fa بررسی میزان مشارکت پزشکان بخش خصوصی استان همدان در نظام گزارشدهی بیماریها عمومى General پژوهشي Research <p dir="RTL"><strong>زمینه</strong>: پایه واساس کنترلبیماریهادرنظام بهداشتی کشور،نظام مراقبت بیماریهامیباشدوبیماری ابیوگزارشده ی بموقع بیماریهاواقدام مناسبدربرابرمواردگزارش شده یکی ازضروریات این نظام میباشد. هدف ازاین مطالعه بررسی<strong>میزان مشارکت پزشکان </strong><strong>ومسوولین فنی آزمایشگاههای </strong><strong>بخش خصوصی استان همدان در</strong><strong>نظام گزارش دهی بیماریها</strong>بوده است.</p> <p dir="RTL"><strong>روشکار</strong><strong>:</strong>این مطالعه مقطعی،بامشارکت پزشکان ومسئولین فنی آزمایشگاههای شاغل دربخش خصوصی استان همدان درسال 1390 انجام گرفت. ابزارگردآوری داده هاپرسشنامه بود<strong>واطلاعات</strong><strong> بااستفاده ازآزمون کایمربع موردتجزیه وتحلیل قرارگرفت ومقدار</strong><strong><span dir="LTR">P</span></strong><strong>کمتراز</strong><strong> 05/0 </strong><strong>معنی دارتلقی گردید</strong><strong>.</strong></p> <p><strong><span dir="RTL">یافته ها</span><span dir="RTL">:</span></strong><span dir="RTL">ازمجموع</span><span dir="RTL"> 354 </span><span dir="RTL">نفرپزشک موردمطالعه</span><strong><span dir="RTL">178 </span><span dir="RTL">نفر</span><span dir="RTL"> (3/50 %) </span><span dir="RTL">پزشک عمومی،</span><span dir="RTL"> 138 </span><span dir="RTL">نفر</span><span dir="RTL"> (39 %) </span><span dir="RTL">پزشک متخصص،</span><span dir="RTL"> 15 </span><span dir="RTL">نفر</span><span dir="RTL"> (2/4 %)&nbsp; </span><span dir="RTL">پزشک فوق تخصص و</span><span dir="RTL"> 23 </span><span dir="RTL">نفر</span><span dir="RTL"> (5/6 %) </span><span dir="RTL">مسئول فنی آزمایشگاه</span></strong><span dir="RTL">بودند</span><span dir="RTL">.</span><span dir="RTL"> 1/51% </span><span dir="RTL">شرکت کنندگان درمطالع هابرازنمودندکه بیماریهای مشمول گزارش راگزار ش مینمایند</span><span dir="RTL">. </span><span dir="RTL">اظهارمشارک با</span><span dir="RTL">نظام گزارش دهی بیماریهادرمسئولین فنی آزمایشگاه</span><span dir="RTL"> (5/69%) </span><span dir="RTL">وپزشکان عمومی</span><span dir="RTL"> (2/61%) </span><span dir="RTL">بطورمعنی داریبیشترازپزشکان متخصص</span><span dir="RTL"> (8/39%) </span><span dir="RTL">وفوق تخصص</span><span dir="RTL"> (3/6%) </span><span dir="RTL">بود</span><span dir="RTL">(</span><span dir="RTL">001/0</span>p=<span dir="RTL">). </span></p> <p></p> <p><strong>Backgroundand Objectives:</strong> The disease control in Iran is mainly based on routine reporting of notifiable diseases in the national health system. On time reportingof diseases and appropriate action for reported cases are essential in this system. <strong>The aim of this study was to determine the status of routine reporting system of notifiable diseases in private sector physicians of Hamadan province.</strong></p> <p><strong>Methods:</strong>This cross-sectional study was performed with participation of private sector employed physicians of Hamadan province using a standard questionnaire. <strong>The data were analyzed using chi-square test and p-value less than 0.05 was considered statistically significant.</strong></p> <p><strong>Results:</strong>A total of 354 physicians <strong>including 178 (50.3%) general practitioners, 138 (39%) </strong><strong>expert</strong><strong> physicians, 15 (4.2%) specialist and 23 (6.5%) laboratory associates were interviewed. 51.1% of the participants expressed that they report notifiable diseases</strong><strong>. </strong><strong>Cooperation of the laboratory associates (69.5%) and the </strong><strong>general</strong><strong> practitioners (61.2%) in reporting the notifiable diseases were significantly higher than the </strong><strong>expert</strong><strong> physicians (39.8%) and specialists(6.3%)(p=0.001). There was no significant difference between job experience, work experience in the public health system and employment in the public sector of the health care system and the cooperation in reporting of notifiable diseases.</strong></p> <p><strong>Conclusion:</strong> Cooperation of private sector physicians in reporting the notifiable diseases was in an intermediate level. So it is necessary to hold the periodic retraining for the physicians. Existing methods should be revised for promotion of this level of reporting.</p> <p><strong>Key Words: </strong>Surveillance System, Notifiable Diseases, Questionnaire<strong>.</strong></p> <p></p> 119 124 http://jmciri.ir/browse.php?a_code=A-10-1-1653&slc_lang=fa&sid=1