How does the problem-oriented innovation system (PIS) help in the management of cardiovascular diseases?
IntroductionCardiovascular diseases are a multifaceted and complex problem in the health system that can change the priorities of the economic, social, and even political systems of countries. Therefore, as a grand challenge (GC), its management requires adopting a systematic, interdisciplinary, and...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2024-03-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1362716/full |
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| author | Shohreh Nasri Javad Amani Gelayol Safavi Sepehr Ghazinoory |
| author_facet | Shohreh Nasri Javad Amani Gelayol Safavi Sepehr Ghazinoory |
| author_sort | Shohreh Nasri |
| collection | DOAJ |
| description | IntroductionCardiovascular diseases are a multifaceted and complex problem in the health system that can change the priorities of the economic, social, and even political systems of countries. Therefore, as a grand challenge (GC), its management requires adopting a systematic, interdisciplinary, and innovative approach. In Iran, the most common causes of death, have changed from infectious and diarrheal diseases to cardiovascular diseases since 1960.MethodsIn this study, the novel framework of the problem-oriented innovation system (PIS) has been used, and cardiovascular diseases in Iran have been selected as a case study. To this end, first, the main challenges related to cardiovascular diseases in Iran were identified in two layers of “governance-centered” (including legal and policy gaps, insufficient education, financing, lack and unbalanced distribution of medical personnel) and “society driven” (including unhealthy diet and lifestyle, uncontrolled and hard-to-regulate factors, and high costs) through a library research. Then, the functional-structural framework of the problem-oriented innovation system was used to analyze cardiovascular diseases and provide policy recommendations.ResultsThe findings indicate that based on the eight functions of the problem-oriented innovation system, an important part of cardiovascular diseases can be managed and controlled in three short-term, medium-term, and long-term periods.ConclusionIncreasing public awareness in the form of university courses, participation of the government with the private sector in building and equipping specialized cardiovascular centers, creating an electronic health record from birth, implementing a family health plan focusing on less developed areas, supporting agriculture and guaranteeing the purchase of agricultural products and healthy food, increasing the capacity of accepting students in medical and paramedical fields, and allocating pharmaceutical currency in the form of pharmaceutical subsidies directly to cardiovascular patients, are among the most important policy recommendations for this grand challenge. |
| first_indexed | 2024-04-24T19:16:33Z |
| format | Article |
| id | doaj.art-90a97b75bb274aa282c78f8ccde0eed7 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-24T19:16:33Z |
| publishDate | 2024-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-90a97b75bb274aa282c78f8ccde0eed72024-03-26T04:58:17ZengFrontiers Media S.A.Frontiers in Public Health2296-25652024-03-011210.3389/fpubh.2024.13627161362716How does the problem-oriented innovation system (PIS) help in the management of cardiovascular diseases?Shohreh Nasri0Javad Amani1Gelayol Safavi2Sepehr Ghazinoory3Department of Science & Research Policy, National Research Institute for Science Policy, Tehran, IranDepartment of Information Technology Management, Tarbiat Modares University, Tehran, IranDepartment of Science & Research Policy, National Research Institute for Science Policy, Tehran, IranDepartment of Information Technology Management, Tarbiat Modares University, Tehran, IranIntroductionCardiovascular diseases are a multifaceted and complex problem in the health system that can change the priorities of the economic, social, and even political systems of countries. Therefore, as a grand challenge (GC), its management requires adopting a systematic, interdisciplinary, and innovative approach. In Iran, the most common causes of death, have changed from infectious and diarrheal diseases to cardiovascular diseases since 1960.MethodsIn this study, the novel framework of the problem-oriented innovation system (PIS) has been used, and cardiovascular diseases in Iran have been selected as a case study. To this end, first, the main challenges related to cardiovascular diseases in Iran were identified in two layers of “governance-centered” (including legal and policy gaps, insufficient education, financing, lack and unbalanced distribution of medical personnel) and “society driven” (including unhealthy diet and lifestyle, uncontrolled and hard-to-regulate factors, and high costs) through a library research. Then, the functional-structural framework of the problem-oriented innovation system was used to analyze cardiovascular diseases and provide policy recommendations.ResultsThe findings indicate that based on the eight functions of the problem-oriented innovation system, an important part of cardiovascular diseases can be managed and controlled in three short-term, medium-term, and long-term periods.ConclusionIncreasing public awareness in the form of university courses, participation of the government with the private sector in building and equipping specialized cardiovascular centers, creating an electronic health record from birth, implementing a family health plan focusing on less developed areas, supporting agriculture and guaranteeing the purchase of agricultural products and healthy food, increasing the capacity of accepting students in medical and paramedical fields, and allocating pharmaceutical currency in the form of pharmaceutical subsidies directly to cardiovascular patients, are among the most important policy recommendations for this grand challenge.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1362716/fullinnovation systemproblem-oriented innovation systemhealth policycardiovascular diseasesgrand challengemission-oriented innovation policy |
| spellingShingle | Shohreh Nasri Javad Amani Gelayol Safavi Sepehr Ghazinoory How does the problem-oriented innovation system (PIS) help in the management of cardiovascular diseases? Frontiers in Public Health innovation system problem-oriented innovation system health policy cardiovascular diseases grand challenge mission-oriented innovation policy |
| title | How does the problem-oriented innovation system (PIS) help in the management of cardiovascular diseases? |
| title_full | How does the problem-oriented innovation system (PIS) help in the management of cardiovascular diseases? |
| title_fullStr | How does the problem-oriented innovation system (PIS) help in the management of cardiovascular diseases? |
| title_full_unstemmed | How does the problem-oriented innovation system (PIS) help in the management of cardiovascular diseases? |
| title_short | How does the problem-oriented innovation system (PIS) help in the management of cardiovascular diseases? |
| title_sort | how does the problem oriented innovation system pis help in the management of cardiovascular diseases |
| topic | innovation system problem-oriented innovation system health policy cardiovascular diseases grand challenge mission-oriented innovation policy |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1362716/full |
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