The Effect of the COVID-19 Pandemic on Non-Communicable Disease Prevention and Management Services in the Primary Health Care System of Iran.

Autor:	Afkar M; Department of Community Medicine, Faculty of Medicine, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran., Rezanejad Asl P; Network Management Center, Deputy of Public Health, Ministry of Health and Medical Education, Tehran, Iran., Mahdavi Hezaveh A; Deputy Director of the Center for Non-communicable Disease Control & Prevention, Deputy of Public Health, Ministry of Health and Medical Education, Tehran, Iran., Akrami F; Medical Ethics and Law Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.; Center for Non-communicable Disease Control & Prevention, Deputy of Public Health, Ministry of Health and Medical Education, Tehran, Iran., Riazi-Isfahani S; National Institute for Health Research, Tehran University of Medical Sciences, Tehran, Iran., Peykari N; Ministry of Health and Medical Education, Tehran, Iran., Payab M; Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran., Moghisi A; Department of Community Medicine, Faculty of Medicine, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran., Yousefi E; Center for Non-communicable Disease Control & Prevention, Deputy of Public Health, Ministry of Health and Medical Education, Tehran, Iran., Ranjbar M; National Professional Officer, NCDs and Mental Health Unit Head, WHO Iran., Soleymani Nejad M; Temporary WHO Advisor, NCDs and Mental Health Unit, WHO Iran., Hamelmann C; WHO Representative in I.R.Iran, WHO Iran., Slama S; Regional Adviser Noncommunicable Diseases Prevention (NCP), UHC/NCDs, WHO EMRO., Sadegh Tabrizi J; Department of Health Policy and Management, School of Management and Medical Informatics Health Services, Tabriz University of Medical Sciences, Tabriz, Iran.; Network Management Center, Deputy of Public Health, Ministry of Health and Medical Education, Tehran, Iran., Larijani B; Department of Internal Medicine, School of Medicine, Director and Chief Scientific Officer, Institute, Endocrinology and Metabolism Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.; Deputy Chairman of the Iranian Non-communicable Diseases Committee (INCDC), Tehran, Iran., Raeisi A; Department of Internal Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.; Deputy Minister of Health of the Ministry of Health and Medical Education, Tehran, Iran., Ostovar A; Osteoporosis Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.; Center for Non-communicable Disease Control & Prevention, Deputy of Public Health, Ministry of Health and Medical Education, Tehran, Iran.
Jazyk:	angličtina
Zdroj:	Medical journal of the Islamic Republic of Iran [Med J Islam Repub Iran] 2022 Dec 26; Vol. 36, pp. 174. Date of Electronic Publication: 2022 Dec 26 (Print Publication: 2022).
DOI:	10.47176/mjiri.36.174
Abstrakt:	Background: The COVID-19 pandemic has caused significant disruptions in the provision of non-communicable disease (NCDs) prevention and control services in many countries, and there is a concern that it would lead to long-term complications of the diseases. The aim of this study is to assess the changes in the provisions of selected NCD services before and after the COVID-19 epidemic in Iran's primary healthcare system. Methods: In this descriptive-analytical retrospective study, the number of eight NCD services provided during the first 10 months of the COVID-19 pandemic from Feb 2020 to Dec 2020 were compared with the same period in the previous year using the data from the Iranian integrated electronic health record system (SIB) and also the association between the number of deaths due to COVID-19 and a sample of NCD services were assessed using cross-correlation analysis. The statistical analysis was performed in Stata Software v.14. Results: The NCD services have decreased by an average of 18.89% compared to the same period in the previous year; this decline was much more severe at the beginning of the epidemic period (up to 75% in some services) and was greater in physician-provided services than in non-physician services. Also, examining the course of the selected services during this period, a gradual compensation was evident after the initial reduction. Conclusion: The general trend of the selected services of prevention and control of NCDs in the PHC system of Iran within 10 months after the onset of COVID-19 showed a sharp decline and subsequent gradual compensation. Although the process of compensation in some services may be considered somewhat reassuring, in the case of some essential services, more effort and attention to the implementation of programs or compensatory policies seem necessary. (© 2022 Iran University of Medical Sciences.)
Databáze:	MEDLINE
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