Shiraz E-Medical Journal

Published by: Kowsar

Utilization of Primary Health Care Services in Rural and Urban Areas in Shiraz

Maryam Niyas 1 , Mohammadreza Karimi 2 and Zahra Kavosi 3 , *
Authors Information
1 Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
2 Health Education and Promotion Department, Vice-Chancellor of Health, Shiraz University of Medical Sciences, Shiraz, Iran
3 Health Human Resources Research Center, School of Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
Article information
  • Shiraz E-Medical Journal: October 2018, 19 (10); e66219
  • Published Online: August 18, 2018
  • Article Type: Research Article
  • Received: January 31, 2018
  • Revised: July 3, 2018
  • Accepted: July 3, 2018
  • DOI: 10.5812/semj.66219

To Cite: Niyas M, Karimi M , Kavosi Z. Utilization of Primary Health Care Services in Rural and Urban Areas in Shiraz, Shiraz E-Med J. 2018 ; 19(10):e66219. doi: 10.5812/semj.66219.

Copyright © 2018, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Methods
3. Results
4. Discussion
  • 1. Jabbari H, Gasemzade H, Bakhshian F, Mohammadpourasl A, Asadzadeh R. Valuation of family physician program based on family health indices. Knowledge Health Quarter. 2012;7(3):124-8.
  • 2. Naeli J, Moghimi D. Iran primary health care promotion of analysis of health system situation. Secretariat of the Policy Council; 2008.
  • 3. Bagyani-Mogadam H, Ehraampoosh MH. Principles three of health services. Tehran: Cherag-E Danesh; 2003. Persian.
  • 4. King MH. Community health worker extra hands for a doctor. In: Mohammadloo S, Pashapoor N, translators. . Urmia: Takvin; 2000. Mohammadloo S, Pashapoor N, translators.
  • 5. Asadi F, Hosseini A, Moghaddasi H, Nasr Haydarabadi N. Primary health care information systems in health centers in Tehran, Iran. Health Inform Manage. 2012;9(1):1-10. Persian.
  • 6. Rasoulynezhad SA, Shaeri M, DavoudAbadi A, Rasoulynezhad MS. A study of patient seeking care behavior. KAUMS J (FEYZ). 2005;9(2):38-42. Persian.
  • 7. Forrest CB. Primary care in the United States: primary care gatekeeping and referrals: effective filter or failed experiment? BMJ. 2003;326(7391):692-5. doi: 10.1136/bmj.326.7391.692. [PubMed: 12663407]. [PubMed Central: PMC152368].
  • 8. Nekoei Moghadam M, Sadeghi V, Parva S. Weaknesses and challenges of primary healthcare system in Iran: a review. Int J Health Plann Manage. 2012;27(2):e121-31. doi: 10.1002/hpm.1105. [PubMed: 22009801].
  • 9. Zanganeh Baygi M, Seyadin SH, Rajabi Fard Mazrae No F, Kouhsari Khameneh A. Adaptation of goals and organizational structure in Iran's primary health care system, a systematic review. Payavard Salamat. 2016;9(5):446-58. Persian.
  • 10. World Health Organization. The world health report 2000: health systems:improving performance. World Health Organization; 2000.
  • 11. Ebadi Fard Azar F, Rezapour A, Abbasi Broujeni P, Safari H, Moeeni Naeeni M. Utilization of health care services in the state of Isfahan. Isfahan Hospital J. 2010;10(3):1-10.
  • 12. Sadaghiani A. Evaluate health care and hospital standards. Tehran: Jaafari Publication; 2005. doi: 10.1186/1471-2288-5-26. [PubMed Central: PMC1201145].
  • 13. Shabila NP, Al-Tawil NG, Al-Hadithi TS, Sondorp E. Using Q-methodology to explore people’s health seeking behavior and perception of the quality of primary care services. BMC Pub Health. 2014;14(1):1-9. doi: 10.1186/1471-2458-14-2.
  • 14. El Kahi HA, Abi Rizk GY, Hlais SA, Adib SM. Health-care-seeking behaviour among university students in Lebanon. Eastern Mediterranean Health J. 2012;18(6):598-606. doi: 10.26719/2012.18.6.598.
  • 15. Musah K, Toyin Kayode OO. Preliminary assessment of healthcare seeking behaviour among users of primary health care facilities in Ilorin metropolis, kwara state, Nigeria. IOSR J Nurs Health Sci. 2014;3(4):31-5. doi: 10.9790/1959-03413135.
  • 16. Van der Hoeven M, Kruger A, Greeff M. Differences in health care seeking behaviour between rural and urban communities in South Africa. Int J Equit Health. 2012;11(1):31. doi: 10.1186/1475-9276-11-31.
  • 17. Pourreza A, Khabiri R, Arab M, Akbari Sari A, Rahimi A, Toll A. Health care-seeking behavior in Tehran: Iran and factors affecting it. SLSPH. 2009;7(2):1. Persian.
