Experience of Behvarzes (Iranian primary healthcare providers) from giving primary health services in health houses
نویسندگان
1 Child Health Promotion Research Center, School of Medicine, Isfahan University of Medical Sciences, Isfahan,
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3 Department of Nursing, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran
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doi
چکیده
Background: Primary healthcare (PHC) providers play a major role in provision of public healthin rural areas in Iran. They are considered as the key elements of health development in ruralpopulation. There is limited research on clarification of their experiences from provision of healthservices in their working conditions. This study aimed to clarify the experience of PHC providersfrom working conditions in giving primary health services in health houses (district branches ofrural health care centers). Materials and Methods: This is a content analysis qualitative study,conducted through personal and group interviews with 12 health workers working in healthcare centers in rural areas in Isfahan province, 2010. Sampling continued until data saturation.Data were analyzed through conventional content analysis and constant comparative method.Results: Data analysis led to extraction of 11 categories, and finally, four themes of “ignoringthe rights,” “causing tension in working climate,” “pressure or overload of expectations beyondthe power,” and “occupational worn out” were yielded from the categories. These themes revealthe concepts and nature of PHC providers’ experiences from giving health care at health housesas the first level of PHC centers. Conclusion: The results of the present study showed that thePHC providers work in a tense condition in health houses. Although they devote themselvesto the health of society members, their own health is neglected. Policy makers and authoritiesshould amend working conditions of PHC providers through modification of resources andmaking supportive and collaborative strategies to improve the quality of services and promotethe health level of the service receivers.