Investigating the service provision challenges by healthcare providers in selected comprehensive health centers
نویسندگان
1 Social Determinant of Health Research Center, Isfahan University of Medical Science, Isfahan, Iran
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3 Department of Midwifery and Reproductive Health, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences
4 Department of Midwifery and Reproductive Health, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences
doi
چکیده
INTRODUCTION: The healthcare program has opponents and supporters with its multiple policiesand also its difficult implementation, which requires that its barriers and problems be addressedcomprehensively and extensively. This study was conducted aimed to determine the serviceprovision challenges by healthcare providers, from their point of view, in selected comprehensivehealth centers of Isfahan.MATERIALS AND METHODS: The present study is a descriptive‑analytic one. One‑hundredand ninety‑seven healthcare providers were selected by census sampling method from thepopulation of female healthcare providers in Isfahan comprehensive health centers in 2017. Thedata collection tool was a researcher‑made questionnaire in the field of individual–professional,managerial–organizational, and executive challenges. Data analysis was done by repeated measuresANOVA and post hoc test.RESULTS: The findings indicated that there was a significant difference between the mean scoreof individual–professional, managerial–organizational, and executive challenges (P < 0.001) fromthe point of view of healthcare providers. According to least significant difference post hoc test, themean score of individual challenges was significantly lower than that of managerial and executivechallenges (P < 0.001). However, there was no significant difference between the mean score ofmanagerial–organizational and executive challenges (P = 0.46).CONCLUSION: Based on the results, healthcare providers have put forward several challenges duringthe implementation of the healthcare program. Meanwhile, executive and managerial challengeshave been considered more than individual challenges. Considering that this could lead to improperservice provision to the clients, the role of policymakers in this program to remove obstacles and toprovide satisfaction to healthcare providers is emphasized.