  • 18. Borhaninejad VR, NaghibzadehTahami A, Nabavi H, Rashedi V, Yazdi-Feyzabadi V. The utilization of health services and its influences among elderly people in Kerman-2014. J North Khorasan Univ Med Sci. 2015;7(2):229-40. doi: 10.29252/jnkums.7.2.229.
  • 19. Aflatoonian MR, Aflatoonian B, Abbasi R. Investigation of fruition rate and satisfaction of population from Baghodrat health center (population research bare 2008). J Qualit Res Health Sci. 2011;11(1):25-31.
  • 20. Damari B, Vosough Moghaddam A, Rostami Gooran N, Kabir MJ. Evaluation of the urban family physician and referral system program in Fars and Mazandran provinces: history, achievements, challenges and solutions. J School Pub Health Institute Pub Health Res. 2016;14(2):17-38.
  • 21. Olasunbor OI, Ayo DS. Health seeking behaviour, food habit and nutritional assessment of an elderly group in Ile Ife, Nigeria. Communit Med Health Educat. 2013;3(5):2161-711.
  • 22. Bovet P, Gervasoni JP, Mkamba M, Balampama M, Lengeler C, Paccaud F. Low utilization of health care services following screening for hypertension in Dar es Salaam (Tanzania): a prospective population-based study. BMC Public Health. 2008;8:407. doi: 10.1186/1471-2458-8-407. [PubMed: 19087300]. [PubMed Central: PMC2615777].
  • 23. Naghavi M, Jamshidi HR. The utilization of health care services in Islamic Republic of Iran, in 2002. Tehran: Ministry of Health; 2005. Persian.
  • 24. Danso-Appiah A, Stolk WA, Bosompem KM, Otchere J, Looman CW, Habbema JD, et al. Health seeking behaviour and utilization of health facilities for schistosomiasis-related symptoms in ghana. PLoS Negl Trop Dis. 2010;4(11). e867. doi: 10.1371/journal.pntd.0000867. [PubMed: 21072229]. [PubMed Central: PMC2970540].
  • 25. Kolola T, Gezahegn T, Addisie M. Health care seeking behavior for common childhood illnesses in Jeldu district, Oromia regional state, Ethiopia. PLoS One. 2016;11(10). e0164534. doi: 10.1371/journal.pone.0164534. [PubMed: 27741273]. [PubMed Central: PMC5065207].
  • 26. Kavosi Z, Mohammadbeigi A, Ramezani-Doroh V, Hatam N, Jafari A, Firoozjahantighi A. Horizontal inequity in access to outpatient services among Shiraz city residents, Iran. J Res Health Sci. 2015;15:5.
  • 27. Kuuire VZ, Bisung E, Rishworth A, Dixon J, Luginaah I. Health-seeking behaviour during times of illness: a study among adults in a resource poor setting in Ghana. J Pub Health. 2016;38(4):545-53.
  • 28. Quinn ME, Johnson MA, Poon LW, Martin P, Nickols-Richardson SM. Factors of nutritional health-seeking behaviors. Findings from the Georgia Centenarian Study. J Aging Health. 1997;9(1):90-104. doi: 10.1177/089826439700900105. [PubMed: 10182412].
  • 29. Fleury MJ, Grenier G, Bamvita JM, Perreault M, Kestens Y, Caron J. Comprehensive determinants of health service utilisation for mental health reasons in a canadian catchment area. Int J Equit Health. 2012;11(1):20. doi: 10.1186/1475-9276-11-20.
  • 30. Alibabaei R, Sadeghi A, Vahidi RGH, Akaberi A. Determination of quality of services provided by family physician team from recipients' perspective in Ajabshir city. J Health. 2014;5(2):170-81.
  • 31. Fallahi A, Nemat Shahrbabaki B, Hashemian M. Assessment client satisfaction with family physician in health care centers of Jiroft county and its relationship with physician' demographic variables. Zanko J Med Sci. 2015;16(49):61-72.
  • 32. Park JM. Health status and health services utilization in elderly Koreans. Int J Equity Health. 2014;13:73. doi: 10.1186/s12939-014-0073-7. [PubMed: 25159331]. [PubMed Central: PMC4169642].
  • 33. Ham OK, Lee CY. Predictors of health services utilization by hypertensive patients in South Korea. Public Health Nurs. 2007;24(6):518-28. doi: 10.1111/j.1525-1446.2007.00664.x. [PubMed: 17973729].
  • 34. Inche Zainal Abidin S, Sutan R, Shamsuddin K. Prevalence and determinants of appropriate health seeking behaviour among known diabetics: results from a community-based survey. Advanc Epidemiol. 2014.
Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:



Create Citiation Alert
via Google Reader

Readers' Comments