Challenges and Weaknesses of Leadership and Governance-related Health Policies in Iran: A Systematic Review.

IF 1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Archives of Iranian Medicine Pub Date : 2024-09-01 DOI:10.34172/aim.28907

Rahim Khodayari-Zarnaq, Khorshid Mobasseri, Shabnam Ghasemyani, Fatemeh Sadeghi-Ghyassi, Maryam Naghshi, Neda Kabiri

{"title":"Challenges and Weaknesses of Leadership and Governance-related Health Policies in Iran: A Systematic Review.","authors":"Rahim Khodayari-Zarnaq, Khorshid Mobasseri, Shabnam Ghasemyani, Fatemeh Sadeghi-Ghyassi, Maryam Naghshi, Neda Kabiri","doi":"10.34172/aim.28907","DOIUrl":null,"url":null,"abstract":"Background: A better understanding of health system performance requires evaluating achievements and challenges, thereby providing a basis for effective reforms. This systematic review aims to investigate the challenges and weaknesses of leadership and governance-related health policies in Iran.Methods: In this qualitative systematic review, we followed the instructions of the Joanna Briggs Institute (JBI). It encompassed qualitative studies assessing challenges and weaknesses of leadership and governance-related health policies. Thematic synthesis was conducted in three stages to identify common themes.Results: The primary database search yielded 1890 records, of which 152 were fully assessed, resulting in the inclusion of 57 studies in this review. Thematic synthesis produced 157 structured codes and identified 11 main descriptive themes of challenges in leadership and governance-related health policies. These themes included hospital autonomy policy, challenges to the entire health system, governance of medical universities, healthcare payment systems, sustainable universal health insurance coverage, informal payments, insurance systems, induced demand, strategic purchasing of health services, the family physician program, family physician and rural health insurance programs, and primary healthcare human resources.Conclusion: The identified challenges underscore the urgent need for strategic reforms and interventions to overcome the complex issues plaguing the healthcare system. By addressing these challenges, policymakers and top healthcare managers might ensure that the population have access to high-quality care in a more responsive healthcare system.","PeriodicalId":55469,"journal":{"name":"Archives of Iranian Medicine","volume":"27 9","pages":"508-521"},"PeriodicalIF":1.0000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11496596/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Archives of Iranian Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.34172/aim.28907","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}

引用次数: 0

Abstract

Background: A better understanding of health system performance requires evaluating achievements and challenges, thereby providing a basis for effective reforms. This systematic review aims to investigate the challenges and weaknesses of leadership and governance-related health policies in Iran.

Methods: In this qualitative systematic review, we followed the instructions of the Joanna Briggs Institute (JBI). It encompassed qualitative studies assessing challenges and weaknesses of leadership and governance-related health policies. Thematic synthesis was conducted in three stages to identify common themes.

Results: The primary database search yielded 1890 records, of which 152 were fully assessed, resulting in the inclusion of 57 studies in this review. Thematic synthesis produced 157 structured codes and identified 11 main descriptive themes of challenges in leadership and governance-related health policies. These themes included hospital autonomy policy, challenges to the entire health system, governance of medical universities, healthcare payment systems, sustainable universal health insurance coverage, informal payments, insurance systems, induced demand, strategic purchasing of health services, the family physician program, family physician and rural health insurance programs, and primary healthcare human resources.

Conclusion: The identified challenges underscore the urgent need for strategic reforms and interventions to overcome the complex issues plaguing the healthcare system. By addressing these challenges, policymakers and top healthcare managers might ensure that the population have access to high-quality care in a more responsive healthcare system.

查看原文本刊更多论文

伊朗与领导力和治理有关的卫生政策面临的挑战和薄弱环节：系统回顾。

背景：要更好地了解卫生系统的绩效，就必须评估所取得的成就和面临的挑战，从而为有效改革奠定基础。本系统综述旨在调查伊朗与领导力和治理相关的卫生政策所面临的挑战和存在的不足：在这一定性系统综述中，我们遵循了乔安娜-布里格斯研究所（JBI）的指示。方法：在这一定性系统综述中，我们遵循了乔安娜-布里格斯研究所（JBI）的指示，对领导力和治理相关卫生政策所面临的挑战和薄弱环节进行了定性评估。专题综述分三个阶段进行，以确定共同的主题：主要数据库搜索共获得 1890 条记录，其中 152 条经过全面评估，最终有 57 项研究被纳入本综述。专题综述产生了 157 个结构化代码，并确定了领导力和治理相关卫生政策挑战的 11 个主要描述性主题。这些主题包括医院自治政策、整个医疗系统面临的挑战、医科大学的管理、医疗支付系统、可持续的全民医疗保险覆盖、非正式支付、保险系统、诱导需求、医疗服务战略采购、家庭医生计划、家庭医生和农村医疗保险计划以及初级医疗人力资源：已确定的挑战突出表明，迫切需要进行战略性改革和干预，以克服困扰医疗保健系统的复杂问题。通过应对这些挑战，政策制定者和医疗保健高层管理者可以确保民众在一个反应更迅速的医疗保健系统中获得高质量的医疗服务。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Archives of Iranian Medicine 医学-医学：内科

CiteScore

4.20

自引率

0.00%

发文量

审稿时长

3-8 weeks

期刊介绍： Aim and Scope: The Archives of Iranian Medicine (AIM) is a monthly peer-reviewed multidisciplinary medical publication. The journal welcomes contributions particularly relevant to the Middle-East region and publishes biomedical experiences and clinical investigations on prevalent diseases in the region as well as analyses of factors that may modulate the incidence, course, and management of diseases and pertinent medical problems. Manuscripts with didactic orientation and subjects exclusively of local interest will not be considered for publication.The 2016 Impact Factor of "Archives of Iranian Medicine" is 1.20.