Department of Health Policy and Management, Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences , Tabriz, Iran.
Tabriz Health Service Management Research Center, School of Management and Medical Informatics, Tabriz University of Medical Sciences , Tabriz, Iran.
Soc Work Public Health. 2020 Apr 1;35(4):177-186. doi: 10.1080/19371918.2020.1764432. Epub 2020 May 15.
Community-based strategies for preventing non-communicable diseases, particularly cardiovascular diseases, are of great importance.
This study aimed to formulate a policy brief to identify and prioritize community-based strategies to prevent cardiovascular disease in Iran.
This multi-method study was conducted over three phases. In the first phase, rapid review, community-based strategies which mentioned to people's participation had been identified. PubMed and Scopus had been searched. In the second phase, a focus group discussion (FGD) was held by the participation of 15 experts from different disciplines to have been summarized and finalized the community-based strategies to prevent cardiovascular disease as policy options. Content analysis method was used. In the third phase, policy options were prioritized. In addition, the points of interest and the appropriate budget were suggested for each policy option by using the Delphi method with the participation of 15 experts.
Community-based approach includes six strategies: engagement of non-governmental and charitable organizations, use of health marketing strategies, activating the role of community health workers, implementing of mobile health programs, social prescribing, and peripheral medicine. Utilizing Community health workers, using mobile health and engaging NGOs and charities were ported in higher levels. In all policy options, public-private partnership as the best investment as well as the Ministry of Health as the best focal point were proposed.
Implementing multiple prevention strategies in the form of public engagement, incorporating prevention programs delivered by community health workers and increasing public-private partnership financial support may be effective in reducing cardiovascular disease.
以社区为基础的策略对于预防非传染性疾病,特别是心血管疾病非常重要。
本研究旨在制定一份政策简报,以确定和优先考虑伊朗预防心血管疾病的以社区为基础的策略。
这项多方法研究分三个阶段进行。在第一阶段,快速审查中,确定了提到民众参与的以社区为基础的策略。在 PubMed 和 Scopus 上进行了检索。在第二阶段,通过参与的 15 名来自不同学科的专家进行了焦点小组讨论 (FGD),对以社区为基础的预防心血管疾病的策略进行了总结和最终确定,作为政策选择。采用内容分析法。在第三阶段,对政策选择进行了优先级排序。此外,通过德尔菲法,邀请 15 名专家参与,为每个政策选择提出了关注要点和适当的预算。
以社区为基础的方法包括六项策略:非政府组织和慈善组织的参与、使用健康营销策略、激活社区卫生工作者的角色、实施移动健康计划、社会处方和外围医学。利用社区卫生工作者、使用移动健康和参与非政府组织和慈善机构的策略被认为更为重要。在所有政策选择中,公私合作伙伴关系被认为是最佳投资,卫生部门被认为是最佳焦点。
以公众参与的形式实施多种预防策略,纳入由社区卫生工作者提供的预防方案,并增加公私合作伙伴关系的财政支持,可能会有效降低心血管疾病的发病率。