Karimi Saeed, Moghadam Shirin Alsadat Hadian Zarkesh
Assistant Professor, Department of Health Services Management and Health Management and Economic Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
J Res Med Sci. 2011 Apr;16(4):541-52.
Health equity audit, as an alternative solution, is a process by which local partners systematically review inequalities in the patients` health, their access to appropriate services and health system outputs. Then, necessary activities needed in order to have more equitable services are agreed on and these concurrences become the executive scheme and action initiates. Therefore, it is pivotal for health care organizations to pay special attention to this important topic. The objective of the current study was to review the health equity audit model in different countries to gather viewpoints of various involved groups in health sector, particularly health experts, and to offer a practical and appropriate model for health equity audit in Iran.
This study adopted applied research approach in two phases. In the first step, this study conducted theoretical health equity audit models in the texts; the experiences of other countries were studied and the most appropriate model for Iranian health system was selected. In the second step, this study employed the Delphi technique. According to the Delphi technique the questionnaire applied in order to gather data and then, the final model was extracted.
Agreeable topics, performing agencies, 6 equity audit stages, and equity indicators under 3 main parts with 16 sub-sections were elaborated and viewpoints of Iranian experts in the above fields were gathered and presented as the proposed health equity audit model for Iran.
This study reviewed the model of health equity audit for UK and provided a comparative model for health system of Iran with respect to the opinions of academic experts.
作为一种替代解决方案，健康公平审计是一个地方合作伙伴系统审查患者健康、获得适当服务的机会以及卫生系统产出方面不平等情况的过程。然后，就实现更公平服务所需的必要活动达成一致，这些共识成为执行计划并启动行动。因此，医疗保健组织特别关注这一重要主题至关重要。本研究的目的是审查不同国家的健康公平审计模式，收集卫生部门各相关群体的观点，特别是卫生专家的观点，并为伊朗的健康公平审计提供一个切实可行且合适的模式。
本研究采用两阶段的应用研究方法。第一步，本研究在文献中进行理论健康公平审计模式研究；研究其他国家的经验并选择最适合伊朗卫生系统的模式。第二步，本研究采用德尔菲技术。根据德尔菲技术应用问卷收集数据，然后提取最终模型。
阐述了3个主要部分下16个子部分中的一致主题、执行机构、6个公平审计阶段和公平指标，收集了伊朗专家在上述领域的观点，并将其作为提议的伊朗健康公平审计模型呈现。
本研究审查了英国的健康公平审计模式，并根据学术专家的意见为伊朗卫生系统提供了一个比较模型。
