家庭医生项目实施对伊斯法罕省农村人口妇幼健康指标的影响

E. Forouzandeh, H. Asgari, Mohsen Rohani, M. Khosravi, Rasol Hemamy, Maryam Kheirmand
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引用次数: 0

摘要

家庭医生计划作为伊朗卫生系统最大的改革自2008年启动。该方案最重要的目标是改善初级保健服务的提供。本研究调查了2001 - 2010年伊斯法罕省农村人口家庭医生计划实施对部分孕产妇和新生儿健康指标变化趋势的影响。对象与方法:本研究为回顾性研究。这些数据摘自统计和官方文件。采用描述性分析和配对样本t检验比较家庭医生项目实施前后的指标均值。结果:本研究结果表明,实施家庭医生计划前后新生儿死亡率、婴儿死亡率和5岁以下儿童死亡率存在显著差异。该方案的实施对上述指标的提高产生了有效的影响。家庭医生项目实施前后,母亲死亡率和低出生体重率指标无显著差异。结论:从所研究指标的变化趋势来看,实施家庭医生计划对改善除低出生体重率外的所有母婴指标均产生了有效影响。
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Impact of Family Physician Program Implementation on Maternal and Child Health Indicators in Rural Population of Isfahan Province
Introduction: Family physician program as the greatest reforms of Iran′s health system was initiated since 2008. The most important goals of this program were improvement in primary health services delivery. In this study, the Impact of family physician program implementation on the trend of changes in some of the maternal and newborn health indicators in a rural population of Isfahan province from 2001 to 2010 were investigated. Subject and Methods: This research was a retrospective study. The data were extracted from statistical and official documents. Indicators mean after and before family physician program implementation were compared using descriptive analysis and paired samples t-test. Results: The results of this study indicated that there were a significant difference between neonatal mortality rate, infant mortality rate and under-five mortality rate before and after of family physician program implementation. And performing this program has been the effective impact on improving mentioned indicators. The indicators of mothers mortality rate and low births weight rate were not indicated significant difference before and after of family physician program implementation. Conclusion: Considering trend of changes in studied indicators it can be said that family physician program implementation has been the effective impact on improving all of mother and child indicators except low births weight rate.
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