Comparing the health indicators before and after the implementation of the Family Physician Program in Rāmhormoz city in 2015
Instruction: Given that the aspect of the health of a society is measured by the health indicators of that society, health transformation is met based on the trend of changes of these indicators over the time. Therefore, assessing the impact of the implementation of the Family Physician Program on health indicators has a particular importance and studying the trend of these indicators over the years can be used as one of the especial factors to assess this program and be significant and helpful for the policy makers and its planners. The present study aims to compare health indicators in rural areas in Rāmhormoz city before the implementation of the Family Physician Program, in 2001-2004 and after the implementation of that in 2006-2009.
Methods: To do this study, health indicators such as maternal mortality rate, infant mortality rate (under one year and under 5 years), the percentage of home births attended by untrained person, the percentage of glycemic control in diabetics, the percentage of blood pressure control in patients with hypertension and environment improvement index were extracted and calculated through vital horoscope, statistical forms and documents in the city health center of Rāmhormoz. Analysis of the data were performed by SPSS 20 software using descriptive and inferential statistics and paired t-test.
Results: The results show that the infant mortality index and percentage of births attended by untrained person in the house after the family physician program were reduced significantly(P<0.05); while the maternal mortality index also decreased after the implementation of the program, but this reduction was not statistically significant (P> 0.05); as well as the indicators of glycemic control in diabetic patients, the percentage of blood pressure control in patients with hypertension and the percentage of environment improvement indexes after the implementation of the Family Physician Program were increased significantly (P <0.05).
Conclusion: The implementation of the family physician program in rural areas in Rāmhormoz city had a positive role to improve some of the health indicators, but for a more accurate assessment, designing and implementation of studies to exclude confounding factors seems necessary.
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