مدل ساختاري رابطه سطح سلامت با خدمات بهداشتي درماني

Structural Model of Relationship between Health Services and Health Indicators

مقدمه: سلامت از پايه هاي رشد اقتصادي اجتماعي جامعه و حق همگاني است و دولت ها بايد با برنامه ريزي مناسب زمينه ايجاد آن را فراهم كنند. در اين بين، برخورداري از خدمات بهداشتي درماني به عنوان پايه سلامت، از اركان مهم پيشرفت هر جامعه است. روش: پژوهش كاربردي حاضر با روش توصيفي و تحليلي و هم بستگي و با گردآوري اطلاعات از طريق اسنادي و كتابخانه اي به تبيين رابطه سطح سلامت با سطح خدمات بهداشتي درماني موجود در شهرستان هاي استان خراسان رضوي پرداخته است. براي جمع آوري اطلاعات از داده هاي آماري و براي مدل سازي از مدل معادلات ساختاري ليزرل در محيط نرم افزار ليزرل استفاده شد. يافته ها: يافته ها نشان مي دهد بين متغيرهاي بهداشت باروري و خدمات درماني و تسهيلات ايمن سازي موجود و متغيرهاي سطح جسمي و سلامت فردي شهرستان ها در سطح 0/05 رابطه معني داري وجود دارد. بحث: ارتقاي سطح سلامت به خدمات بهداشتي درماني وابسته است و شهرستان هايي كه خدمات بهداشتي درماني بيش تري دارند، از سطح سلامت بهتري برخوردار هستند. لذا بُعد سرمايه گذاري و ارائه خدمات مراقبت هاي بهداشتي براي شهروندان، توسعه زيرساخت ها و منابع و عوامل تاثيرگذار بهداشتي در سطح سلامت مهم است و با برنامه ريزي مناسب براي بهبود عدالت و برابري منطقه اي در زمينه شاخص هاي بهداشتي درماني، شاهد ارتقاي سطح تندرستي و سلامتي در سكونت گاه ها و شهرستان هاي استان خواهيم بود.

Introduction: Health is a foundation of community economic - social growth، It is the universal right. Health programs for creating high quality living with physical and mental health for all citizens is a principle of development plan in any society. Enjoyment of health services for promotion and improvement of health is one of the most important elements of any society. Therefore، health assessment is essential for the healthy appropriate planning. Method: the research purpose is to examine the relationship health level with the level of health services in townships of Khorasan Razavi province. In other words، The main issue of the research is whether increasing or decreasing of health level (including level of physical health and personal health) can consider as the level of health services (including the three variables of reproductive health، immunization and access to medical services?) In order to، achieving the objective، the following main hypotheses and five sub hypotheses between exogenous latent variables and endogenous latent variable are tested: -The main hypothesis: there is a positive correlation between health services (reproductive health، health services and immunization) (exogenous latent variables) and level of health (physical health and personal health) (endogenous latent variable). - Sub hypothesis: there is a positive correlation between access to health services and level of physical health. - Sub hypothesis: there is a positive correlation between access to health services and level of personal health. - Sub hypothesis: there is a positive correlation between immunization and level of physical health. - Sub hypothesis: there is a positive correlation between immunization and level of personal health. - Sub hypothesis: there is a positive correlation between reproductive health and level of personal health. The Research methodology is Descriptive، analysis and correlation based on statistical data. For explaining the relationship between Causal variables of model، the raw data from General Population and Housing Census، Statistical Yearbook and Health and Medical Sciences Organization of province were used. This data was gathered in townships of Khorasan Razavi province. To examine the hypothesis or modeling relationship between health services and health level is used structural equation model-LISREL. Findings: Results show that relationship between reproductive health، health services and immunization facilities in the townships and the level of health and safety of the townships in alpha level 0.05 is significant (Sig= 0.00)، This means that the health promotion related to promotion of health and medical services، and the townships with more health and medical services have high health level than others. and the townships with less health and medical services have less health level.