选定的发达国家与伊朗青少年卫生服务管理的比较研究:为伊朗建立一个模式

Razieh Moghaddam
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引用次数: 0

摘要

如今,青少年和青年的健康变得越来越重要。世界卫生组织(世卫组织)强调评价卫生服务的结构、过程和结果的重要性。本研究旨在为伊朗人口设计卫生服务机构的青少年管理和青年模式,以改善年轻人的健康。方法:采用比较、定量、定性研究方法。根据人口和信息的可得性,通过比较青少年和青年健康指标来选择国家。通过研究卫生服务机构对青少年和青年的管理,确定了初始模型中的基本变量和维度,并编制了初步问卷,经专家批准。178份最终问卷由专家完成。探索性因子分析确定实际因素(SPSS 20),验证性因子分析检验模型的拟合(Amos 24)。结果:在青少年卫生服务管理中,共确定了卫生服务包、人力资源、财力资源、设备与服务提供、数据与统计信息资源、青少年卫生服务提供管理6个有效因素,其中运行负荷最高(0.97),设备与服务提供(0.53)影响最小。结论:该模型对卫生服务机构青少年管理及青少年组成部分的管理影响最为显著。
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A Comparative Study of Health Services’ Management of Adolescents and Youth in Selected Developed Countries and Iran: Developing a Model for Iran
Introduction: Nowadays, adolescent and youth’s health has become increasingly important. The world health organization (WHO) emphasizes the importance of evaluating the structure, process, and outcome of health services. This study was conducted to design a health services’ management of adolescents and youth model for the Iranian population, to improve young people's health. Method: This study is a comparative, quantitative-qualitative study. Countries were selected by comparing adolescent and youth health indicators based on population and availability of information. By studying the health services’ management of adolescents and youth, essential variables and dimensions in the initial model were identified, and a preliminary questionnaire was developed and approved by experts. One hundred seventy-eight final questionnaires were completed by experts. Exploratory factor analysis was performed to determine the practical factors (SPSS 20), and the model’s fit was examined by confirmatory factor analysis (Amos 24). Results: A total of 6 factors were identified as effective in health services’ management of adolescents and youth, including, health service package, human resources, financial resources, equipment and services’ provision, data & statistics information resources, and health service delivery management of adolescents and youth, With a maximum 0.97 operating load had the highest and equipment and services’ provision (0.53), had the least impact. Conclusion: The proposed model has the most significant impact on the management of health services’ management of adolescents and youth components.
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