Hoveidamanesh Soodabeh, Davoudi Farnoush, Koohpayehzadeh Jalil, Nojomi Marzieh
Preventive Medicine and Public Health Research Center, Iran University of Medical Sciences, Tehran, Iran.
Preventive Medicine and Public Health Research Center, Department of Community Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Med J Islam Repub Iran. 2018 Dec 14;32:125. doi: 10.14196/mjiri.32.125. eCollection 2018.
Screening and behavior consultation are considered to be limited, dispersed and expensive services across the country. To deliver efficient and equitable services current disordered practices need to be consolidated. An analysis of current situation, learned lessons and future scopes of country's preventive care delivery, along with a review of international experience and generous participation of various stakeholders, led to proposing a model for screening and behavior consultation practices in IR. Iran. Upon the results of the previous steps, the desired model was based on the network system and family physician. Comprehensive health centers and other centers affiliated to the network are the most appropriate service positions. However, private and academic preventive centers are playing their rules. The proposed model matches the overall pattern of service delivery in the health system (network system with the private sector and the educational sector).
在全国范围内，筛查和行为咨询被认为是有限、分散且昂贵的服务。为了提供高效且公平的服务，当前混乱的做法需要进行整合。对该国预防保健服务的现状、经验教训和未来范围进行分析，同时回顾国际经验并广泛征求各利益相关者的意见，从而提出了伊朗伊斯兰共和国筛查和行为咨询实践的模型。根据前几步的结果，理想的模型基于网络系统和家庭医生。综合健康中心及该网络附属的其他中心是最合适的服务场所。然而，私立和学术性预防中心也在发挥各自的作用。所提议的模型与卫生系统的整体服务模式相匹配（网络系统涵盖私营部门和教育部门）。
