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The effect of Covid-19 pandemic on non-communicable disease prevention and management services in the primary health care system of Iran
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Mehdi Afkar1    , Parisa Rezanejad Asl2 , Alireza Mahdavi Hezaveh3 , Forouzan Akrami4 , Sahand Riazi-Isfahani5 , Niloofar Peykari6 , Moloud Payab7 , Alireza Moghisi8 , Elham Yousefi1 , Mansour Ranjbar19 , Marzeyeh Soleymani Nejad10 , Christoph Hamelmann111 , Slim Slama112 , Jafar Sadegh Tabrizi13 , Bagher Larijani14 , Alireza Raeisi15 , Afshin Ostovar16 |
1- Center for Non-communicable Disease Control & Prevention, Deputy of Public health, Ministry of Health and Medical Education, Tehran, Iran
2- Network Management Center Expert, Deputy of Public health, Ministry of Health and Medical Education, Tehran, Iran
3- Deputy Director of the Center for Non-communicable Disease Control & Prevention, Deputy of Public health, Ministry of Health and Medical Education, Tehran, Iran.
4- MPH, PhD in Medical Ethics, Medical Ethics and Law Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
5- Assistant Professor of Social Medicine, National Institute for Health Research, Tehran University of Medical Sciences, Tehran, Iran. National Institute for Health Research, Tehran University of Medical Sciences, Tehran, Iran.
6- Assistant Professor of Epidemiology, Iranian Non communicable Diseases Committee (INCDC), Ministry of Health and Medical Education, Tehran, Iran
7- Metabolomics and Genomics Research Center, Endocrinology and Metabolism Molecular-Cellular Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
8- Deputy Director of the Center for Non-communicable Disease, Deputy of Public health, Ministry of Health and Medical Education,Tehran, Iran.
9- National Professional Officer, NCDs and Mental Health Unit Head, WHO Iran.
10- Temporary WHO Advisor, NCDs and Mental Health Unit, WHO Iran.
11- WHO Representative in Iran, Tehran, Iran.
12- Regional Adviser Noncommunicable Diseases Prevention (NCP), UHC/NCDs, WHO EMRO
13- Professor of Healthcare Services Management, Department of Health Policy and Management, School of Management and Medical Informatics Health Services, Tabriz University of Medical Sciences, Tabriz, Iran; Head of the Network Management Center, Deputy of Public health, Ministry of Health and Medical Education, Tehran, Iran
14- Distinguished Professor of Endocrinology & Metabolism, Department of Internal Medicine, School of Medicine, Director and Chief Scientific Officer, Institute, Endocrinology and Metabolism Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran, Deputy Chairman of the Iranian Non-communicable Diseases Committee (INCDC), Tehran, Iran.
15- Professor of Internal Medicine, Department of Internal Medicine, School of Medicine, Shiraz University of Medical Sciences; Deputy Minister of Health of the Ministry of Health and Medical Education, Tehran, Iran
16- Research Professor of Epidemiology, Osteoporosis Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran; Director of the Center for Non-communicable Disease Control & Prevention, Deputy of Public health, Ministry of Health and Medical Education, Tehran, Iran. , aostovar@tums.ac.ir |
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Abstract: (3958 Views) |
Background and Aim: Covid-19 pandemic has caused significant disruptions in the provision of non-communicable disease prevention and management services in many countries and there is a concern that this disorder will lead to long-term complications of these diseases; This study aimed to quantitatively analyze the status of some prevention and management services of non-communicable diseases in the primary health care system of Iran during the Covid-19 pandemic.
Materials and Methods: In this study, the routine data of 8 services related to the prevention and management of non-communicable diseases in the integrated electronic health record system (SIB) within 10 months after the outbreak of Covid-19 were compared to the same period last year.
Results: Non-communicable disease prevention and management services have decreased by an average of 18.89% compared to the same period last year; this decrease was much more severe at the beginning of the epidemic period (up to 75% in some services) and more in the services provided by physicians than in the services provided by non-physicians. Also, observation of the course of selected services during this period showed that after the initial reduction of services, a process of gradual compensation is evident.
Conclusion: like other areas involved in the pandemic, the effect of the Covid-19 epidemic on non-communicable disease prevention and management services in the primary health care system of Iran, has been significant and although partial compensation of some services is promising, more attention and effort is needed to revive the other programs. |
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| Keywords: Covid-19 pandemic, non-communicable diseases, essential services, primary health care, Iran |
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Full-Text [PDF 1234 kb]
(1057 Downloads)
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Type of Study: Original Research |
Subject:
Health Management Services
Received: 2021/07/28 | Accepted: 2021/10/17 | Published: 2021/11/1
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afkar M, Rezanejad Asl P, Mahdavi Hezaveh A, Akrami F, Riazi-Isfahani S, Peykari N, et al et al . The effect of Covid-19 pandemic on non-communicable disease prevention and management services in the primary health care system of Iran. SJKU 2021; 26 (5) :33-49 URL: http://sjku.muk.ac.ir/article-1-6869-en.html
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