J Anal Res Clin Med. 2015;3(4):197-205.
doi: 10.15171/jarcm.2015.032
  Abstract View: 800
  PDF Download: 750

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Barriers and strategies for identifying and managing risk factors of cardiovascular diseases in levels of preventing, screening, and treating

Saber Azami Aghdash 1, Morteza Ghojazadeh 2, Samad Shams-Vahdati 3, Reza Piri 4, Khalil Klvany 5, Ruhollah Yaghoubi 5, Zahra Asli 5, Mohammad Naghavi-Behzad 5 *

1 PhD Student, Hospital Management Research Center, Iran University of Medical Sciences, Tehran, Iran
2 Associate Professor, Liver and Gastrointestinal Disease Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
3 Associate Professor, Cardiovascular Disease Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
4 Student of Medicine, Medical Philosophy and History Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
5 Student of Medicine, Students' Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran

Abstract

Introduction: Cardiovascular diseases (CVD) are of the main causes of mortality in the world and impose a heavy economic, social, and health burden on society. Therefore, the objective of this study was to determine the barriers and strategies for identifying and managing risk factors of CVD in levels of preventing, screening, and treating. Methods: During present qualitative study with phenomenological approach, 60 subjects of cardiologists, nurses, patients, and their relatives were selected based on purposive sampling from educational-medical cardiothoracic subspecialty centers. Data were collected using an open-ended questionnaire and was extracted and analyzed with content analysis method. Results: Barriers were divided into three groups of individual barriers (low awareness, delay in referring for treatment and screening, incorrect beliefs, and not caring about health), socio-economic barriers (high costs, lack of resources, mental and psychological pressures), and health care barriers (non-alignment of doctors, being therapy-oriented, managerial and planning weaknesses, and lack of health care facilities). The most important presenting strategies are: providing public educations, improving family physician program, reduction of costs, cooperation of patients, and using functional indices to evaluate and improve the quality of services. Conclusion: Low awareness of people, high costs of services, lack of health care facilities, socio-cultural problems of people, and delay in referring of people, for treatment and screening are of the most important barriers of proper identifying and managing risk factors of CVD. Strategies provided in this study to overcome these barriers could be used.
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Submitted: 21 Oct 2015
Accepted: 01 Nov 2015
First published online: 30 Nov 2015
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