Reviewing the National Health Services Quality Policies and Strategies of the Iranian Health System: A Document Analysis.

IF 1.7 Q2 MEDICINE, GENERAL & INTERNAL
International Journal of Preventive Medicine Pub Date : 2023-08-28 eCollection Date: 2023-01-01 DOI:10.4103/ijpvm.ijpvm_1_22
Razieh Fallah, Mohammadreza Maleki, Aidin Aryankhesal, Aliakbar Haghdoost
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引用次数: 0

Abstract

Background: High-quality health care is an important component of efforts to reach Universal Health Coverage (UHC). Given this pivotal fact, poor quality of care is a significant bottleneck in the endeavors of Iran to UHC. This study was part of a broader qualitative study and aimed to provide supplementary data about the documents related to the National Quality Policies and Strategies (NQPS) health services in the health system of Iran to determine the degree of alignment with the World Health Organization (WHO) approach for NQPS, and to track change and development over time.

Methods: This document analysis was performed following the READ approach for systematic document analysis in health policy research. Furthermore, qualitative content analysis following parallel forms of the mixed analysis in which the textual material proceeded with different inductive and deductive content-analytical procedures simultaneously, applying the WHO practical approach for NQPS, was selected.

Results: The 15 included records that met the inclusion criteria were released in the post-Islamic Revolution period. The Ministry of Health was found as the most responsible authority for publishing the NQPS among the other authorities. Furthermore, 67% of NQPS was aligned with the goals and priorities of a broader national plan or policy. Contradictions, variations, and ambiguities were also found in the literature circumstances of the NQPS. There was no NQPS concentrated on the entire pathway of care in the Iranian health system, which developed according to the WHO approach for NQPS.

Conclusions: Qualitative analysis of the current NQPSs based on the eight inter-dependent elements and critical supplements, the technical perspective of broad stakeholders, community engagement, and steady commitment of policymakers are our recommendations for future efforts towards having NQPS.

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回顾伊朗卫生系统的国家卫生服务质量政策和战略:文献分析。
背景:高质量的医疗保健是实现全民健康覆盖的重要组成部分。鉴于这一关键事实,低质量的护理是伊朗实现全民健康覆盖努力的一个重大瓶颈。这项研究是一项更广泛的定性研究的一部分,旨在提供有关伊朗卫生系统国家质量政策和战略(NQPS)卫生服务相关文件的补充数据,以确定与世界卫生组织(世界卫生组织)NQPS方法的一致程度,并跟踪一段时间内的变化和发展。方法:本文件分析遵循READ方法进行,用于卫生政策研究中的系统文件分析。此外,采用世界卫生组织的NQPS实用方法,采用混合分析的平行形式进行定性内容分析,其中文本材料同时进行不同的归纳和演绎内容分析程序。结果:符合入选标准的15份入选记录是在后伊斯兰革命时期发布的。在其他机构中,卫生部被认为是发布NQPS最负责任的机构。此外,67%的NQPS符合更广泛的国家计划或政策的目标和优先事项。在NQPS的文献环境中也发现了矛盾、变异和歧义。在伊朗卫生系统中,没有集中于整个护理途径的NQPS,这是根据世界卫生组织的NQPS方法开发的。结论:基于八个相互依赖的要素和关键补充、广泛利益相关者的技术观点、社区参与、,政策制定者的坚定承诺是我们对未来建立NQPS的建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
International Journal of Preventive Medicine
International Journal of Preventive Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
3.20
自引率
4.80%
发文量
107
期刊介绍: International Journal of Preventive Medicine, a publication of Isfahan University of Medical Sciences, is a peer-reviewed online journal with Continuous print on demand compilation of issues published. The journal’s full text is available online at http://www.ijpvmjournal.net. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles on any OAI-compliant institutional / subject-based repository. The journal will cover technical and clinical studies related to health, ethical and social issues in field of Preventive Medicine. Articles with clinical interest and implications will be given preference.
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