基于政策分析三角框架的伊朗贫困地区医生保留政策分析

Mohammad Alimoradnori, Asgar Aghaei Hashjin, Badrye Karami
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引用次数: 0

摘要

背景:世界卫生组织(WHO)建议保留医生政策,以实现卫生系统和公平获得卫生服务的目标。本研究的目的是对贫困地区医生保留的政策进行分析,并对该计划的改进提出一些建议。方法:采用Walt和Gilson的三角框架和Kingdon的多流理论对政策进行定性研究。通过对30名参与者的深度半结构化访谈和对上游法律法规的回顾,收集了数据。在那之后,所有的采访都被记录、转录和审查。然后通过MAXQDA/12和内容分析对数据进行分析。结果:本研究根据政策背景、内容和过程以及在政策设计和实施中发挥重要作用的行动者进行了分类。结论:在农村地区保留医生的政策需要得到该国大多数政治和卫生当局的支持,并为保健提供者提供基础设施。这项政策不仅提高了服务质量,而且有效地增加了贫困地区患者获得保健服务的机会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Policy Analysis of Retention of Physicians in Deprived Areas in Iran Using a Framework of Policy Analysis Triangle
Background: The retention of physicians' policy is recommended by the World Health Organization (WHO) to achieve the goals of the health system and justice in access to health services. The aim of this study was policy analysis of retention of physicians in deprived areas and providing some recommendations for improvement of this plan. Methods: This was a qualitative study regarding policy which used Walt and Gilson's triangle framework and Kingdon's multiple streams. Data were collected using a deep semi-structured interview with 30 participants and a review of upstream laws and regulations. After that, all the interviews were recorded, transcribed, and reviewed. Then, data were analyzed through MAXQDA/12 and content analysis. Results: The findings of this study were categorized according to the policy context, content, and process, and actors who played a significant role in designing and implementing this policy. Conclusion: The policy of retaining physicians in rural areas requires the support of the majority of the country's political and health authorities, and providing infrastructure for health providers. This policy not only increases the quality of services, but also is effective in increasing the patients' access to healthcare services in deprived areas.
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