Fatemeh Arabi Basharic; Ali Janati; Rahim Khodayari -Zarnaq; Mohammad Zakaria Pezeshki; Noora rafiee; Masoume Gholizadeh
Volume 23, Issue 10 , 2021
Abstract
Background: Human life is tied with the stress caused by economic, political, social, and cultural problems, which may lead to physical and mental diseases. In such stressful conditions, people make lifestyle changes that put them at high risk for developing hypertension.
Objectives: Accordingly, this ...
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Background: Human life is tied with the stress caused by economic, political, social, and cultural problems, which may lead to physical and mental diseases. In such stressful conditions, people make lifestyle changes that put them at high risk for developing hypertension.
Objectives: Accordingly, this study investigated the prevention and management of hypertension as a major public health challenge in Iran.
Methods: Semi-structured interviews were conducted with managers, health policymakers, social medicine specialists, and faculty members. All interviews were recorded, transcribed verbatim, and analyzed using thematic content analysis. The MAXQDA18 software was applied to facilitate the organization of codes and themes.
Results: Interviews were conducted with 17 participants. The analyses resulted in five themes including, educational policies, cultural policies, urban transport policies, organizational policies, and economic policies. A total of 13 subthemes were also extracted from the data.
Conclusion: Findings have indicated the stressors factors, stemming from macro-policies and mismanagement of government. To reduce the burden of hypertension and improve people's living conditions, health-oriented policies should be designed and implemented in all sectors.
Gisoo Alizadeh; Kamal Gholipour; Reza Dehnavieh; Mohamamd Asghari JafarAbadi; Mehrdad Azmin; Ahmad Khanijahani; Rahim Khodayari-Zarnaq
Volume 22, Issue 9 , 2020
Abstract
Background and Objectives: Globally, cardiovascular disease (CVD) is the number one cause of mortality. In this regard, this study aimed to provide policies for the management of CVD by focusing on the reduction of myocardial infarction (MI) mortality rate in Iran.
Materials and Methods: The sequential ...
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Background and Objectives: Globally, cardiovascular disease (CVD) is the number one cause of mortality. In this regard, this study aimed to provide policies for the management of CVD by focusing on the reduction of myocardial infarction (MI) mortality rate in Iran.
Materials and Methods: The sequential mixed methods design will be employed to foresight the prevalence of MI in Iran in the next 10 years. This study consists of five phases and in the first phase, the risk factors of cardiovascular disease will be investigated using a systematic review. In the second phase, the uncertainty and impact of those factors will be demonstrated by the experts. Moreover, the impact/uncertainty grid will be used to identify the drivers that are less important and critical uncertainties. In the third phase, the cross-impact matrix will be developed by Scenario wizard, and the scenario logic and the scenarios will be developed. Once the scenario logic is established, details can be added to the scenarios. The next phase consists of statistical estimations of the rate of mortality due to heart attack using artificial neural networks. Finally, the policies will be developed based on the opinions of the panel of experts. The initial results will be published in mid-2020.
Results: This future study will develop policies to prevent from MI with scenario-based and modeling approaches. The findings can be useful for healthcare professionals and it can improve our understanding of the future of MI to enhance the management of MI patients.
Conclusion: The obtained policies will help policymakers to make evidence-based decisions, re-design structures, and processes of healthcare interventions, and also plan to decrease MI mortality rate.
