A Successful implementation of an idea to a nationally approved plan: Analyzing Iran\'s National Health Roadmap using the Kingdon model of policymaking

نویسندگان

  • Abedin Iranpour HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
  • Ali Jannati Iranian Center of Excellence in Health Management (IceHM), School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.
  • Ali Maher Department of Health Policy, School of Medical Education, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  • Ali Rezapour Human Resources. Head of Hospital Administration and Clinical Services Excellence. Ardabil University of Medical Sciences, Ardabil, Iran.
  • Ali Akbar Haghdoost Modeling in Health Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
  • Ali Reza Khajehmirzaei MD, vice-chancellery of treatment, Shahroud University of Medical Sciences, Shahroud, Iran.
  • Amin Torabipour Department of Health Services Management, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
  • Amir M. Javadi Executive director, Iranian healthcare information Observatory, Researcher of Noor Ophthalmology Research Center, Tehran, Iran.
  • Asma Sabermahani Research Center for Health Services Management, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
  • Bahareh Pirhayati Expert Statistics, Unit of Statistics, Ilam University of Medical Science, Ilam, Iran.
  • Behzad Kalantari MD, Department of Planning, Deputy of Curative Affaire, MOHME, Tehran, Iran.
  • Elahe Souri Deputy of Curative Affaire, Hamadan University of Medical Science, Hamadan, Iran.
  • Fatemeh Moeen Samadani Department of Statistics, Deputy of Curative Affaire, Kerman University of Medical Sciences, Kerman, Iran.
  • Ghasem Janbabaee Department of Hematology-Oncology, Gastrointestinal Cancer Research Center, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.
  • Gholamreza Khademi Assistant Director of Medical Accident and Emergency Management Center, Kerman University of Medical Sciences, Kerman, Iran.
  • Hajar Haghighi Research Center for Health Services Management, Future Studies Research Center in Health, Kerman University of Medical Sciences, Kerman, Iran.
  • Hamed Rouhanizadeh Department of Pediatrics, Mazandaran University of Medical Sciences, Sari, Iran.
  • Hamid Allahyari Golestan University of Medical Sciences, Gorgan, Iran.
  • Hamidreza Rashidi Nejad Research Center for Modeling in Health, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
  • Hassan Hashemi Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
  • Jamal Eftekhari Department of clinical affairs, Urmia university of medical sciences, Urmia, Iran.
  • Javad Derakhshani Health Information Officer, Tabriz University of Medical Sciences, Tabriz, Iran.
  • Kaveh Nouhi Bezanjani Master of Public Administration, Research Center for Health Services Management, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
  • Mahamad Reza Rajabalipour Supervisor of Public Health Department in School of Public Health in Bam University of Medical Sciences, Bam, Iran.
  • Mahmoud Kazemi Department of Statistics, Deputy of Curative Affaire, Kermanshah University of Medical Sciences, Kermanshah, Iran.
  • Maryam Maki Department of Environmental Health, School of public Health, Kerman University of Medical Sciences, Kerman, Iran.
  • Masoud Ferdosi Health Management and Economics Research Center (HMERC), Isfahan University of Medical Sciences, Isfahan, Iran.
  • Mohammad Haji-Aghajani Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  • Mohammad Keshvari Department of Health Services Management, School of Medical Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
  • Mohammad Hossein Mehralhasani Medical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
  • Mohammad Taghi Fathalian Management of Diseases, Diagnosis & Treatment Center, Semnan University of Medical Sciences, Semnan, Iran.
  • Mohsen Mohammadi Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran.
  • Monireh Falakbaz Department of Statistics, Deputy of Curative Affaire, Guilan University of Medical Sciences, Rasht, Iran.
  • Nahid Farrokhyar Department of Planning, Deputy of Curative Affaire, MOHME, Tehran, Iran.
  • Parisa Khaterneshanian fam Head of hospital administration and clinical services excellence. Treatment dept. Faculty of medical sciences and health services, Maragheh. Maragheh, Iran.
  • Payam Rastbin Department of Statistics, Deputy of Curative Affaire, medical university of Kurdestan, Iran.
  • Reza Dehnavieh Medical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
  • Rohaneh Rahimisadegh Research Center for Health Services Management, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
  • Samira Emadi Research Center for Health Services Management, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
  • Somayeh Noori Hekmat Modeling in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
چکیده مقاله:

Introduction: Hospital beds, human resources, and medical equipment are the costliest elements in the health system and play an essential role at the time of treatment. In this paper, different phases of the NEDA 2026 project and its methodological approach were presented and its formulation process was analysed using the Kingdon model of policymaking.    Methods: Iran Health Roadmap (NEDA 2026) project started in March 2016 and ended in March 2017. The main components of this project were hospital beds, clinical human resources, specialist personnel, capital medical equipment, laboratory facilities, emergency services, and service delivery model.  Kingdon model of policymaking was used to evaluate NEDA 2026 development and implementation. In this study, all activities to accomplish each step in the Kingdon model was described.    Results: The followings were done to accomplish the goals of each step: collecting experts’ viewpoint (problem identification and definition), systematic review of the literature, analysis of previous experiences, stakeholder analysis, economic analysis, and feasibility study (solution appropriateness analysis), three-round Delphi survey (policy survey and scrutinization), and intersectoral and interasectoral agreement (policy legislation).    Conclusion:  In the provision of an efficient health service, various components affect each other and the desired outcome, so they need to be considered as parts of an integrated system in developing a roadmap for the health system. Thus, this study demonstrated the cooperation process at different levels of Iran’s health system to formulate a roadmap to provide the necessary resources for the health sector for the next 10 years and to ensure its feasibility using the Kingdon policy framework.    

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عنوان ژورنال

دوره 32  شماره 1

صفحات  262- 267

تاریخ انتشار 2018-02

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