Pourfarid Yasaman, Hojat Mohsen
Nursing Faculty, Jahrom University Medical Sciences, Jahrom, Iran.
J Educ Health Promot. 2022 Feb 26;11:63. doi: 10.4103/jehp.jehp_967_20. eCollection 2022.
The health reform plan (HRP) is a plan to improve Iran's health systems that began in 2014. The three main approaches of this plan include financial protection of the people, creating justice in access to health services, and improving the quality of services. It predicted that the level of health system responsiveness would increase. Achieving this goal is possible only with the correct implementation. The best people to measure the correct implementation are nurses, midwives, and physicians. Hence, this study was conducted to assess the attitude of nurses, midwives, and physicians about the implementation of the HRP.
This cross-sectional descriptive study was conducted in educational hospitals of Jahrom University of Medical Sciences in 2020. By convenience sampling method, 325 nurses, midwives, and physicians participated in this study. Sampling was done in all work shifts, and in all wards. A researcher-making questionnaire was used to collect data. The scoring did by the Likert scale from (completely agree = 4 to completely disagree = 1). Quantitative and qualitative face and content validity was calculated (IS: 0.84, CVI: 0.92, CVR: 0.87), and its reliability was calculated by Cronbach's alpha method (0.78). The data were analyzed by SPSS software version 16. Descriptive statistics, Mann-Whitney U-test, and Kruskal-Wallis test were used for the data analysis ( ≤ 0.05).
In the study, 90.15% agreed with the implementation of the HRP. There was no significant difference between the male and female ( = 0.063). There was a significant difference between the educational degree ( = 0.006), married and the single participants' attitude ( = 0.003), the nurses, midwives, and physicians ( = 0.001).
HRP is more successful in the field of financial protection, so policymakers should pay more attention to justice in access to health services and improving the quality of services fields.
健康改革计划（HRP）是一项始于2014年的旨在改善伊朗卫生系统的计划。该计划的三个主要途径包括对民众的财务保护、在获得卫生服务方面实现公平以及提高服务质量。预计卫生系统响应性水平将会提高。只有通过正确实施才能实现这一目标。衡量正确实施情况的最佳人选是护士、助产士和医生。因此，开展本研究以评估护士、助产士和医生对健康改革计划实施情况的态度。
本横断面描述性研究于2020年在贾赫罗姆医科大学的教学医院进行。采用便利抽样法，325名护士、助产士和医生参与了本研究。在所有工作班次和所有病房进行抽样。使用研究者自制问卷收集数据。评分采用李克特量表（完全同意=4至完全不同意=1）。计算了定量和定性的表面效度和内容效度（IS：0.84，CVI：0.92，CVR：0.87），并通过克朗巴赫α法计算其信度（0.78）。数据采用SPSS 16版软件进行分析。描述性统计、曼-惠特尼U检验和克鲁斯卡尔-沃利斯检验用于数据分析（P≤0.05）。
在研究中，90.15%的人同意实施健康改革计划。男性和女性之间无显著差异（P=0.063）。学历（P=0.006）、已婚和单身参与者的态度（P=0.003）、护士、助产士和医生（P=0.001）之间存在显著差异。
健康改革计划在财务保护领域较为成功，因此政策制定者应更加关注获得卫生服务的公平性以及提高服务质量领域。
