A qualitative evaluation of the challenges in management for patients with chronic diseases during disasters in Iran

Authors

  • Elham Ghazanchaei Social Determinants of Health Research Center Urmia University of Medical Sciences, Urmia, Iran
  • Kiyoumars Allahbakhshi Department of Health in Emergencies and Disasters, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
  • Davoud Khorasani-Zavareh Skull Base Research Center, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran; & Department of Health in Emergencies and Disasters, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  • Javad Aghazadeh-Attari Social Determinants of Health Research Center Urmia University of Medical Sciences, Urmia, Iran.
  • Iraj Mohebbi Department of Health in Emergencies and Disasters, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

DOI:

https://doi.org/10.5249/jivr.v15i2.1767

Abstract

Background: Iran’s health care system faces significant challenges in managing the growing burden of non-communicable diseases, and these are exacerbated during the frequent natural disasters. The current study was designed to understand challenges in providing healthcare services to patients with diabetes and chronic respiratory diseases during such crisis periods.

Methods: The conventional content analysis was used in this qualitative study. Participants included 46 patients with diabetes and chronic respiratory diseases, and 36 stakeholders with knowledge and experience in disasters. Data collection was carried out employing semi-structured interviews. Data analysis was performed using Graneheim and Lundman method.

Results: Four major challenges in providing care to patients with diabetes and chronic respiratory diseases during natural disasters include integrated management, physical, psychosocial health, health literacy and the behavior and barriers to healthcare delivery.

Conclusion: Developing countermeasures against medical monitoring system shutdown in order to detect medical needs and problems faced by chronic disease patients including those with diabetes and chronic obstructive pulmonary disease (COPD), is essential in preparedness for future disasters. Developing effective solutions may result in improved preparedness and better planning of diabetic and COPD patients for disasters.  

Author Biographies

Davoud Khorasani-Zavareh, Skull Base Research Center, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran; & Department of Health in Emergencies and Disasters, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Pubmed | Scholar

Iraj Mohebbi, Department of Health in Emergencies and Disasters, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Pubmed | Scholar

Downloads

Published

2023-03-04

How to Cite

Ghazanchaei, E., Allahbakhshi, K., Khorasani-Zavareh, D., Aghazadeh-Attari, J., & Mohebbi, I. (2023). A qualitative evaluation of the challenges in management for patients with chronic diseases during disasters in Iran. Journal of Injury and Violence Research, 15(2), 113–128. https://doi.org/10.5249/jivr.v15i2.1767

Issue

Vol. 15 No. 2 (2023): JULY

Section

Original Research Article

License

Copyright.  In accordance with Bethesda Statement on Open Access Publishing (released June 20, 2003, available from: http://www.earlham.edu/~peters/fos/bethesda.htm), all works published in JIVR are open access and are immediately available to anyone on the website of the journal without cost. JIVR is an open-access journal distributed under the terms of the Creative Commons Attribution 3.0 License (http://creativecommons.org/licenses/by/3.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Most read articles by the same author(s)

1 2 3 > >>