Marzie Tajik Jalali; Milad Ahmadi Marzaleh; Fateme Askarian; Seyede Maryam Najibi; Ahmad Soltani; Sajad Delavari
Volume 24, Issue 9 , 2022
Abstract
Background: Rumors concerning various aspects of the fight against COVID-19, vaccination, in particular, have become one of the main challenges for managers and policymakers who have to deal with different aspects of the disease. This necessitates the recognition of the factors that influence the prevention ...
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Background: Rumors concerning various aspects of the fight against COVID-19, vaccination, in particular, have become one of the main challenges for managers and policymakers who have to deal with different aspects of the disease. This necessitates the recognition of the factors that influence the prevention and spread of these rumors.
Objectives: The current study aimed to investigate the link between health literacy among adults and their acceptance of COVID-19 vaccination rumors in Iran.
Methods: This cross-sectional study was conducted from November 15 to December 15, 2021, in different provinces of Iran. The study population included Iranian adults, aged 18 years and older, who were selected using the snowball sampling method. The data collection tools involved two questionnaires: the Health Literacy Questionnaire, which consists of 33 items, and the COVID-19 Vaccine Rumor Questionnaire which assesses 17 rumors related to COVID-19 vaccination collected from various news sources.
Results: The number of completed questionnaires was 1158 out of 2163 questionnaire visits (74% response rate). Univariate analysis showed that health literacy had a statistically significant association with sociodemographic variables of gender, marital status, ethnicity, place of residence, and level of education. The results of data analysis also demonstrated a significant correlation between the average of rumors acceptance and the sociodemographic variables of gender, marital status, ethnicity, place of residence, and level of education. The results of the Pearson correlation coefficient test showed a significant and negative relationship between health literacy and rumor belief (P= 0.000, r=-0.590), indicating that those with a higher level of health literacy had a lower level of rumor acceptance.
Conclusion: Based on the findings of the present study, health literacy has a significant effect on reducing the credibility of rumors and other misinformation among community members. Macro-level decisions and policies are needed to improve factors such as health literacy and can help individuals identify and track rumors and make decisions based on reliable information on vaccination.
Nahid Hatam; Yegane Partovi; Seyed Reza Najibi; Milad Ahmadi Marzaleh; Seyede Maryam Najibi
Volume 23, Issue 7 , 2021
Abstract
Background and objective: Universal health coverage is considered a prerequisite for human health and security. Therefore, the current study aimed to evaluate and compare the healthcare system functions in Iran with those in successful developing countries in terms of universal health coverage (UHC).
Methods: ...
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Background and objective: Universal health coverage is considered a prerequisite for human health and security. Therefore, the current study aimed to evaluate and compare the healthcare system functions in Iran with those in successful developing countries in terms of universal health coverage (UHC).
Methods: In this comparative study, three developing countries, namely Turkey, Thailand, and China, were selected based on former studies, and the model presented by the World Health Organization in 2000 was used to compare and analyze the data. The required information from the selected countries was collected through searching the Pub Med and Scopus databases using the following keywords: "Health system review", "Health system transition", "International profiles of healthcare systems", "Financing", "Resource generation", "Service provision", "Universal health coverage", and "Health system reform".
Results: The evaluation of the healthcare system's function in four countries showed that the public sector's share of total health spending was much higher than the private sector in both Thailand and Turkey. The issues of integration of insurance funds and risk accumulation and the existence of a strong buyer organization should be considered. The comparison of the payment system in the studied countries showed that the per capita method was used in all primary cares, and the inpatient diagnostic group (diagnosis-related group), fee for service, and salaries and rewards were more focused in the context of hospitalization. The majority of hospitals in the studied countries were state-owned; however, the important point was the presence of different non-university public hospitals in these countries, compared to Iran.
Conclusion: In general, one way to reach the UHC is to utilize the experiences of successful countries in establishing and maintaining this issue.
