A Model for Effective Implementation of Health Policy in Iran
Background: Policies will be communicated to administrators after being drafted and approved. Sometimes, they undergo changes at the implementation stage that remove them from their goals. The aim of this study was to provide a model to improve the quality of policy implementation in the health syst...
| Main Authors: | , , |
|---|---|
| 格式: | 文件 |
| 语言: | fas |
| 出版: |
Shahid Sadoughi University of Medical Sciences
2019-09-01
|
| 丛编: | Rāhburdhā-yi Mudīriyyat dar Niẓām-i Salāmat |
| 主题: | |
| 在线阅读: | http://mshsj.ssu.ac.ir/article-1-286-en.html |
| _version_ | 1828865935165882368 |
|---|---|
| author | Zahra Maesoumi Mehdi Sanei Hadi Hematian |
| author_facet | Zahra Maesoumi Mehdi Sanei Hadi Hematian |
| author_sort | Zahra Maesoumi |
| collection | DOAJ |
| description | Background: Policies will be communicated to administrators after being drafted and approved. Sometimes, they undergo changes at the implementation stage that remove them from their goals. The aim of this study was to provide a model to improve the quality of policy implementation in the health system of Iran.
Methods: This qualitative study was conducted in 2018. In order to collect the required information, a library method was used by not taking tool and in the second field stage, exploratory interviewing tool was applied. The study population consisted of the senior managers in the Ministry of Health, heads of the medical universities, and government hospitals. In this research, targeted and snowball sampling methods were used to select the interviewees. A total of 33 interviews were conducted. For analysis of the data, the database analysis was used and for modeling a system attitude was applied. Also, for the purpose of model testing, narrative interviews were used.
Results: After recording the collected data and removing the repetitive components of the exploratory interviews and research background,
115 statements were identified. After the open encryption, 115 concepts were introduced. Finally, by axial and selective encodings, 9 components were determined: general culture, structure, information, policy quality, implementation style, rules and regulations, resource allocation, empowerment, and environment. Each of these components had dimensions and characteristics, which made a total of 46 indicators associated with capacity building of the health system policies.
Conclusion: Improved quality of the policies' implementation in various layers of the health system leads to a mutual trust between the health system of Iran and various levels of the target community, increases motivation, strengthens the spirit of cooperation, improves sharing efforts and teamwork among the executives, and provides an optimal context for emergence of creativity and innovation in implementation of policies, promotes health indicators in the community, and gains credibility for the health system of Iran. |
| first_indexed | 2024-12-13T04:39:36Z |
| format | Article |
| id | doaj.art-918bcc97092447c8a1e4140f5cd0605e |
| institution | Directory Open Access Journal |
| issn | 2476-6879 2538-1563 |
| language | fas |
| last_indexed | 2024-12-13T04:39:36Z |
| publishDate | 2019-09-01 |
| publisher | Shahid Sadoughi University of Medical Sciences |
| record_format | Article |
| series | Rāhburdhā-yi Mudīriyyat dar Niẓām-i Salāmat |
| spelling | doaj.art-918bcc97092447c8a1e4140f5cd0605e2022-12-21T23:59:21ZfasShahid Sadoughi University of Medical SciencesRāhburdhā-yi Mudīriyyat dar Niẓām-i Salāmat2476-68792538-15632019-09-0142125135A Model for Effective Implementation of Health Policy in IranZahra Maesoumi0Mehdi Sanei1Hadi Hematian2 Ph.D. student of Policy Making, School of Humanities, Islamic Azad University, Semnan Branch, Semnan, Iran Assistant Professor, Department of Public Administration, School of Humanities, Islamic Azad University, Shahrood Branch, Semnan, Iran Assistant Professor, Department of Public Administration, School of Humanities, Islamic Azad University, Semnan Branch, Semnan, Iran Background: Policies will be communicated to administrators after being drafted and approved. Sometimes, they undergo changes at the implementation stage that remove them from their goals. The aim of this study was to provide a model to improve the quality of policy implementation in the health system of Iran. Methods: This qualitative study was conducted in 2018. In order to collect the required information, a library method was used by not taking tool and in the second field stage, exploratory interviewing tool was applied. The study population consisted of the senior managers in the Ministry of Health, heads of the medical universities, and government hospitals. In this research, targeted and snowball sampling methods were used to select the interviewees. A total of 33 interviews were conducted. For analysis of the data, the database analysis was used and for modeling a system attitude was applied. Also, for the purpose of model testing, narrative interviews were used. Results: After recording the collected data and removing the repetitive components of the exploratory interviews and research background, 115 statements were identified. After the open encryption, 115 concepts were introduced. Finally, by axial and selective encodings, 9 components were determined: general culture, structure, information, policy quality, implementation style, rules and regulations, resource allocation, empowerment, and environment. Each of these components had dimensions and characteristics, which made a total of 46 indicators associated with capacity building of the health system policies. Conclusion: Improved quality of the policies' implementation in various layers of the health system leads to a mutual trust between the health system of Iran and various levels of the target community, increases motivation, strengthens the spirit of cooperation, improves sharing efforts and teamwork among the executives, and provides an optimal context for emergence of creativity and innovation in implementation of policies, promotes health indicators in the community, and gains credibility for the health system of Iran.http://mshsj.ssu.ac.ir/article-1-286-en.htmlPolicy makingPolicy implementationSystem model |
| spellingShingle | Zahra Maesoumi Mehdi Sanei Hadi Hematian A Model for Effective Implementation of Health Policy in Iran Rāhburdhā-yi Mudīriyyat dar Niẓām-i Salāmat Policy making Policy implementation System model |
| title | A Model for Effective Implementation of Health Policy in Iran |
| title_full | A Model for Effective Implementation of Health Policy in Iran |
| title_fullStr | A Model for Effective Implementation of Health Policy in Iran |
| title_full_unstemmed | A Model for Effective Implementation of Health Policy in Iran |
| title_short | A Model for Effective Implementation of Health Policy in Iran |
| title_sort | model for effective implementation of health policy in iran |
| topic | Policy making Policy implementation System model |
| url | http://mshsj.ssu.ac.ir/article-1-286-en.html |
| work_keys_str_mv | AT zahramaesoumi amodelforeffectiveimplementationofhealthpolicyiniran AT mehdisanei amodelforeffectiveimplementationofhealthpolicyiniran AT hadihematian amodelforeffectiveimplementationofhealthpolicyiniran AT zahramaesoumi modelforeffectiveimplementationofhealthpolicyiniran AT mehdisanei modelforeffectiveimplementationofhealthpolicyiniran AT hadihematian modelforeffectiveimplementationofhealthpolicyiniran |