[Components of clinical preventive services system in a specialized educational hospital: a qualitative approach]

Introduction: At first conference of health promotion in Ottawa in 1986, rearrangement of health providing services, especially hospitals, was introduced as a main strategy in health promotion. Health promoting hospitals project had been also proposed by the World Health Organization a decade before. According to the project, hospitals should have health promoting and disease preventing activities. In Iran, preventive services have not been defined as hospitals tasks and most efforts in hospitals are for medical treatment and rehabilitation. The purpose of this study was to recognize various components of clinical preventive services in Taleghani hospital in Tehran

Methods: In this qualitative study, 20 professionals and experts were interviewed using purposive sampling. Data were analyzed using content analysis

Results: Main themes extracted from the interviews consisted of: 1] challenges and barriers of clinical preventive services; 2] role of clinic of prevention in hospitals; 3] human recourses; 4] information recourses; 5] insurance system; 6] receiving and perusing patients; and 7] educating personnel

Conclusion: Providing preventive services is a perspective of future hospitals. Important necessities for implementation of these services in our country are description of the service packages, designing necessary structures, and training human recourses in this field

[Evaluation of the coverage of national hypertension prevention and control program in Damavand]

This study has been designed to evaluate the efficiency and coverage of the National Hypertension Prevention and Control program in predefined referral levels in Damavand district in Tehran. In this household survey 14 out of 27 health centers in Damavand were selected randomly and questionnaires completed for 400 persons aged 30 years or older who were selected systematically, in proportion to the size of the targeted population of each village. Coverage rate of screening program was 11.5% for men, 14.1% for women and 13% on the whole. Response rate to screening was 94%. Coverage of second, third and fourth referral levels was zero. Coverage of screening program was too low for modeling service utilization. The service has not been presented to the target population correctly and they were not aware of the service delivery. Program standards were not achieved completely. For program success, strict control is needed on the procedures of program implementation