A Successful implementation of an idea to a nationally approved plan: Analyzing Iran's National Health Roadmap using the Kingdon model of policymaking.

Autor: Hashemi H; Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran., Haghdoost AA; Modeling in Health Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran., Haji-Aghajani M; Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Janbabaee G; Department of Hematology-Oncology, Gastrointestinal Cancer Research Center, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran., Maher A; Department of Health Policy, School of Medical Education, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Noori Hekmat S; Modeling in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran., Javadi AM; Executive director, Iranian healthcare information Observatory, Researcher of Noor Ophthalmology Research Center, Tehran, Iran., Rahimisadegh R; Research Center for Health Services Management, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran., Emadi S; Research Center for Health Services Management, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran., Rajabalipour MR; Supervisor of Public Health Department in School of Public Health in Bam University of Medical Sciences, Bam, Iran., Haghighi H; Research Center for Health Services Management, Future Studies Research Center in Health, Kerman University of Medical Sciences, Kerman, Iran., Dehnavieh R; Medical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran., Ferdosi M; Health Management and Economics Research Center (HMERC), Isfahan University of Medical Sciences, Isfahan, Iran., Khademi G; Assistant Director of Medical Accident and Emergency Management Center, Kerman University of Medical Sciences, Kerman, Iran., Mehralhasani MH; Medical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran., Sabermahani A; Research Center for Health Services Management, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran., Bezanjani KN; Master of Public Administration, Research Center for Health Services Management, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran., Iranpour A; HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran., RashidiNejad H; Research Center for Modeling in Health, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran., Samadani FM; Department of Statistics, Deputy of Curative Affaire, Kerman University of Medical Sciences, Kerman, Iran., Maki M; Department of Environmental Health, School of public Health, Kerman University of Medical Sciences, Kerman, Iran., Kalantari B; MD, Department of Planning, Deputy of Curative Affaire, MOHME, Tehran, Iran., Farrokhyar N; Department of Planning, Deputy of Curative Affaire, MOHME, Tehran, Iran., Rouhanizadeh H; Department of Pediatrics, Mazandaran University of Medical Sciences, Sari, Iran., Falakbaz M; Department of Statistics, Deputy of Curative Affaire, Guilan University of Medical Sciences, Rasht, Iran., Allahyari H; Golestan University of Medical Sciences, Gorgan, Iran., Fathalian MT; Management of Diseases, Diagnosis & Treatment Center, Semnan University of Medical Sciences, Semnan, Iran., Khajehmirzaei AR; MD, vice-chancellery of treatment, Shahroud University of Medical Sciences, Shahroud, Iran., Jannati A; Iranian Center of Excellence in Health Management (IceHM), School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran., Derakhshani J; Health Information Officer, Tabriz University of Medical Sciences, Tabriz, Iran., Rezapour A; Human Resources. Head of Hospital Administration and Clinical Services Excellence. Ardabil University of Medical Sciences, Ardabil, Iran., Eftekhari J; Department of clinical affairs, Urmia university of medical sciences, Urmia, Iran., Khaterneshanian Fam P; Head of hospital administration and clinical services excellence. Treatment dept. Faculty of medical sciences and health services, Maragheh. Maragheh, Iran., Kazemi M; Department of Statistics, Deputy of Curative Affaire, Kermanshah University of Medical Sciences, Kermanshah, Iran., Mohammadi M; Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran., Rastbin P; Department of Statistics, Deputy of Curative Affaire, medical university of Kurdestan, Iran., Pirhayati B; Expert Statistics, Unit of Statistics, Ilam University of Medical Science, Ilam, Iran., Souri E; Deputy of Curative Affaire, Hamadan University of Medical Science, Hamadan, Iran., Torabipour A; Department of Health Services Management, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran., Keshvari M; Department of Health Services Management, School of Medical Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran., Alikhani N; Faculty of Management and Economics, Science and Research Branch, Islamic Azad University, Tehran, Iran., Salehi L; Head of The Policy and Strategic Planning Division, the Chancellor and Chief Executive Office, Shiraz University of Medical Sciences., Moradi M; Senior expert in the policy-making and planning center of Shiraz University of Medical Sciences, Shiraz University of Medical Sciences, Shiraz, Iran., Aghajaniyan S; Shiraz University of Medical Sciences., Hedayati A; Shiraz University of Medical Sciences, Shiraz, Iran., Kargar M; Jahrom University of Medical Sciences, Jahrom, Iran., Sharifi L; Nursing Director of