جستجوی مقالات مرتبط با کلیدواژه "rural health center" در نشریات گروه "پزشکی"

Background Given the scarcity of resources in the areas of health, the efficient use of these resources is very important. The purpose of this study was to assess the efficiency of rural health centers of Ghazvin province in the period of 2006-2010.
Materials & Methods This is a descriptive-analytical study, in which all rural health centers in Qazvin Province, 43 centers, were included. Independent variables were the number of physicians, health experts, technicians, and community health workers, and the dependent variables were percentages of screening for congenital hypothyroidism, percentages of iron supplementation in the first guidance school students, number of visits of public procurements and food distribution centers, number of general practitioner’s visit, and number of specialist referral by the general physician. In this study, input-oriented model and variable returns to scale (VRS) assumption were used. Also, time trend of efficiency was estimated with a regression model. Data envelopment analysis (DEA)-solver and Stata software were used to measure efficiency and estimate regression models, respectively.
Results The mean technical efficiencies during 2006 to 2010 were 0.77, 0.77, 0.78, 0.92, and 0.89, respectively. Also, the average scale efficiencies in these years were 0.98, 0.95, 0.95, 0.97, and 0.97, respectively. Average score of managerial efficiency increased from 0.78 to 0.92 during this period. The results of time trend showed that β-coefficient for average score of efficiency was 0.039 and statistically significant (P=0.03).
Conclusion The mean levels of efficiency and health outcomes have been improved in these years but some of resources are still wasted. It seems that some practices such as ongoing evaluation of performance, improving the quality and quantity of services, and programing for optimal use of inputs, can be particularly useful.

In some rural areas of Iran three decades passes the establishment of rural health houses, and during these years, demographic, economic and social patterns in many rural areas have changed. One of the challenges in the health sector is the allocation of health houses due to the changes in rural areas. The aim of this study was to investigate the distribution of rural health houses based on GIS and determination of its optimal model in Khuzestan province. This study was an applied and descriptive - analytical research. The population of study consisted of all villages and rural health houses in Khuzestan province in 2012.First, Spatial and descriptive required data were collected and corrected. Next, important criteria and sub criteria for optimal site selection for rural health houses were determined from the viewpoint of experts. Then, relative weight of criteria and sub criteria were determine by using Analytical Hierarchy Process (AHP). Finally, by overlapping weighted layers in ArcGIS software a model was presented for locating rural health houses in Khuzestan province. Total of 886 rural health houses in Khuzestan province, 128 rural health houses (14.4%) did not meet the criteria for health network expansion plan. The 358 with residents’ villages has lack proper access to rural health houses. Of experts’ opinion, the main criterion for locating the optimum distribution of rural health houses, the most important criteria was of the rural original population relative weight 0.506. The result showed that using GIS can help to experts of network development plan to manage and distribute the rural health houses. It is recommended that GIS utilized in order to improve the efficiency of healthcare network development plan.