Zahra Jaafari, Zahra Abdolahinia, Hajar Ghasemi, Ali Esmaeilpour, Saeideh Mahmoodzadeh, Ali Bahaodini, Seyed Vahid Ahmadi Tabatabaei, Najmeh Safa, Hamid Reza Tohidinik, Ali Akbar Haghdoost, Ali Sharifi, Vahid Yazdi-Feyzabadi, Hamid Safari,
Volume 17, Issue 2 (Vol 17,No.2, Summer 2021 2021)
Abstract
Background and Objectives: low utility of health care services is one of the main determinants of not achieving desired health indicators in urban areas. This study aimed to investigate the barriers and facilitators of receiving health services from health centers in Kerman city, Iran.
Methods: This study was a qualitative study with a content analysis approach conducted in 2020. After selecting health centers with the experience of desirable or low utility services, purposive sampling continued until information saturation. A total of 78 staff members, recipients, and non-recipients of services citizens were interviewed semi-structured and face-to-face at health centers. All interviews were recorded and coded manually and then reviewed and analyzed using directional content analysis.
Results: The essential services for children and mothers, free services, and service providers' behavior were mentioned as facilitators of referral. Distance and physical factors, knowledge of different types of services, preference of private centers, time access, view of people on regular visits to centers, addresses and telephone numbers registered in the system, responsiveness to health needs, fear of disease disclosure, lack of human resources in the centers, and service providers' behavior, were among the barriers of visiting the centers.
Conclusion: According to the results of this study, an accurate understanding of the under-coverage people's views and perceptions can help national and local planners and policymakers design the necessary strategies to increase the use of health services in urban health centers.
Ali Esmaeilpour, Parya Jangipour Afshar, Nouzar Nakhaee, Mehrdad Farrokhnia, Aliakbar Haghdoost,
Volume 20, Issue 1 (Vol.20, No.1, Spring 2024)
Abstract
Background and Objectives: This study aimed to evaluate the relationship between the COVID-19 severity and lifestyle among hospitalized patients at Afzali Pour Hospital, Kerman, Iran.
Methods: A total of 289 patients with severe COVID-19 infection (with ICU admission or death) and 293 patients with non-severe type (discharged with no need for hospitalization in ICU) were selected in 2020-2021, and their lifestyle was compared in the last year before the hospitalization.
Results: The adjusted odds ratio (AOR) for severe disease was 1.83 (95% CI: 1.24-2.69) in males compared to females, and 4.35 (95% CI:2.20- 8.59) for people older than 60 years compared to age less than 60. The linear effect of average hours of sleeping during a day was 1.21 (95% CI: 1.08-1.36). The ORs of people who had considerable physical activity at work and people with little activity compared to people who mostly sit in a fixed place were 0.35 (95% CI:0.19-0.65) and 0.44 (95% CI:0.23-0.83), respectively. The use of opioids, traditional remedies, and supplements such as vitamin C raised the risk of severe disease, but the use of vitamin D supplements reduced the risk of severe disease, although this was not statistically significant.
Conclusion: It seems that some aspects of lifestyle, such as lack of physical activity, excessive sleep, and consumption of certain substances, such as opioids, might increase the risk of contracting severe and deadly forms of COVID-19.
