Challenges and executive requirements of advanced health system governance based on general health policies in Iran: qualitative research
Rattachement africain : ir. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
OBJECTIVE: The optimal management of the health system depends on its functions. The functional issues of Iran's health system are organized in a scattered manner and it has many challenges, especially in the field of stewardship. In order to achieve sustainable health-oriented development, bold and smart policy reforms in the main components of the health system are essential. The purpose of this study was to identify challenges and institutional-operational requirements in order to promote stewardship based on the general health policies of the country. METHODS: This study was conducted qualitatively with a framework analysis approach on policy makers and health experts. Purposive sampling was done with maximum diversity. To achieve a comprehensive view, snowball sampling was completed, resulting in the participation of 47 individuals in this study. A semi-structured interview was used to collect data. The analysis was done in MAXQDA software. RESULTS: Challenges and requirements for the implementation of General Health Policy tasks in promoting the function of stewardship, according to the World Health Organization model, in 3 fields of vital evidence production and policymaking (4 main topics and 20 sub-topics), internal governance (6 main topics and 23 subtopics) and Inter-Sectoral Leadership (2 main topics and 6 subtopics) were categorized. The most important challenges in the field of stewardship included fragmentation, the lack of an integrated information system and coherent and coordinated evidence production institutions, and weakness in the supervisory dimension due to the fatness of the structure, conflict of interests, and lack of transparency in responsibilities. CONCLUSION: It seems that the creation of comprehensive governance structures in the form of a network in active interaction with the Secretariat of the Supreme Council of Health and Food Safety, the development of the information system, the coordination of vital evidence production institutions, capacity building to strengthen intra-sectoral governance and inter-sectoral leadership and create a suitable platform be effective for public participation.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Challenges and executive requirements of advanced health system governance based on general health policies in Iran: qualitative research
- Date Crossref
- 30/11/2024
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Ministry of Health and Medical Education pays non établi dans la noticeOrganisme public
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Shahid Sadoughi University of Medical Sciences and Health Services pays non établi dans la noticeUniversité ou école supérieure
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Iran University of Medical Sciences pays non établi dans la noticeUniversité ou école supérieure
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Tehran University of Medical Sciences National Institute for Health Research pays non établi dans la noticeUniversité ou école supérieure
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Shiraz University of Medical Sciences pays non établi dans la noticeUniversité ou école supérieure
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School of Public Health Health Policy and Management Research Center pays non établi dans la noticeUniversité ou école supérieure
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School of Health Management & Information Sciences Department of Healthcare Services Management pays non établi dans la noticeUniversité ou école supérieure
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School of Health Management and Information Sciences Student Research Committee pays non établi dans la noticeUniversité ou école supérieure
Ministry of Health and Medical Education, Shahid Sadoughi University of Medical Sciences and Health Services et Iran University of Medical Sciences, avec 5 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.