Challenges of middle-aged men in utilizing new health services from primary health care providers' perspective: a qualitative study

BMC Primary Care

Research

Parvin Mohammadi¹  Nayeb Fadaei Dehcheshmeh²  Seyed Mehdi Emamian Fard³  Tayebeh Roghani³  Farzad Faraji-Khiavi⁴ 

[1] Department of Midwifery, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran;Department of Public Health, Shoushtar Faculty of Medical Sciences, Shoushtar, Iran;Shoushtar Faculty of Medical Sciences, Shoushtar, Iran;Social Determinants of Health Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran;Department of Health Services Management, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran;

关键词: Utilization;    Access;    Coverage;    Middle-aged men;    Community health workers;    Primary health care;    Health services;   

DOI  :  10.1186/s12875-022-01933-2

 received in 2022-02-03, accepted in 2022-11-29,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundDespite its special importance among different age groups, the middle-aged male group has often been neglected in the Iranian health system. The aim of this study was to examine, from the perspective of primary health care providers, the challenges of middle-aged men in utilizing health services.MethodsThis is a qualitative research that was conducted using semi-structured interviews in 2020 in Shoushtar Faculty of Medical Sciences, Iran. The research population included 60 managers and staff of the health sector. To collect the data, a group discussion method was used based on purposive sampling method. Data analysis was done manually using the conventional content analysis method with data reduction. Lincoln & Guba’s four criteria of credibility, dependability, confirmability, and transferability were used to assess the trustworthiness of the results.ResultsThe challenges of middle-aged men to receive modern health services were identified in 35 codes, 9 categories and three main themes. These themes included Context, Content, and Process. The Context themecomprised the following three categories: personal, economic and sociocultural, and geographic factors. The Content theme contained two categories of staff and facilities. Finally, the Process theme included four categories of service quality, program management, system of information registration and follow-up, and health education and publicizing.ConclusionPromoting middle-aged men’s benefits from modern health services calls for overcoming three categories of challenges related to: context, content, and process. Time and place restrictions on access to services should be alleviated by empowering health care workers, improving their working conditions, and strengthening the facilities of comprehensive health service centers. In addition, with proper management of the family physician program and service provision at different levels, the coverage of services for middle-aged men can also be extended.

【 授权许可】

CC BY   
© The Author(s) 2022

【 图 表 】

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