Utilization of health care services in the state of Isfahan

ABSTRACT

Health care system is a complicated system that needs to harmonized prevention and medical activities. It should be authorized by a management-based organizational structure in social and political conditions. Health programs absolutely should be started by need assessment of people and their demand on the health care services. This is an applied study which was conducted in 2009 year. Study samples included community household dwellers that have been lived in the state of Isfahan- Naeen province. Random quota sampling method was used for selecting samples throughout of 3 blocks in health centers which included 130 household dwellers in each block. Statistical methods and SPSS software version [12] were used to this data analyses. According to the results, there was significant correlation between socioeconomic components [age of father and mother in a household, job status, education level of household dwellers, number of children, income amount, and types of insurance and living place] with the outpatient services benefit. There was significant correlation between demographic status with demand in diagnostic, inpatient services, and medicine purchased. Furthermore, the average of referral to GPs, specialist, dentist, pharmacists, and outpatient diagnostic services were 1.08, 1.44, 0.6, 2.52, 1.32 and 0.44, respectively. The average costs for receiving medical services were 366296 RLs in the Naeen city; although, but it was calculated 454585 RLs for receiving medical services in other cities. Regarding dissatisfaction among participated people in this study, e availability of inpatient services, interesting to refer to clinics into other cities in order to receive health services and also the negative effect on demand, in other hands, considering efficiency indexes in Naeen's health centers and imposing huge costs and spending long times to receive those services in other cities, it makes health-policy makers give more attention to quality of deliver services through health centers. It is recommended to do more studies in assessing the preventative interventions in level 1 and 2 in the health systems as consider as to common diseases, need assessments of different age groups in society, organizing different target groups in marketing, environmental changes, systematic planning, society training, delivering desirable services to target groups, reducing uncertainty feeling of outpatient, diagnostic and inpatient medical centers in Naeen city