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Preventive Community-Based Strategies of Cardiovascular Diseases in Iran: A Multi-Method Study Publisher Pubmed



Alizadeh G1 ; Gholipour K2 ; Khosravi MF3 ; Khodayarizarnaq R1, 2
Authors
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Authors Affiliations
  1. 1. Department of Health Policy and Management, Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
  2. 2. Tabriz Health Service Management Research Center, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
  3. 3. Department of Health Care Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran

Source: Social Work in Public Health Published:2020


Abstract

Background: Community-based strategies for preventing non-communicable diseases, particularly cardiovascular diseases, are of great importance. Aims: This study aimed to formulate a policy brief to identify and prioritize community-based strategies to prevent cardiovascular disease in Iran. Methods: This multi-method study was conducted over three phases. In the first phase, rapid review, community-based strategies which mentioned to people’s participation had been identified. PubMed and Scopus had been searched. In the second phase, a focus group discussion (FGD) was held by the participation of 15 experts from different disciplines to have been summarized and finalized the community-based strategies to prevent cardiovascular disease as policy options. Content analysis method was used. In the third phase, policy options were prioritized. In addition, the points of interest and the appropriate budget were suggested for each policy option by using the Delphi method with the participation of 15 experts. Results: Community-based approach includes six strategies: engagement of non-governmental and charitable organizations, use of health marketing strategies, activating the role of community health workers, implementing of mobile health programs, social prescribing, and peripheral medicine.‌‌‌ Utilizing Community health workers, using mobile health and engaging NGOs and charities were ported in higher levels. In all policy options, public–private partnership as the best investment as well as the Ministry of Health as the best focal point were proposed. Conclusion: Implementing multiple prevention strategies in the form of public engagement, incorporating prevention programs delivered by community health workers and increasing public–private partnership financial support may be effective in reducing cardiovascular disease. © 2020, © 2020 Taylor & Francis Group, LLC.
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