[Home ] [Archive]    
:: Volume 16, Issue 1 (4-2013) ::
Hakim Health Sys Res 2013, 16(1): 28-34 Back to browse issues page
Assessing Experiences of Outsourcing Urban Health Posts: Facilities and Services Offered in Publicly Owned and Outsourced Health Posts in Tehran University of Medical Sciences
Salmani MR, Rashidian A , Abolhassani F, Majdzadeh R
, arashidian@tums.ac.ir
Abstract:   (12111 Views)

  

 Salmani MR1 (MD, MPH), Rashidian A2,3 * (MD, PhD), Abolhassani F4 (MD), Majdzadeh R3,5 (PhD)

 

  1 Rey Health Network, Deputy for Health, Tehran University of Medical Sciences, Tehran, Iran

  2 Department of Health Management and Economics, School of Public Health,

  Tehran University of Medical Sciences, Tehran, Iran

  3 Knowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, Iran

  4 National Institute of Health Research, Tehran University of Medical Sciences, Tehran, Iran

  5 Department of Epidemiology and Biostatistics, School of Public Health,

  Tehran University of Medical Sciences, Tehran, Iran

 

  Received: 4 Jun 2012, Accepted: 14 Mar 2013

 

  Abstract

 

  Introduction: The expansion of public sector capacity in public health is difficult due to legal limitations and limited financial and staff resources. Outsourcing services to the private sector provides opportunity to provide health services to public. This study aimed to assess and compare the capacity and services in publicly run and outsourced urban health posts.

  Methods: This cross-sectional study was carried out in all health posts affiliated to the university. Data were collected using a 26-items questionnaire and were analyzed using the univariate analyses.

  Results: Among 74 health posts, 48 health posts (64.9%) were outsourced and 26 (35.1%) were managed by the public sector. Medical doctors managed 43.7% and midwives 45.8% of the outsourced health posts. Midwives managed 73.0% and health officers 23.0% of the public sector posts. 61.5% and 77.1% of the outsourced and publically managed health posts were located in appropriately structured buildings. Over 92% of the clients walked to the health posts. On average, public health posts covered 8954 individuals and outsourced health posts covered 12158 individuals. No differences were observed in health program related knowledge of the staff in two centers.

  Conclusion: Supervision approaches has a direct effect on behaviors of the private sector. Since the supervisors mostly noted the physical structure and standards of equipments, these had adequate standards. There were no differences between public and private health posts in health care indices and those services that had been provided by similar staff from the two health post groups.

 

  Key words: ambulatory h ealth center, primary health care, supervision, standards

 

 


  Please cite this article as follows:

  Salmani MR, Rashidian A, Abolhassani F, Majdzadeh R. Assessing Experiences of Outsourcing Urban Health Posts: Facilities and Services Offered in Publicly Owned and Outsourced Health Posts in Tehran University of Medical Sciences. Hakim Research Journal 2013 16(1): 28- 34.

 



  * Corresponding Author: National Institute of Health Research, Tehran University of Medical Sciences.
Tel: +98- 21- 88991112, Fax: +98- 21- 88991113, E-mail: arashidian@tums.ac.ir

Full-Text [PDF 179 kb]   (2279 Downloads)    

Received: 2013/06/26
Send email to the article author

Add your comments about this article
Your username or Email:

CAPTCHA


XML   Persian Abstract   Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Salmani MR, Rashidian A, Abolhassani F, Majdzadeh R. Assessing Experiences of Outsourcing Urban Health Posts: Facilities and Services Offered in Publicly Owned and Outsourced Health Posts in Tehran University of Medical Sciences . Hakim Health Sys Res . 2013; 16 (1) :28-34
URL: http://hakim.hbi.ir/article-1-1127-en.html


Volume 16, Issue 1 (4-2013) Back to browse issues page
فصلنامه پژوهش حکیم Hakim Research Journal
Persian site map - English site map - Created in 0.11 seconds with 29 queries by YEKTAWEB 3933