Mostafa Farahbakhsh1, Homayoun Sadeghi-Bazargani2, Alireza Nikniaz3, Jafar Sadegh Tabrizi4, Akram Zakeri5, Saber Azami6. 1. Clinical Psychiatry Research center, Razi Hospital, Tabriz University of medical sciences, Tabriz, Iran. 2. Traffic Injury Prevention Research Center, Department of Statistics and Epidemiology, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran. 3. Department of Pediatrics, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran. 4. Tabriz Health Services Management Research Center, Faculty of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran. 5. Provincial Health Department, Tabriz University of Medical Sciences, Tabriz, Iran. 6. Faculty of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.
Abstract
BACKGROUND: Iran started a new public-private partnership model in form of health coopera¬tives which is somehow different from other types of health cooperatives throughout the world. In this study we compared the performance and quality of health services in public health cen¬ters (PHCs) and cooperative health centers (CHCs). METHODS: In this comparative study performance quality of two cohorts of public and coopera¬tive health centers were compared in several health service delivery programs over the time pe¬riod of 2001- 2002. RESULTS: Screening program: the rate of visited population during screening program was higher in CHCs. Maternal health care program: In some of studied programs CHCs had better results. Child health care: Most indicators were better or similar in CHCs. School health program and Health education: All indices were better or similar in CHCs. Environmental health: population based positive function was not significantly different for the population covered by CHCs compared to population covered by PHCs. MANAGEMENT: Client and staff satisfaction as well as participation and attitudes of personnel towards management was better in CHCs. Mean annual cost per capita of the covered population by PHCs was higher. CONCLUSION: CHCs as a public private partnership model in Iran may deliver preventive health care services as effective as PHCs in many fields and even better in some areas.
BACKGROUND: Iran started a new public-private partnership model in form of health coopera¬tives which is somehow different from other types of health cooperatives throughout the world. In this study we compared the performance and quality of health services in public health cen¬ters (PHCs) and cooperative health centers (CHCs). METHODS: In this comparative study performance quality of two cohorts of public and coopera¬tive health centers were compared in several health service delivery programs over the time pe¬riod of 2001- 2002. RESULTS: Screening program: the rate of visited population during screening program was higher in CHCs. Maternal health care program: In some of studied programs CHCs had better results. Child health care: Most indicators were better or similar in CHCs. School health program and Health education: All indices were better or similar in CHCs. Environmental health: population based positive function was not significantly different for the population covered by CHCs compared to population covered by PHCs. MANAGEMENT: Client and staff satisfaction as well as participation and attitudes of personnel towards management was better in CHCs. Mean annual cost per capita of the covered population by PHCs was higher. CONCLUSION: CHCs as a public private partnership model in Iran may deliver preventive health care services as effective as PHCs in many fields and even better in some areas.
Authors: M Mahmud Khan; Suhaila H Khan; Damian Walker; Julia Fox-Rushby; Felicity Cutts; S M Akramuzzaman Journal: J Health Popul Nutr Date: 2004-12 Impact factor: 2.000
Authors: Saber Azami-Aghdash; Farbod Ebadifard Azar; Aziz Rezapour; Akbar Azami; Vahid Rasi; Khalil Klvany Journal: Med J Islam Repub Iran Date: 2015-08-23