The Reasons Why Laws and Policies Developed in Irans Health Sector are not Implemented Effectively
Background and Aim: Many health policies are not implemented or incompletely implemented after approval. This issue significantly reduces the popularity and responsiveness of the top managers of the health system and leads to service disruption in the target community. Therefore, this study was cond...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | fas |
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Tehran University of Medical Sciences
2023-01-01
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| Series: | پیاورد سلامت |
| Subjects: | |
| Online Access: | http://payavard.tums.ac.ir/article-1-7312-en.pdf |
| _version_ | 1797800633255854080 |
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| author | Mohammad Javad Kabir Alireza Heidari Nahid Jafari Honarvar Mohammad Reza Sajad Moeini Zahra Khatirnamani |
| author_facet | Mohammad Javad Kabir Alireza Heidari Nahid Jafari Honarvar Mohammad Reza Sajad Moeini Zahra Khatirnamani |
| author_sort | Mohammad Javad Kabir |
| collection | DOAJ |
| description | Background and Aim: Many health policies are not implemented or incompletely implemented after approval. This issue significantly reduces the popularity and responsiveness of the top managers of the health system and leads to service disruption in the target community. Therefore, this study was conducted to explain the existing challenges in the implementation of health policies.
Materials and Methods: A qualitative study was conducted in 2021. The participants in the study were 20 scientific and executive experts. The data was collected using an interview guide and the in-depth individual interview method and was analyzed using the content analysis method using thematic analysis with Graneheim and Lundman's approach.
Results: The challenges include the policies formulation (lack of evidence-informed decision-making, lack of attention to the details of the implementation, the change of the initial text of the policy, conflict of interests, unclarity the executives, the lack of proper integration between the political and technical components of the policies, the weak participation of the main stakeholders, the lack of the same understanding of policies concept between policy makers and executives and lack of budget forecasting), challenges of policies implementation (uncertainty about roles of executive organizations, lack of executive attachment, conflict of interest, lack of project management, change of formulated policies with change of executives, little belief among executives, lack of executive guarantee, lack of operational plan) and challenges of policies evaluation (Inadequate supervision and the absence of an informational and supervisory dashboard).
Conclusion: Using effective solutions to solve the challenges extracted in the stages of formulation, implementation and evaluation of health policies can lead to achieving the goals of the formulated policies and improving the health of the society. |
| first_indexed | 2024-03-13T04:37:11Z |
| format | Article |
| id | doaj.art-43156e5f3ce84dc5ae6fac9fd0c40fba |
| institution | Directory Open Access Journal |
| issn | 1735-8132 2008-2665 |
| language | fas |
| last_indexed | 2024-03-13T04:37:11Z |
| publishDate | 2023-01-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | پیاورد سلامت |
| spelling | doaj.art-43156e5f3ce84dc5ae6fac9fd0c40fba2023-06-19T06:41:46ZfasTehran University of Medical Sciencesپیاورد سلامت1735-81322008-26652023-01-01166467479The Reasons Why Laws and Policies Developed in Irans Health Sector are not Implemented EffectivelyMohammad Javad Kabir0Alireza Heidari1Nahid Jafari2Honarvar Mohammad Reza3Sajad Moeini4Zahra Khatirnamani5 Associate Professor, The Iranian Academy of Medical Sciences, Tehran, Iran; Health Management and Social Development Research Center, Golestan University of Medical Sciences, Gorgan, Iran Assistant Professor, Health Management and Social Development Research Center, Golestan University of Medical Sciences, Gorgan, Iran Assistant Professor, Health Management and Social Development Research Center, Golestan University of Medical Sciences, Gorgan, Iran Assistant Professor, Health Management and Social Development Research Center, Golestan University of Medical Sciences, Gorgan, Iran Ph.D. Candidate in Health Policy, Health Management and Social Development Research Center, Golestan University of Medical Sciences, Gorgan, Iran Master of Science in Biostatistics, Health Management and Social Development Research Center, Golestan University of Medical Sciences, Gorgan, Iran Background and Aim: Many health policies are not implemented or incompletely implemented after approval. This issue significantly reduces the popularity and responsiveness of the top managers of the health system and leads to service disruption in the target community. Therefore, this study was conducted to explain the existing challenges in the implementation of health policies. Materials and Methods: A qualitative study was conducted in 2021. The participants in the study were 20 scientific and executive experts. The data was collected using an interview guide and the in-depth individual interview method and was analyzed using the content analysis method using thematic analysis with Graneheim and Lundman's approach. Results: The challenges include the policies formulation (lack of evidence-informed decision-making, lack of attention to the details of the implementation, the change of the initial text of the policy, conflict of interests, unclarity the executives, the lack of proper integration between the political and technical components of the policies, the weak participation of the main stakeholders, the lack of the same understanding of policies concept between policy makers and executives and lack of budget forecasting), challenges of policies implementation (uncertainty about roles of executive organizations, lack of executive attachment, conflict of interest, lack of project management, change of formulated policies with change of executives, little belief among executives, lack of executive guarantee, lack of operational plan) and challenges of policies evaluation (Inadequate supervision and the absence of an informational and supervisory dashboard). Conclusion: Using effective solutions to solve the challenges extracted in the stages of formulation, implementation and evaluation of health policies can lead to achieving the goals of the formulated policies and improving the health of the society.http://payavard.tums.ac.ir/article-1-7312-en.pdflawspoliciespolicy makinghealth sectorimplementation |
| spellingShingle | Mohammad Javad Kabir Alireza Heidari Nahid Jafari Honarvar Mohammad Reza Sajad Moeini Zahra Khatirnamani The Reasons Why Laws and Policies Developed in Irans Health Sector are not Implemented Effectively پیاورد سلامت laws policies policy making health sector implementation |
| title | The Reasons Why Laws and Policies Developed in Irans Health Sector are not Implemented Effectively |
| title_full | The Reasons Why Laws and Policies Developed in Irans Health Sector are not Implemented Effectively |
| title_fullStr | The Reasons Why Laws and Policies Developed in Irans Health Sector are not Implemented Effectively |
| title_full_unstemmed | The Reasons Why Laws and Policies Developed in Irans Health Sector are not Implemented Effectively |
| title_short | The Reasons Why Laws and Policies Developed in Irans Health Sector are not Implemented Effectively |
| title_sort | reasons why laws and policies developed in irans health sector are not implemented effectively |
| topic | laws policies policy making health sector implementation |
| url | http://payavard.tums.ac.ir/article-1-7312-en.pdf |
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