A comparative study of primary health care management in selected countries and designing a model for Iran

Abstract

Background: In this research Primary Health Care systems were reviewed and the nurses' roles were determined and then a model was designed for health networks in Iran.

Methods: This was a triangulation research done in comparative method. In first step, PHC systems reviewed in different countries such as UK, Australia, Canada, Sweden and Turkey selected in purposive sampling. In second step, the process of management of PHC services in selected countries were determined from accessibility, providers and referral system, and then compared to PHC system in Iran. Afterward a primary model was designed. In third step, the model was validated using experts judgment (n = 30) and the results analyzed by descriptive statistics and final model was designed.

Results: In all of the studied countries, PHC services were delivered by health team including family physicians, nurses, midwives, and health technicians in systematic network including local health centers, family physician offices and nursing clinics. Family physicians and nurses had a basic role in delivery of services. Also other health practitioners such as psychiatrists were practiced with health team. PHC services in most cases on the bases of people's need and health information were transmitted between the providers by health files. The effective referral system exists between health services.

Conclusion: The model of PHC delivery was on the bases of health team with systematic network of the local health centers and provides accessibility, quality and comprehensively of services. We suggest to employee educated nurses in health centers to provide more health services.

KEY WORDS: Role, Midwife, Role of midwife, Health care service providing system, Iran, world