in recent years, the main focus of health sector reforms in iran is the family physician and referral system plan. fundamental changes in the goals and strategies, has increased the necessity of the need to reform the organizational structure. this study tries to review and summarize all cases about the organizational structure of iran and its challenges in primary health care system.this study...

the situation of people with disabilities in the developing countries should be a matter of great concern. there are today close to 250 million severely and moderately disabled persons in these countries; the annual increase is 10 million. most of them are poor, dependent neglected, excluded from education, training and jobs; they die early and have no power while alive. between 15 and 20% of a...

background: primary health care workers (phcw) are the front-liners in any infectious disease outbreaks. the recent outbreak of h1n1 influenza demonstrated that uptake of h1n1 vaccination remained low amongst pchw despite its proven effectiveness. this trend is worrying as phcw are the first point of contact in any emerging outbreak of future influenza epidemic. purpose: to investigate factors ...

iran is a large country with a total area of 1,645,000 square kilometers. the country’s population is estimated at about 31 millions. there is an uneven distribution of the population, varying from 2 to 50 per square kilometer. sixty per cent of the total population (18 millions) is living in nearly 66,000 small and large village’s scattered throughout the country. a total of 10,000 physicians ...

background: lifestyle factors such as weight, salt intake, and physical activity have shown to be important in treating hypertension.the object of this study was to describe feasibility and to assess the effectiveness of a multicomponent lifestyle intervention on high blood pressure (bp) of iranian women. materials and methods: this randomized controlled trial was conducted in four health cente...

irritable bowel syndrome (ibs) is one of the most common gastrointestinal disorders particularly affecting the quality of life (qol). evaluating qol in ibs patients is a valuable method of defining a psychobiological pattern of disease. various disease specific and general instruments are now available to measure health-related qol (hrqol) in ibs patients. though, no comparison has been made be...

objective: the aim of this study was to evaluate the type, severity and progression of psychiatric pathologies in a sample of 372 outpatients (age range 18–65 years) referred by their primary general practitioners (gps) to an urgent referral team (urt) based in a psychiatric hospital in aberdeen, scotland. this team offers immediate appointments (1- to 7-day delays) for rapid assessments and ea...

abstract background: primary immunodeficiency diseases (pid) are heterogeneous group of inherited disorders mainly characterized by recurrent infections leading to several times hospital admissions. the economic impact of pid is a challenging issue; therefore, this study was designed to determine the medical costs of hospitalizations in this group of patients as an indicator of the direct cost ...

reproductive behavior of 1525 pregnant woman were studied in the time of termination of pregnancy in relation to maternal age, education, prenatal care and the number of previous pregnancies. the results show that the frequency of maternal attendance at the centers of prenatal care is significantly related to maternal education. and the total pregnancies per woman are inversely correlated with ...

objective: this study aims at conducting a systematic review of the researches performed to determine case finding rates throughout the integration of mental health services into phc over recent twenty years . method : through electronic search, major national and international databases including pubmed, psychinfo, and embase were investigated. all original studies and researches in persian or...