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Utilization obstacles to hypertension services provided at comprehensive health centers: a content analysis study
Farzad Faraji-Khiavi1, Sasan Ghorbani Kalkhajeh2, Behnam Gholizadeh3
1Atherosclerosis Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. faraji-f@ajums.ac.ir.
Health Research Policy and Systems
|May 26, 2023
Summary
Hypertensive patients face individual and systemic barriers to accessing care at health centers. Addressing these requires patient engagement strategies and improved staff training to enhance hypertension management.
Area of Science:
- Public Health
- Health Services Research
- Qualitative Research
Background:
- Hypertension management is a critical public health challenge.
- Patient non-adherence to health center referrals hinders disease management.
- Understanding barriers to hypertension services is essential for improving patient outcomes.
Purpose of the Study:
- To identify patient and staff perspectives on obstacles to hypertension services at comprehensive health centers (CHCs).
Main Methods:
- Qualitative conventional content analysis conducted in 2022.
- Semi-structured interviews with 15 hypertensive patients and 10 health center staff.
- Manual coding and thematic analysis of interview data.
Main Results:
- Two main themes emerged: "individual problems" and "systemic problems".
- Individual problems included attitudinal, occupational, and economic obstacles.
- Systemic problems encompassed educational, motivational, procedural, structural, and managerial obstacles.
Conclusions:
- Addressing individual problems requires motivational interviewing and community health liaisons.
- Systemic issues necessitate enhanced training for health center staff.
- Improving access to hypertension services involves tackling both patient-centered and system-level barriers.
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