Bandar Abbas University of Medical Sciences, Iran., OmraniKhoo H; Department of Public Health, Faculty of health, Bushehr University of Medical Sciences, Bushehr, Iran., Poursamad A; Yasuj University of Medical Science, Yasuj, Iran., Amrolahi Boyuki N; Head of Administrative Affairs and Human Resources Department of Treatment, Alborz University of Medical Science, Alborz, Iran., Zarei Z; Qum University of Medical Sciences. Qum. Iran., Sahraei Z; Vice-Chancellor in Treatment Affairs, Qazvin University of Medical Science, Qazvin, Iran., Keshavaez A; Vice-Chancellor in Treatment Affairs, Qazvin University of Medical Science, Qazvin, Iran., Sadeghi M; Arak university of medical science, Arak, Iran., Abdollahi Sabet S; Department of Community Medicine, Faculty of Medicine Zanjan University of Medical Sciences, Zanjan, Iran., Taiari K; Deputy of Curative Affaire, Saveh university of medical sciences, Saveh. Iran., Koohpayehzadeh J; Preventive Medicine & Public Health Research Center, Iran University of Medical Sciences, Tehran, Iran., Moazam E; Cancer Prevention Research Center, Isfahan University of Medical Science, Iran., Dehghani Tafti A; School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran., Forghani Dehnavi SS; Shahrekord University of Medical Sciences, Shahrekord, Iran., Rezaei Barownaghi M; Kashan University Medical Science, Iran., Jafari H; Department of Statistics, Deputy of Curative Affaire, Rafsanjan University of Medical Sciences, Rafsanjan, Iran., Foroghifar S; Department of Statistics, Deputy of Curative Affaire, Bam University of Medical Sciences, Kerman, Iran., Arefnejad M; Department of Statistics, Deputy of Curative Affaire, Zabol University of Medical Sciences, Zabol, Iran., Ebrahimipou H; Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran., Sedaghat M; Department of Community Medicine, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran., Mehdipoor S; Colorectal Research Center, Iran University of Medical Sciences, Tehran, Iran., Mollajafari F; Vice- Chancellor's Office in Treatment Affairs, Health Economy, Standard and Health Technology Office, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Forouzan R; Deputy of Curative Affaire, Sabzevar University of Medical Sciences, Sabzevar, Iran., Meskini Mood S; Deputy of Curative Affaire, Zahedan University of Medical Sciences, Zahedan, Iran., Sharifpour S; Deputy treatment, Babol University of Medical Sciences, Babol Iran., Adel A; Department of management sciences and health economics, school of Health, Mashhad University of Medical Sciences, Mashhad, Iran., Nirouand S; Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran., Ghaznavi GR; Department of Statistics, Deputy of Curative Affaire, Jiroft University of Medical Sciences, Jiroft, Iran., Zamanzadeh R; North Khorasan University of Medical Sciences, Bojnurd, Iran., Etesam K; The Coordination Office for Insurance, Tariffs and Standards, Birjand University of Medical Sciences, Birjand, Iran., Dalili M; The Coordination Office for Insurance, Tariffs and Standards, Kerman University of Medical Sciences, Kerman, Iran., Jafari Siriz M; Kerman Insurance Organization, Kerman, Iran., Omidifar R; Lorestan University of Medical Sciences, Khorramabad, Iran.
Jazyk: angličtina
Zdroj: Medical journal of the Islamic Republic of Iran [Med J Islam Repub Iran] 2018 Jun 06; Vol. 32, pp. 46. Date of Electronic Publication: 2018 Jun 06 (Print Publication: 2018).
DOI: 10.14196/mjiri.32.46
Abstrakt: Introduction: Hospital beds, human resources, and medical equipment are the costliest elements in the health system and play an essential role at the time of treatment. In this paper, different phases of the NEDA 2026 project and its methodological approach were presented and its formulation process was analysed using the Kingdon model of policymaking. Methods: Iran Health Roadmap (NEDA 2026) project started in March 2016 and ended in March 2017. The main components of this project were hospital beds, clinical human resources, specialist personnel, capital medical equipment, laboratory facilities, emergency services, and service delivery model. Kingdon model of policymaking was used to evaluate NEDA 2026 development and implementation. In this study, all activities to accomplish each step in the Kingdon model was described. Results: The followings were done to accomplish the goals of each step: collecting experts' viewpoint (problem identification and definition), systematic review of the literature, analysis of previous experiences, stakeholder analysis, economic analysis, and feasibility study (solution appropriateness analysis), three-round Delphi survey (policy survey and scrutinization), and intersectoral and interasectoral agreement (policy legislation). Conclusion: In the provision of an efficient health service, various components affect each other and the desired outcome, so they need to be considered as parts of an integrated system in developing a roadmap for the health system. Thus, this study demonstrated the cooperation process at different levels of Iran's health system to formulate a roadmap to provide the necessary resources for the health sector for the next 10 years and to ensure its feasibility using the Kingdon policy framework.
Databáze: MEDLINE