伊朗2型糖尿病预防与控制项目面临的挑战
The Challenges of Iran's Type 2 Diabetes Prevention and Control Program.
作者信息
Valizadeh Reza, Vali Leila, Bahaadinbeigy Kambiz, Amiresmaili Mohammadreza
机构信息
Department of health management, policy and economics, school of management and medical informatics, Kerman University of Medical Sciences, Kerman, Iran.
Environmental Health Engineering Research center, Kerman University of Medical Sciences, Kerman, Iran.
出版信息
Int J Prev Med. 2019 Oct 9;10:175. doi: 10.4103/ijpvm.IJPVM_371_17. eCollection 2019.
BACKGROUND
Incidence and prevalence of type 2 diabetes are one of the major challenges of Iran health system. Despite policies on diabetes prevention and control, Iran is faced with many problems in prevention and control of this disease at the executive level. This study seeks to identify the problems of Type 2 diabetes prevention and control program in Iran.
METHODS
In this qualitative study, 17 participants were interviewed purposefully. The semi-structured interview guide was designed based on literature review and four initial in-depth interviews. Framework analysis method was used for the analysis of qualitative data.
RESULTS
Six themes and 29 subthemes explaining the problems of type 2 diabetes prevention and control program were identified: Referral system, human resources, infrastructure, cultural problems, access, and intersectoral coordination issues.
CONCLUSIONS
Despite the well-developed policy of type 2 diabetes prevention and control, the implementation is faced with some problems which endangers the effectiveness of the plan. Any attempt to improve the successful implementation of the type 2 diabetes prevention and control program requires effective measures, deep understanding of the problems and solving them.
背景
2型糖尿病的发病率和患病率是伊朗卫生系统面临的主要挑战之一。尽管有糖尿病预防和控制政策，但伊朗在该疾病的预防和控制执行层面仍面临诸多问题。本研究旨在确定伊朗2型糖尿病预防和控制项目存在的问题。
方法
在这项定性研究中，有目的地对17名参与者进行了访谈。基于文献综述和四次初步深度访谈设计了半结构化访谈指南。采用框架分析法对定性数据进行分析。
结果
确定了六个主题和29个子主题，解释了2型糖尿病预防和控制项目存在的问题：转诊系统、人力资源、基础设施、文化问题、可及性以及部门间协调问题。
结论
尽管2型糖尿病预防和控制政策完善，但实施过程中仍面临一些问题，这危及了该计划的有效性。任何旨在改善2型糖尿病预防和控制项目成功实施的尝试都需要采取有效措施，深入了解问题并加以解决。
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