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优先考虑贫民窟居民的健康问题,利用健康的社会决定因素:发展中国家的案例研究。

Prioritizing the health problems of slum residents using social determinants of health: A case study in a developing country.

机构信息

Research Center for Health Services Management, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.

Healthcare Management, School of Management and Medical Information, Kerman University of Medical Sciences, Kerman, Iran.

出版信息

Int J Health Plann Manage. 2019 Apr;34(2):e1323-e1333. doi: 10.1002/hpm.2800. Epub 2019 May 8.

Abstract

INTRODUCTION

Today, countries are faced with the fact that despite unlimited human needs, resources are limited. The health sector has the same limitations as other sectors. Therefore, this study aimed to prioritize the health problems of the Kerman residents slums by using the social determinants of health.

METHODS

The present study was carried out using a hierarchical analysis. The study population included experts of the deputy of social affairs, experts of the research center for SDH, experts of deputy of health, experts of social welfare in governing board of Kerman, and community health practitioners. Sixteen of these experts were selected using purposeful and snowball sampling methods. Expert Choice software was used to analyze the information.

RESULTS

In this study, the health problems were prioritized. The highest priority among the main themes and subtheme was related to early childhood development and child labor, respectively.

CONCLUSION

The early years of life are the most important years of life, and the experiences of these years will be the foundation of the future life of every human being. Therefore, if their needs and developmental areas are not answered properly during this period, their health will be compromised.

摘要

简介

如今,各国都面临着一个事实,即尽管人类的需求是无限的,但资源却是有限的。卫生部门与其他部门一样,也存在着这些限制。因此,本研究旨在利用健康的社会决定因素,对克尔曼居民贫民窟的健康问题进行优先排序。

方法

本研究采用层次分析法进行。研究人群包括社会事务副代表、社会决定因素研究中心专家、卫生副代表、克尔曼治理委员会社会福利专家以及社区卫生工作者。采用目的性和滚雪球抽样方法选择了 16 名专家。使用专家选择软件对信息进行分析。

结果

在这项研究中,健康问题被优先排序。在主要主题和子主题中,优先级最高的是与儿童早期发展和童工有关的问题。

结论

生命的早期是生命中最重要的时期,这些年的经历将成为每个人未来生活的基础。因此,如果在这段时间内没有适当满足他们的需求和发展领域,他们的健康将会受到影响。

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