Nurses' neglected capacity for controlling chronic diseases
Abstract
Adapting with World Health Organization goals from the 1980s, the Iranian Health system made efforts to establish the “Health for All” plan, which resulted in reducing infectious disease. In the meantime, NCD has become the leading cause of death in Iran due to the expansion of urbanization and lifestyle changes. Next, the Iranian Ministry of Health took some actions and reform plans for encountering this issue. Nevertheless, each of them failed to achieve all of their pre-defined goals. Notably, the outcomes of the Health Reform Plan were highlighting secondary prevention and overcrowded hospitals. Considering that shifting efforts to PHC based and community-centered health care could be more effective in reducing Non-Communicable diseases. IraPEN is last introduced plan launched in 2014 by the Ministry of Health and Medical Education, to provide universal health coverage, including access to NCD prevention and care. Some policymakers believe that the successful implementation of the program will require a new generation of health care providers. However, based on developed countries' experiences and recommendations of the World Health Organization, using the capacity of existing healthcare providers such as nurses would be more reasonable than introducing new health care providers. Now, Iran has lots of graduated nurses from bachelor to Ph.D. degree that is well-educated in preventive and community-based care. Nevertheless, based on the present policy, their role has been restricted in hospitals. Hence, using the existing capacity of nurses would be superior to introducing a new health care workforce.
2. Nugent R. Chronic diseases in developing countries: health and economic burdens. Annals of the New York Academy of Sciences. 2008 Jun;1136(1):70-9.
3. Karimi I, Salarian A, Anbari Z. A comparative study on equity in access to health services in developed countries and designing a model for Iran. Journal of Arak University of Medical Sciences. 2010 Feb 10;12(4):92-104.
4. Asgari F, Aghajani H, Haghazali M, Heidarian H. Non-Communicable Diseases Risk Factors Surveillance in Iran. Iran J Public Health. 38(Supple 1):119-122.
5. Asadi S. Family physician assessment implementation based on the model (SWOT) in Iran. The Journal of Medical Education And Development. 2014 Mar 15;6(2):72-7.
6. Motlagh ME, Nasrolahpour SSD, Ashrafian AH, Kabir MJ, Shabestani MA, Nahvijoui A, et al. Familiarity of rural people engaged in rural assurance towards principles, facilities, and conditions of rural assurance in family physician (FP) program in northern provinces of Iran-2008. 2010;2(2-3)33-8.
7. Nasrollahpour Shirvani D, Ashrafian Amiri H, Motlagh ME, Kabir MJ, Maleki MR, Shabestani Monfared A, Alizadeh RE. Evaluation of the function of referral system in family physician program in Northern provinces of Iran: 2008. Journal of Babol University of Medical Sciences. 2010;11(6):46-52.
8. Dadgar R, Mahmoudi G. The impact of health system reform plan on the hospital's performance indicators of Lorestan University of Medical Sciences. Yafte. 2017;19(2):93-102
9. Heshmati B, Joulaei H. Iran's health-care system in transition. The Lancet. 2016 Jan 2;387(10013):29-30.
10. Moradi-Lakeh M, Vosoogh-Moghaddam A. Health sector evolution plan in Iran; equity and sustainability concerns. International journal of health policy and management. 2015;4(10):637.
11. World Health Organization (2010). Package of essential noncommunicable (PEN) disease interventions for Primary Health Care. Geneva: World Health Organization.
12. Jahangiry L, Khosravi-far L, Sarbakhsh P, Kousha A, EntezarMahdi R, Ponnet K. Prevalence of metabolic syndrome and its determinants among Iranian adults: evidence of IraPEN survey on a bi-ethnic population. Scientific reports. 2019;9(1):7937.
13. Randall S, Crawford T, Currie J, River J, Betihavas V. Impact of community based nurse-led clinics on patient outcomes, patient satisfaction, patient access and cost effectiveness: A systematic review. International journal of nursing studies. 2017 Aug 1;73:24-33.
14. Garrido MV, Zentner A, Busse R. The effects of gatekeeping: a systematic review of the literature. Scandinavian journal of primary health care. 2011 Mar 1;29(1):28-38.
15. Li W, Wang D, Gan Y, Zhou Y, Chen Y, Li J, Kkandawire N, Hu S, Qiao Y, Lu Z. Factors influencing government insurance scheme beneficiary acceptance of the gatekeeper policy: a cross-sectional study in Wuhan, China. BMC health services research. 2018 Dec;18(1):241.
| Files | ||
| Issue | Vol 7 No 1 (2020): Winter | |
| Section | Editorial(s) | |
| DOI | https://doi.org/10.18502/npt.v7i1.2293 | |
| Keywords | ||
| community-based care nurses health system reform nursing role development chronic disease | ||
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