Volume 13, Issue 3 (Vol.13, No.3, Atumn 2017)
irje 2017, 13(3): 190-198 |
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Parvareh M, Moradi G, Nouri B, Farzadfar F, Rezaei N. Work Measurement and Time Assessment of Health Centers in Saghez in 2015. irje 2017; 13 (3) :190-198
URL: http://irje.tums.ac.ir/article-1-5816-en.html
URL: http://irje.tums.ac.ir/article-1-5816-en.html
1- MSc of Epidemiology, Social Determinants of Health Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran
2- Associate Professor of Epidemiology, Social Determinants of Health Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran
3- Assistant Professor of Biostatistics, Social Determinants of Health Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran
4- Associate Professor, Non-communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Endocrinology and Metabolism Research Institute, Tehran University of Medical sciences, Tehran, Iran
5- MD, Non-communicable Diseases Research Center, Endocrinology & Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
2- Associate Professor of Epidemiology, Social Determinants of Health Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran
3- Assistant Professor of Biostatistics, Social Determinants of Health Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran
4- Associate Professor, Non-communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Endocrinology and Metabolism Research Institute, Tehran University of Medical sciences, Tehran, Iran
5- MD, Non-communicable Diseases Research Center, Endocrinology & Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
Abstract: (6165 Views)
Background and Objectives:In order to determine the workload of health workers(Behvarz), this research was conducted for work measurement and time assessment in rural health centers(health house).
Methods: This cross sectional study was conducted in 30 health centers during a routine working day in Saghez in 2015 using the “stop watch method”. The time and frequency of the processes were recorded in a checklist. We estimated and compared spent, standard, expected and pessimistic time, and also the mean repetition for each process per day and month as the unit of time.
Results: The mean real working time was about 157.5 minutes (33%) per day, which was mostly (35.5 minutes) spent on the affairs of health volunteers. Care for non-communicable diseases was the most frequent task with an average of 2.4 times per day. In a month, family planning was undertaken more than other processes. The time of most activities like mother care, elderly care, care for communicable and non-communicable disease was significantly lower than the expected and pessimistic times (P<0.05).
Conclusion: The time spent by health workers was low and unscheduled, particularly for important activities of primary health care. It seems that it is necessary to revise the models and methods of service provision in health centers. Efficient use of existing personnel, reducing unnecessary activities and adding more service packages according to the health system priority seem to be important requirements in the first level of health system.
Methods: This cross sectional study was conducted in 30 health centers during a routine working day in Saghez in 2015 using the “stop watch method”. The time and frequency of the processes were recorded in a checklist. We estimated and compared spent, standard, expected and pessimistic time, and also the mean repetition for each process per day and month as the unit of time.
Results: The mean real working time was about 157.5 minutes (33%) per day, which was mostly (35.5 minutes) spent on the affairs of health volunteers. Care for non-communicable diseases was the most frequent task with an average of 2.4 times per day. In a month, family planning was undertaken more than other processes. The time of most activities like mother care, elderly care, care for communicable and non-communicable disease was significantly lower than the expected and pessimistic times (P<0.05).
Conclusion: The time spent by health workers was low and unscheduled, particularly for important activities of primary health care. It seems that it is necessary to revise the models and methods of service provision in health centers. Efficient use of existing personnel, reducing unnecessary activities and adding more service packages according to the health system priority seem to be important requirements in the first level of health system.
Keywords: Work measurement, Time assessment, Health system, Health workers, Primary health care, Iran
Type of Study: Research |
Subject:
General
Received: 2017/11/29 | Accepted: 2017/11/29 | Published: 2017/11/29
Received: 2017/11/29 | Accepted: 2017/11/29 | Published: 2017/11/29
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