通过模糊的德尔菲方法识别和优先考虑游牧部落的健康指数:一项生态研究
Atefeh Neamati1, Hassan Hashemi2, Mohammad Reza Samaei2
1MSc of Environmental Health Engineering, Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
概括
改善游牧医疗保健需要优先考虑关键健康指标. 疫苗接种,母亲和儿童护理组成部分成为提高这些流动人口福祉的首要任务.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 社会学 社会学 社会学
背景情况:
- 游牧社区在获得医疗保健方面面临重大挑战,原因是他们的迁徙生活方式和不充分的组织结构.
- 实现健康平等和可持续发展需要改善包括游牧人口在内的所有伊朗公民的健康状况.
- 现有的卫生系统往往无法充分解决游牧和部落人口的独特需求.
研究的目的:
- 确定和优先考虑伊朗游牧部落人民的国家健康指数.
- 在游牧社区为有效的医疗保健干预提供政策和规划的信息.
- 通过解决健康差异,为实现健康正义和可持续发展的目标做出贡献.
主要方法:
- 用一个生态研究设计来分析国家健康指数.
- 进行了文献审查,以提取相关的健康指数.
- 专家小组,模糊的Delphi方法和TOPSIS方法 (通过类似于理想解决方案的优先顺序的技术) 用于索引识别和优先级.
- 根据可测量性,简单性和经济效率来评估指数.
主要成果:
- 模糊的德尔菲方法表明,心理健康在可测量性,简单性和经济效率方面得分最低.
- 儿童保育在经济效率方面获得了最高分,而疫苗接种在可测量性和简单性方面获得了最高分.
- 在TOPSIS方法中,疫苗接种,产妇护理和儿童护理被确定为游牧人口的最高优先级组件.
结论:
- 优先考虑疫苗接种,产妇护理和儿童护理等健康指数,对于改善游牧社区的健康状况至关重要.
- 开发和实施记录优先健康指数数据的系统可以支持负责任的组织有效的决策.
- 解决游牧人口的特定健康需求对于在伊朗实现健康公平和可持续发展至关重要.
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