Viewpoint of Isfahan Health Managers with Philosophical Principles of Primary Health Care

Nowadays، more than ever we have forgotten that solving health problems depends upon what people should do for themselves. Helping people is a vital issue along with intelligent health services، against treatment services which make people depended، and are high-cost and less effective. The aim of the present study was to assess the philosophical principles of the prevention in primary health care (PHC) and the knowledge and belief of the directors of the health care in this regard. This was a descriptive-analytical survey. Research tools was a researcher-made questionnaire with three types of basic، knowledge and attitude questions about 9 philosophical principles of PHC. Validity and reliability were approved by experts and Cronbach’s alpha (84%)، repectively. Study population included 384 individuals of top، middle and executive managers of Isfahan Health Institutions in 2002. Student’s t-test، analysis of variance (ANOVA) and Pearson’s correlation tests were used. The highest mean knowledge score of the nine philosophical principles of PHC belonged to «love and motivation» (98. 3 ± 41. 1) and the lowest philosophical dimension score belonged to «equality and justice» (65. 7 ± 29. 2). The highest average score of philosophical attitude was in «coordinate between section” (81. 5 ± 23. 0) and the lowest philosophical dimension belonged to»equality«(49. 1 ± 12. 8). The average score for all the categories of knowledge management was a little higher than 80. The mean attitude score was 65. This result was not good for the system; because the attitude of managers plays a key role in the run up to the principles of PHC.