Qualitative Evaluation of Primary Health Care Plans (Worker Health House) Among Some Industries in Yazd, Iran

The purpose of this research was to qualitatively evaluate the workers health-house, and to determine an appropriate pattern of qualitative evaluation for such centers in Yazd, Iran. In the current qualitative ordinal study, in order to collect the required data regarding the effectiveness and quality of health care in the worker health-house, after determining the variables on the basis of definitions and standard values of the proposal, designing questions for handling the Delphi method, checklists, and questionnaires was completed. Then, for determining the score and value of each question, the questionnaires and checklists were handed over to the relevant experts. There were 6 randomly selected samples of industries with the workers health-houses and 6 industries without such centers. To avoid any bias in the study, all the questionnaires and checklists were given to the postgraduate students in the field of occupational health. Next, after a separate scoring of the questionnaires and checklists by Delphi group (30 people), the average scores for each question and ultimately each questionnaire and checklist were assessed and then chosen as criteria of measurement in our investigation. Considering the qualitative ordinal study of the facilities, equipments,and performances of personnel in the workers health-houses, the results showed that the average of the official as well as technical facilities and equipments were 65.1% and 61.1% respectively, which according to the table for system status, were both in a moderate rank of quality. However, checking the space and personnel situation, they were 49.3% and 46.6% respectively; as these amounts of quality were ranked in a "bad" situation. Finally, concerning the performance of personnel, the results showed a rank of "moderate" with the average score of 63.3% for the health care technicians called as: "Behdashtyar" and a rank of "bad" with the average score of 32.8% for the occupational practitioners.Discussion & Based on the research findings among the industries with more than 50 personnel in Yazd, it was found that, regarding the measured variables in 2006 using the proposed methodology of the ordinal qualitative study and considering the acquired result of (56.9%), the quality of those centers were determined as "moderate" rank.