Evaluation process of health centers in the city of Ahar in the area of high blood pressure screening and diabetes.

Abstract

Background and Aim: Due to the implementation of the national plan for controlling and preventing high blood pressure and diabetes, assessment and monitoring of its implementation is of particular importance. The purpose of this study was to evaluate the performance evaluation process of health centers in the city of Ahar in the area of high blood pressure screening and diabetes. Materials and Methods: This multi-stage study was carried out in parallel with two quantitative and qualitative stages in 1396. The population of the Ahar Health Homes was a part of the total number of other parts for the purpose of conducting an audit of the performance of the thirty home of health in a randomized way. In order to determine the performance status of health houses in the area of high blood pressure screening and diabetes, information was recorded in health care homes based on the current assessment of the performance monitoring report of health care providers by educators and experts. T-test, a Wilcoxon ranked test, and Spearman correlation test were used to analyze the data. In the qualitative section, the participants in this research were selected through a targeted method and among those who were working in the health center of Ahar. Data was collected using a focused group discussion. The number of participants varied from 7 to 10 in each group. Focused group discussion sessions were held separately on the basis of their role in screening. Data were analyzed using content analysis method. Results: Based on the findings of the study, the average score of health houses in relation to high blood pressure screening standards with a score of 96.97% was lower than the expected average by 23.4%. In the case of diabetes audits, the results also showed that health homes in relation to diabetes screening standards were less than the expected average by a score of 11.75% in the expert audit by an average of 24.88%. There was a weak correlation between the scores obtained from health clinics in the high blood pressure screening domain in the audit by an independent expert and the current assessment, which was not statistically significant. The correlation between the ongoing evaluation and the independent audit on diabetes screening was moderate (r = 0.351), which was statistically significant (P = 0.049). Based on the results of the qualitative part of the study, the problems associated with assessing diabetes screening and high blood pressure screening were categorized in four sections including land problems, structural problems, process and performance evaluation results.Conclusion: In this study, the achievement of the goals set in the diabetes screening and hypertension screening program is lower than the expected national and provincial level. Also, there was a poor correlation between evaluation of health houses in high blood pressure and diabetes screening in independent auditors and current evaluation, which indicates weakness and integrity in current programs of evaluating the performance of health care providers. In order to achieve high-quality disease screening and control as the main objective of performance evaluation, changes and revisions in supervisors' coaching and performance evaluation system are necessary.