| چکیده انگلیسی مقاله |
Background and Aim: Evidence shows that COVID-19 pandemic affects non-communicable diseases (NCDs), significantly. This study aimed to analyze the status of prevention and management services of NCDs at the level of primary health care (PHC) system during the COVID-19 pandemic. Materials and Methods: In this situation analysis study, first the circulars communicated at the level of PHC system from beginning of the pandemic to the end of September 2020 were manually and electronically retrieved, and those which included a decision or action in terms of governance and coordination mechanisms to provide NCDs in crisis and reopening stages, were analyzed. Then, the plans of major NCDs services in low-risk, intermediate, and high-risk conditions were developed and finalized based on the circulars. Finally, situation analysis was performed using SWOT analysis, and proposed strategies were extracted. Results: 25 out of 199 circulars were analyzed. In the crisis phase, most screening, risk assessment and diagnostic services were suspended, and the follow-ups and care of patients with NCDs were mainly done by telephone. In the reopening phase, general strategies were adopted to increase capacity and to compensate delayed care, and the plan of major NCDs services at the PHC system was developed in the three-pandemic settings. Finally, main strategies were proposed with integration approach and focusing on essential services, considering vulnerable groups and the use of E-health technologies. Conclusion: The results indicated an interruption in NCDs services during the crisis phase, while adopting strategies to respond to the pandemic. Revision of the COVID-19 guides with a particular focus on NCDs prevention and management services is recommended in national response plan. |
| نویسندگان مقاله |
فروزان اکرمی | forouzan akrami
MPH, PhD in Biomedical Ethics, Non-Communicable Diseases Department, Deputy of Public Health, Ministry of Health and Medical Education, Tehran, Iran
دکتری اخلاق پزشکی، ام پی اچ تعیینکنندههای اجتماعی سلامت، گروه مدیریت بیماریهای غیر واگیر، معاونت بهداشت، وزارت بهداشت، درمان و آموزش پزشکی، تهران، ایران
سهند ریاضی اصفهانی | Sahand Riazi-Isfahani
Assistant Professor, National Institute for Health Research (NIHR), Tehran University of Medical Sciences, Tehran, Iran.
استادیار، موسسه ملی تحقیقات سلامت، دانشگاه علوم پزشکی تهران، تهران، ایران
علیرضا مهدوی هزاوه | Alireza Mahdavi hezaveh
MD, MPH, Non-Communicable Diseases Department, Deputy of Public Health, Ministry of Health and Medical Education, Tehran, Iran
پزشک عمومی، ام پی اچ، گروه مدیریت بیماریهای غیر واگیر، معاونت بهداشت، وزارت بهتداش، درمان و آموزش پزشکی، تهران، ایران
علی قنبری مطلق | Ali Ghanbari Motlagh
Associate Professor, Department of Radiation Oncology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
دانشیار، گروه رادیوتراپی انکولوژی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران
مهدی نجمی | Mehdi najmi
MD, Non-Communicable Diseases Department, Deputy of Public Health, Ministry of Health and Medical Education, Tehran, Iran.
پزشک عمومی، گروه مدیریت بیماریهای غیر واگیر، معاونت بهداشت، وزارت بهداشت، درمان و آموزش پزشکی، تهران، ایران
مهدی افکار | Mehdi afkar
Assistant Professor of Community Medicine, Tehran Medical Sciences Islamic Azad University, Tehran, Iran
استادیار پزشکی اجتماعی، دانشگاه علوم پزشکی آزاد اسلامی تهران، تهران، ایران
علیرضا مغیثی | alireza moghisi
PhD in Community Medicine, Non-Communicable Diseases Department, Deputy of Public Health, Ministry of Health and Medical Education, Tehran, Iran.
متخصص پزشکی اجتماعی، گروه مدیریت بیماریهای غیر واگیر، معاونت بهداشت، وزارت بهداشت، درمان و آموزش پزشکی، تهران، ایران
منصور رنجبر | mansour ranjbar
MD, National Professional Officer, NCDs and Mental Health Unit Head, WHO, Iran
پزشک عمومی، مسوول واحد بیماریهای غیر واگیر و سلامت روان، دفتر سازمان جهانی بهداشت، ایران
کریستف هاملمن | Christoph Hamelmann
WHO Representative in I.R.I, WHO, Iran
نماینده سازمان جهانی بهداشت در ایران، سازمان جهانی بهداشت، ایران
علیرضا رییسی | Alireza raiesi
Professor, Department of Internal Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
استاد، گروه طب داخلی، دانشگاه علوم پزشکی شیراز ، شیراز، ایران
افشین استوار | Afshin ostovar
Professor, Osteoporosis Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences and Non-Communicable Diseases Department, Deputy of Public Health, Ministry of Health and Medical Education, Tehran, Iran
استاد، مرکز تحقیقات استئوپروز، پژوهشگاه علوم غدد و متابولیسم، دانشگاه علوم پزشکی تهران و دفتر مدیریت بیماریهای غیرواگیر، معاونت بهداشت، وزارت بهداشت، درمان و آموزش پزشکی، تهران، ایران،
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