Structural and non-structural safety status of Tabriz primary health care centers - Payesh (Health Monitor)
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Volume 23, Issue 1 (January- February 2024)                   Payesh 2024, 23(1): 35-46 | Back to browse issues page

Ethics code: TBZMED.REC.1394.1052


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Tabrizi J S, Mohammadi Z, Ebrahimi Tavani M, Heidari Roochi A, Gharibi F. Structural and non-structural safety status of Tabriz primary health care centers. Payesh 2024; 23 (1) :35-46
URL: http://payeshjournal.ir/article-1-2202-en.html
1- Tabriz Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
2- Department of Health Services Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
3- Academic Research Staff, Quality Improvement, Monitoring and Evaluation Department, Center of Health Network Management, Deputy of Public Health, Ministry of Health and Medical Education, Tehran, Iran
4- Medical Doctor Researcher, Alborz University of Medical Sciences, Karaj, Iran
5- Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran
Abstract:   (1383 Views)
Objective(s): The healthcare environment should provide the highest level of safety for staff and clients. This study aimed to assess the structural and non-structural safety status of Tabriz primary health care centers.
Methods: This cross-sectional study assessed 40 comprehensive healthcare centers in Tabriz, Iran in 2019. The data collection instrument was a self-designed questionnaire We assessed the compliance of comprehensive healthcare centers with the standards checklist through conducting interviews, considering observations, and reviewing the documents. The descriptive results for qualitative data were reported as frequency (percentage) and for quantitative data as mean (standard deviation). Furthermore, to evaluate the association between contextual variables and physical safety status of centers, t-test, ANOVA, and Tukey’s post hoc tests were used as appropriate (structural or non-structural).
Results: The results of the study showed that the level of structural, non-structural, and total safety for the physical space of the centers was 48.2%, 37.4%, and 43%, respectively. Accordingly, based on cutting points, the level of structural safety and total safety was identified as moderate, and the level of non-structural safety was identified as low. In addition, descriptive results showed that there is a statistically significant relationship between urban area and non-structural safety so that non-structural safety of centers located in zone 4 was significantly higher than the safety of centers located in zone 10 (P = 0.011).
Conclusions: Based on the findings, the safety status of Tabriz health centers was identified as unfavorable and will not able to provide proper services to their covering population in serious hazards.
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type of study: Descriptive | Subject: Helath Services Management
Received: 2023/07/3 | Accepted: 2023/11/6 | ePublished ahead of print: 2023/11/14 | Published: 2023/12/27

