quality of their relationship with other people, their neighbourhood, and their communities. Social well-being is operationalized as an individual’s perceptions of their integration into society, acceptance of other people, coherence of society and social events, one’s sense of contribution to society, and the potential and growth of society. The Learning of social skills and membership in a social network enable individual to interact effective with others. These are indicators of behavioural health and social well-being. This study aims to major Social Wellbeing and explore its relationship with social demographic variable. this study design as a cross sectional. The sample size of this study was 1024 students of university of social welfare and rehabilitation. 168 students agreed to enter the study. To collect data 2 different questionnaires was applied: social demographic and Social Well-being questionnaires. Data analyzes was done with One-Way ANOVA, Pearson Correlation, T and Mann Whiney test results. Statistically analyses were done by spss. In terms of educational departments, students of clinical psychological and Speech Therapy showed in tern, the highest and least Social Well-being scores but not find meaningful difference between educational departments. MST student’s Social Well-being scores were higher than BS. Findings showed marriage student’s Social Well-being scores were higher than singles as marriage student’s Social Well-being scores were 84.84 and for single’s were 66.63. And male students had higher scores than female as male students Social Well-being scores were 86 and female students Social Well-being scores were 67.6. Also, averages of Social Well-being scores for were membership in association were 82.13 and for students were not membership in association were 66.20 and this difference was meaningful. The finding of this study showed significant relationship between social well-being and some social demographic variable among students. Social Wellbeing had significant relationship with material status, education, sex, membership in association, and employment status, but not with education major, parent’s education and student’s age.