Volume 24, Issue 2 (9-2025)
jhosp 2025, 24(2): 161-174 |
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Modabber A, Jalilian H, Gholizadeh B, Mousavi Asl E, Faraji-Khiavi F. Evaluating the Resilience of Service Delivery to Hypertensive Patients in Primary Healthcare Centers during Pandemics and Crises. jhosp 2025; 24 (2) :161-174
URL: http://jhosp.tums.ac.ir/article-1-6753-en.html
URL: http://jhosp.tums.ac.ir/article-1-6753-en.html
Ali Modabber1 
, Habib Jalilian2 , Behnam Gholizadeh3 , Esmaeil Mousavi Asl4 , Farzad Faraji-Khiavi *5
, Habib Jalilian2 , Behnam Gholizadeh3 , Esmaeil Mousavi Asl4 , Farzad Faraji-Khiavi *5
1- MSc Student in Health Services Management, Department of Health Services Management, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
2- Assistant Professor in Health Policy, Department of Health Services Management, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
3- Assistant Professor, Department of General Surgery, Medicine Faculty, Ahvaz Jundishapur University of Medical sciences, Ahvaz, Iran.
4- Assistant Professor, Department of Psychiatry, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
5- Professor in Health Services Management, Social Determinants of Health Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran & Iranian Research Network for Social Determinants of Health (IRNSDH),Tehran, Iran. ,faraji-f@ ajums.ac.ir
2- Assistant Professor in Health Policy, Department of Health Services Management, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
3- Assistant Professor, Department of General Surgery, Medicine Faculty, Ahvaz Jundishapur University of Medical sciences, Ahvaz, Iran.
4- Assistant Professor, Department of Psychiatry, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
5- Professor in Health Services Management, Social Determinants of Health Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran & Iranian Research Network for Social Determinants of Health (IRNSDH),Tehran, Iran. ,
Abstract: (353 Views)
Background and purpose: Ensuring continuous access to healthcare services is critical for patients with hypertension, particularly during pandemics and public health crises. This study aimed to evaluate the resilience of service delivery by Primary Healthcare Centers (PHCs) to hypertensive patients during such emergencies.
Methods: This descriptive cross-sectional study was conducted in 2023 across 10 PHCs in Markazi Province, Iran. A total of 250 patients with hypertension were recruited using a systematic random sampling method. Data were collected using a researcher-designed questionnaire assessing four dimensions of resilience: quality, accessibility, continuity, and coordination. Data were analyzed using descriptive statistics and multiple linear regression in SPSS software (version 24).
Results: The overall service resilience score was 2.95 (±0.32), indicating a "relatively weak" level of resilience. The mean scores for the dimensions were: Accessibility 3.08 (±0.28), Coordination 3.03 (±0.76), Quality 2.93 (±0.41), and Continuity 2.88 (±0.35). Multiple regression analysis revealed that these four dimensions collectively explained 96.1% of the variance in service resilience. Accessibility (β = 0.478) was the strongest predictor, followed by Quality (β = 0.379), Continuity (β = 0.352), and Coordination (β = 0.178).
Conclusion: The resilience of services provided by PHCs to hypertensive patients during pandemics was assessed as suboptimal. These findings highlight an urgent need for strategic operational planning by health policymakers. Developing protocols to ensure service continuity and expanding infrastructure for remote care (telemedicine) are recommended as key priorities to enhance system resilience.
Methods: This descriptive cross-sectional study was conducted in 2023 across 10 PHCs in Markazi Province, Iran. A total of 250 patients with hypertension were recruited using a systematic random sampling method. Data were collected using a researcher-designed questionnaire assessing four dimensions of resilience: quality, accessibility, continuity, and coordination. Data were analyzed using descriptive statistics and multiple linear regression in SPSS software (version 24).
Results: The overall service resilience score was 2.95 (±0.32), indicating a "relatively weak" level of resilience. The mean scores for the dimensions were: Accessibility 3.08 (±0.28), Coordination 3.03 (±0.76), Quality 2.93 (±0.41), and Continuity 2.88 (±0.35). Multiple regression analysis revealed that these four dimensions collectively explained 96.1% of the variance in service resilience. Accessibility (β = 0.478) was the strongest predictor, followed by Quality (β = 0.379), Continuity (β = 0.352), and Coordination (β = 0.178).
Conclusion: The resilience of services provided by PHCs to hypertensive patients during pandemics was assessed as suboptimal. These findings highlight an urgent need for strategic operational planning by health policymakers. Developing protocols to ensure service continuity and expanding infrastructure for remote care (telemedicine) are recommended as key priorities to enhance system resilience.
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