References
1. Zhong S, Clark M, Hou X, Zang Y, FitzGerald G. Progress and challenges of disaster health management in China: a scoping review. Global Health Action 2014;7:1-9 [DOI:10.3402/gha.v7.24986]
2. Tang J, Feng J. Residents' disaster preparedness after the Meinong Taiwan earthquake: a test of protection motivation theory. International Journal of Environmental Research and Public Health 2018;15:1-12 [DOI:10.3390/ijerph15071434]
3. Woyessa AH, Teshome M, Mulatu B, Abadiga M, Hiko N, Kebede B. Disaster Preparedness in Selected Hospitals of Western Ethiopia and Risk Perceptions of Their Authorities. Open Access Emergency Medicine 2020;12:219-25 [DOI:10.2147/OAEM.S260314]
4. Mackay G. Building quality practice settings: an attributes model. Canadian Journal of Nursing and Leadership 2001;14:19-27 [DOI:10.12927/cjnl.2001.19127]
5. Branche CM, Stevens JA. Injury prevention: an important component of the built environment. Atlanta Medcine 2003;3:23-5
6. Walston SL, Al-Omar BA, Al-Mutari FA. Factors affecting the climate of hospital patient safety: a study of hospitals in Saudi Arabia. International Journal of Health Care Quality Assurance 2010;23:35-50 [DOI:10.1108/09526861011010668]
7. Seidi M, Akram Heidary A, Ashraf Khorramy-Rad A, Ahmary-Tehran H. Comparative Study of Patient Satisfaction, Physical Space and Medical Equipment between Governmental and Private Hospitals. Iran Journal of Nursing 2009;22:42-50
8. Tsai CY, Wang MC, Liao WT, Lu JH, Sun P, Yen-Ju Lin B. Hospital outpatient perceptions of the physical environment of waiting areas: the role of patient characteristics on atmospherics in one academic medical center. BMC Health Servces Research 2007;1:1-9 [DOI:10.1186/1472-6963-7-198]
9. Chan EYY, Man AYT, Lam HCY. Scientific evidence on natural disasters and health emergency and disaster risk management in Asian rural-based area. British Medicine Bulletin 2019;129:91-105 [DOI:10.1093/bmb/ldz002]
10. Raeisi AR, Nouri M, Shams L, Atighechian G. Designing of physical environment in hospital. 1st Edition, Esfahan University of Medical Sciences Publisher: Esfahan 2011 [in Persian]
11. Hatami H, Neisi A, Kooti K. Functional, Structural and Non-Structural Preparedness of Ahvaz Health Centers Against Disasters in 2014 - 2015. Jundishapur Journal of Health Sciences 2017;9:1-6 [DOI:10.17795/jjhs-34239]
12. Karimi K. Non-structural components of hospitals vulnerability in earthquake. Medcal Laboratory Engineering 2007;102:534-49
13. Tabrizi jS, Gharibi F. Primary healthcare accreditation standards: a systematic review. Internationl Journal of Health Care Quality Assurance 2019;32:310-20 [DOI:10.1108/IJHCQA-02-2018-0052]
14. Tabrizi JS, Gharibi F, Pirahary S. Developing of national accreditation model for rural health centers in Iran health system. Iranian Journal of Public Health 2013;42:1438-45
15. Gharibi F, Kousha A, Farajollah BeikNouri M, Firouznia R, Rohani Majd S. The study of health status in area affected by the earthquake in Azerbaijan through rapid assessment technique in 2012. Scientific Journal of Rescue and Relief 2014;6:31-42 [Persian]
16. Dobalian A, Balut MD, Der-Martirosian C. Workforce preparedness for disasters: perceptions of clinical and non-clinical staff at the U.S. Department of Veterans Affairs. BMC Public Health 2020;20:1-9 [DOI:10.1186/s12889-020-09597-2]
17. Hanson DW, Finch CF, Allegrante JP, Sleet D. Closing the gap between injury prevention research and community safety promotion practice: Revisiting the public health model. Public Health Reports 2012;127:147-55 [DOI:10.1177/003335491212700203]
18. Imani A, Gharibi F, Khezri A, Joudyian N, Dalal K. Economic costs incurred by the patients with multiple sclerosis at different levels of the disease: a cross-sectional study in Northwest Iran. BMC Neurology 2020;20:1-10 [DOI:10.1186/s12883-020-01790-5]
19. Tabrizi JS, Gharibi F, Joudiyan N. Assessing of Tabriz hospital preparedness status against disasters in 2018. MSc Thesis: Tabriz University of Medical Sciences; 2018 [in Persian]
20. Bazyar J, Pourvakhshoori N, Safapour H, Farrokhi M, Khankeh HR, Daliri S, et al. Hospital disaster preparedness in Iran: a systematic review and meta-Analysis. Irananian Journal of Public Health 2020;49:837-50 [DOI:10.18502/ijph.v49i5.3201]
21. Mehrabi F, Ghasemi M, Rezaee M. The assessment of readiness indicators in military hospitals against natural disasters in Iran. Journal of Military Medicine 2015;17:35-40 [Persian] [DOI:10.5812/ircmj.17(4)2015.19751]
22. Jahani MA, Bazzi HR, Mehdizadeh H, Mahmoudi G. Assessment of hospital preparedness and mangers' awareness against disaster in southeast Iran in 2017. Journal of Military Medicine 2019;21:538-46 [Persian]

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