Tabrizi Jafar Sadegh, Karamouz Majid, Sadeghi-Bazargani Homayoun, Nikniaz Alireza, Nikniaz Leila, Hasanzadeh Roya, Hanaee Jalal, Farahbakhsh Mostafa
Tabriz Health Services Management Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran.
East Azerbaijan Province Health Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Iran J Public Health. 2019 Jan;48(1):147-155.
For overcoming the existing problems and finding a pathway for realization of universal health care, health complexes were implemented in the form of a pilot project in Tabriz suburban area.
Tabriz Health Complex Project was designed in 2013 in the provincial health center of East Azerbaijan. In terms of execution schedule, this intervention had 4 phases including 1) study phase, 2) planning phase, 3) pilot phase, and 4) implementation phase. Each health complex covers a population of 40,000 to 120,000 in a defined geographic area and consists of a Comprehensive Health Center (CHC) including health centers and a management center, which usually located in CHC. The important features of this project are as follows: people-centered primary health care, special attention to health promotion and prevention and establishment of a referral system within the region (organic connection between the first and second levels).
An accountable and responsive health care system has been established to deliver integrated care services to people in a defined catchment area against identified per capita payment, under district health centre policies and regulations. Each health team consisted of a general practitioner and a family health nurse who covered around 4000 people to deliver prevention, promotion, and treatment services especially in and NCDs field.
Health complex as a model of public-private participation and practical solution to address many of the problems in the primary care system of the country. The project can organize the PHC system and family medicine program.
为克服现有问题并找到实现全民医疗保健的途径，在大不里士郊区以试点项目的形式实施了健康综合设施。
大不里士健康综合设施项目于2013年在东阿塞拜疆省卫生中心设计。就执行时间表而言，该干预措施有4个阶段，包括1）研究阶段，2）规划阶段，3）试点阶段和4）实施阶段。每个健康综合设施在一个确定的地理区域覆盖40,000至120,000人口，由一个综合健康中心（CHC）组成，该中心包括健康中心和一个管理中心，管理中心通常位于CHC内。该项目的重要特征如下：以人为主的初级卫生保健，特别关注健康促进和预防，并在区域内建立转诊系统（第一级和第二级之间的有机联系）。
已建立一个负责且响应迅速的医疗保健系统，根据地区卫生中心的政策和法规，针对确定的人均支付费用，为特定集水区的人们提供综合护理服务。每个医疗团队由一名全科医生和一名家庭健康护士组成，他们负责约4000人的预防、促进和治疗服务，特别是在非传染性疾病领域。
健康综合设施作为公私合营的模式，是解决该国初级保健系统中许多问题的切实可行的解决方案。该项目可以组织初级卫生保健系统和家庭医学项目。
