A Study on Perceived Discrimination from Implementation of the Health Reform Program among Employees of Training Organizations in Rafsanjan City, ۲۰۱۵

Background: After security, the second most important human need is health and the healthcare reform plan is a program for improving health services. The purpose of this study was to investigate the social consequences of implementing the health system reform plan in Rafsanjan, with emphasis on the feeling of discrimination among employees of the educational organizations of this city.   Methods: In this descriptive and analytical cross-sectional study, ۳۶۲ employees of the educational organizations were selected through stratified random sampling in ۲۰۱۵. A researcher-made questionnaire with ۲۱ questions was used to measure the variables. One-way analysis of variance and Pearson correlation coefficient were used for statistical analysis and data analysis was performed through SPSS version ۲۰.   Results: ۶۳% of the staff of educational institutions perceived discrimination in the health system reform plan at an intermediate level. The staff of the Education Department with mean score of ۵۹.۰ had the most and Vali -ye-Asr University employees with mean score of ۴۴.۹ had the least perceived discrimination from the implementation of the health system reform program. Among job categories, teachers with mean score of ۵۶.۵ had the most and physicians with mean score of ۴۵.۱ had the least perceived discrimination from the implementation of the health system reform plan. Increased health costs was associated with increased perceived discrimination while higher socioeconomic status and care services was associated with decreased perceived discrimination.   Conclusion: The results of this study showed that the implementation of the health system reform plan has led to different levels of discriminatory perception among staff of educational institutions.  

Keywords:

Health System Development Plan , Perceived Discrimination , Justice , Educational Organization , Rafsanjan