A governmental model for special patients

  • Esmaeil Hosseini Department of Health Services Administration, Science and Research Branch, Islamic Azad University, Tehran, Iran
  • Mahmoud Mahmoudi Majd Abadi Department of Health Services Administration, Science and Research Branch, Islamic Azad University, Tehran, Iran
  • Irvan Masoudi Asl Majles Research Center, Tehran, Iran
  • Behzad Karami Matin Research Center for Environmental Determinants of Health (RCEDH), Kermanshah University of Medical Sciences, Kermanshah, Iran
Keywords: Special patients, Government support, Organizational structure, Control mechanism, Policymaking and planning


Background & Aim: Over the past decades, due to the high acceptance of patients in hospitals, the consequent relapse of the disease, the high cost of treatment and medication, the lack of coordination between the provision of hospital services and the needs of the community, the necessity of paying attention to the status of special patients and conducting a study for designing a suitable model in the country has been increased.
Methods & Materials: This research is descriptive-correlation-exploratory and the data were collected through qualitative and quantitative methods. The research sample involves 392 persons in the quantitative section and 20 in the qualitative section. The research instrument was an open-ended questionnaire and a test; the data were collected using cluster sampling.
Results: A total of 7 factors were identified as the final model of health management services for special patients, including: policymaking and load factor planning (0.72), organizational structure (0.63), government intervention methods in financing (0.81), control mechanism (0.88), government intervention in the affairs of special patients (0.79), pharmaceutical and therapeutic support services and medical aids (0.69), and educational support and prevention services (0.68). Also, the fitting of the designed model is 0.027, indicating appropriate fit for the model.
Conclusion: Providing health services to patients by government has a significant role in the patient health services management, and prevention-based education, identification of primary risk factors, and preventing the epidemics and applying the pattern of health services management to special patients with all dimensions and emphasizing the effective role of government control over the provision of services can lead to presenting executive strategies over time.


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How to Cite
Hosseini E, Mahmoudi Majd Abadi M, Masoudi Asl I, Karami Matin B. A governmental model for special patients. jbe. 4(3):142-152.
Original Article(s)