Abstract
Background: Objective: Objectives of the study were to 1) Figuring out the degree of utilization, for the beneficiary health users, together with overall and detailed provider's satisfaction, with primary health care, services provided. 2) Suggesting a renovate plan, for Iraqi health system reform. Subjects and Methods: A cross sectional survey was conduct in Health Directorate of Holy Karbala Governorate, Iraq,. A total 572 of health providers a self-administered questionnaire on factors associated with, job satisfaction, Were included in this study. The data collection carried out for a period of five months from January, 2, 2017 to the end of May 2017. Data collected by direct interview, with health providers using a questionnaire form that designed based on the study objectives, it administered to the participants and the, results consolidated and, tested for any statistical significance. Results: Total sample in this study were 572, health providers (65.4%, male and 34.6% female), the mean age of the study population was 36.8 ± 9.8 years, The study population was the age range, at the time of study were, between (21–60) years, (male: female ratio was 1.3:1) and the highest percentage (35.7%) were in the age group ( < 30) years. The most of the respondents were lived, in urban areas as represent, (58.7%). Regarding the distribution of health providers, as educational level about half of studied, sample (49.7 %) from College and more, while regarding health title more than half of studied sample (57.9%) were Paramedical staff. Regarding afternoon, work (56.0%) of health providers, have an afternoon work, (67.0%) agree with health insurance, and having a family doctor, for each area responsible for, family members' health, while (43.0 %) agree with prevent, mix of private and governmental work. Conclusion: The overall scores were acceptable regarding, assessment of health provider’s among, health care services in primary health care, centers, and conduct of health assurance program, in the health system of Iraq. A better educational program, on health, assurance, program should, conducted to improve awareness, , attitude, and practice toward health, assurance, program using, mass, media and health, education in all Ministries and community. Statistical analysis: Data input to computer file for, storage and Analysis, Statistical package for the, social sciences (SPSS) version 18 used for, data description and analysis, Descriptive statistic included the use of frequencies and percentages. The Chi-Square statistical test used, to test for associations between variables with the results, considered as statistically significant when the P value was equal or less than 0.05. Keywords : health care services, primary health care centers, health providers, health assurance program. DOI : 10.7176/JBAH/9-10-13 Publication date :May 31st 2019
Highlights
INTRODUCTION "Job satisfaction had varies definition from person, to person even for person from time to time.And an evaluation, of the job and the environment surrounding, the job by the employee" [1] . in general It is can be defined as; employee feelings, about has the job [2]
Study conducted in holy karbala governorate among a sample of health providers to assessment satisfaction, of primary health care services provided from health institution
Five hundred and seventy-two of six hundred questionnaires were returning, a response rate of 95.4 %.Our study involved all; health providers worked in primary health care centers (PHCCs), that included (Doctors, dentists, Pharmacies and Paramedical staff)
Summary
Satisfaction specially for physicians ,in Iraq [8] , While other study for patient in Saudi Arabia [9 ,10,11] ,and in Kuwait by Alhashem, A., H. Five hundred and seventy-two of six hundred questionnaires were returning, a response rate of 95.4 %.Our study involved all; health providers worked in PHCC, that included (Doctors, dentists, Pharmacies and Paramedical staff). There was a distinct male's preponderance ( 65.4%) with (mean ± SD of their ages were 36.8 ± 9.8 years) , the age range at the time of study were between (21–60) years , ( male : female ratio was 1.3:1) and the highest percentage (35.7%) were in the age group (< 30) years, while regarding residency most cases (58.7%) from urban area, regarding the distribution of the health providers, as educational level high percentage about (50%) were, had College and more, and regarding Occupation the research involved all title of, health care workers worked as staff in primary health care centers ; more than half of studied sample (57.9%) were Paramedical staff
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