The Iranian Health System Responsiveness after Implementation of Health Transformation Plan: A Study of Jahrom County in Southern Iran

Sarikhani, Yaser; Heydari, Seyed Taghi; Razmjou, Shafaq; Zare, Sousan

doi:10.5812/jhealthscope.12383

Cited by 3 publications

(2 citation statements)

References 7 publications

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“…The service delivery system has been strengthened with the presence of physicians, and health indicators have been improved. It was shown that the urban family physician program increased the accessibility of services (22,23).…”

Section: Discussionmentioning

confidence: 99%

Explaining the Role of Physicians in Urban Comprehensive Health Service Centers After Implementing Health Transformation Plan in Southeast of Iran: A Qualitative Study

Shahabianmoghaddam

Baygi

2022

Health Scope

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Background: Health transformation plan (HTP) in Iran was established in 2014 to promote primary health care through expanding and strengthening the first level of services in urban and rural areas. The activities of physicians and their colleagues in comprehensive health service centers have increased access and improved community health. Conducting various studies on the urban physicians’ roles can help policymakers achieve the goals. Objectives: This study aimed to explain the role of physicians working in urban, comprehensive health service centers after implementing the HTP. Methods: Participants in this qualitative study consisted of physicians, healthcare providers, managers, and experts, working in urban health centers selected by a purposive sampling method. The data were collected by semi-structured interviews. After data saturation, they were analyzed by conventional content analysis. Results: After interviewing 35 people and several stages of review, coding, and using the experience of experts, the data were classified into six main categories, 11 subcategories, and 33 codes. Factors influencing the role of physicians were service delivery, electronic health records, resources, community culture, monitoring, supervision, and practical suggestion. The participants expressed the workload, referral system, integrated electronic health record, financial resources, human resources, equipment, and public participation as some aspects related to the role of physicians. Conclusions: Based on the current study, human and financial resources should be managed to retain the physicians in this plan. In addition, increasing the quality of services, improving electronic health records, and attention to public culture can be considered.

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Section: Discussionmentioning

confidence: 99%

Explaining the Role of Physicians in Urban Comprehensive Health Service Centers After Implementing Health Transformation Plan in Southeast of Iran: A Qualitative Study

Shahabianmoghaddam

Baygi

2022

Health Scope

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“…Understanding the essential role of operational planning in organizational performance and the need to convert the sixth economic, social, and cultural five-year development plan into practical plans, in 2015, Iran's Ministry of Health and Medical Education (MoHME) launched the Health Operational Plan (HOP) in the health sector (7). The plan was mandated for all medical universities, blood transfusion organizations, and food and drug organizations throughout the country (4,8). In the aftermath of this effort, a performance monitoring system named Dashboard was established at the macro level of Iran's MoHME and at the levels of vice presidents and organizational heads.…”

Section: Introductionmentioning

confidence: 99%

Implementing a Joint Operational Plan in Medical Sciences Universities: A Qualitative Policy Analysis in Iran

et al. 2023

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Background: The joint operational plan was introduced by Iran’s Ministry of Health and Medical Education in 2015 as a way to improve the quality and efficiency of healthcare services by promoting collaboration and coordination among medical sciences universities. The plan aimed to address issues related to overlapping responsibilities, duplication of efforts, and resource constraints among universities. Objectives: This study was conducted to analyze this policy intervention and explore its challenges and opportunities. Methods: Using a qualitative policy analysis approach, this study collected data through documentary analysis and semi-structured interviews with stakeholders at various health system levels. Research participants were selected using purposive and snowball sampling methods. The collected data were analyzed using the framework analysis approach, supported by the policy triangle framework and heuristic model. Results: The policy analysis results yielded 14 categories and 29 sub-categories grouped into four overarching themes: Content, context, process, and actors/stakeholders. The content theme included categories such as the plan’s goals, the linkage between the plan’s goals and upstream policy documents, and the consistency between the plan’s goals and the visions and missions of medical universities. The context theme included structural characteristics, economic and financial factors, and social and cultural situations. The process theme included the issue’s priority, service delivery, policy design and formulation, implementation approach, and assessment and evaluation. The actors/stakeholders theme included categories such as the owner and leader of the policy, political support, and ambiguity in assigning responsibilities. Conclusions: While enforcing a joint operational plan in medical universities can boost performance and foster competition, it may also hinder universities’ ability to pursue innovative interventions and activities outside the plan. To address this issue, stakeholders from various health system levels should work together to modify the plan’s development and implementation process. Effective use of planning tools is crucial for ensuring that medical universities and the health system achieve their goals.

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Health System Responsiveness in the Primary Health in a Developing Country: Expectations and Experiences of Clients

Ahmadpour,

Iranag,

Yusefzadeh

et al. 2023

TOPHJ

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Background: Healthcare responsiveness is an essential goal of health systems. Responsiveness focuses on the nonclinical aspects of healthcare and measures individuals; experiences. There is little knowledge about responsiveness in primary care; most responsiveness studies have focused on inpatient services. Objectives: This study aimed to assess the responsiveness of primary care in the Urmia District Health Network in northwestern Iran. Methods: Data collection was conducted at urban health centers. The data presented are from a single observational research project. Results: Two hundred forty regular clients were interviewed in selected urban health centers in the Urmia district health network. The mean total response score was satisfactory. Full access and easy receipt of services without discrimination were important and noteworthy results for responsiveness. Regarding respondents, expectations, dignity, and prompt attention were the most important domains, while provider choice and social support were the least important. The results showed no statistically significant differences between the mean responsiveness scores for ambulatory care and hospital services. Conclusion: Improvements in responsiveness domains increase convergence and alignment between clients' expectations and health system performance. In this context, dignity and prompt attention are essential.

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The Iranian Health System Responsiveness after Implementation of Health Transformation Plan: A Study of Jahrom County in Southern Iran

Cited by 3 publications

References 7 publications

Explaining the Role of Physicians in Urban Comprehensive Health Service Centers After Implementing Health Transformation Plan in Southeast of Iran: A Qualitative Study

Explaining the Role of Physicians in Urban Comprehensive Health Service Centers After Implementing Health Transformation Plan in Southeast of Iran: A Qualitative Study

Implementing a Joint Operational Plan in Medical Sciences Universities: A Qualitative Policy Analysis in Iran

Health System Responsiveness in the Primary Health in a Developing Country: Expectations and Experiences of Clients

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