Azami-Aghdash Saber, Gorji Hassan Abolghasem, Shabaninejad Hosein, Sadeghi-Bazargani Homayoun
Ph.D. Candidate of Health Policy, Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Ph.D. Assistant Professor, Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran; Ph.D. Assistant Professor, Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran.
Electron Physician. 2017 Jan 25;9(1):3630-3638. doi: 10.19082/3630. eCollection 2017 Jan.
Due to the large number of Road Traffic Injuries (RTIs) in Iran, authorities have implemented a number of policies for the prevention of RTIs. However, a scientific analysis of these policies has thus far been neglected. Therefore, this study was conducted for policy analysis of RTIs prevention in Iran.
This qualitative study with a case study approach was conducted in Iran during 2016 in two phases: First, by reviewing literature and documents of the past ten years, policies that have been executed to prevent RTIs in Iran were identified. In the second phase of the study, the identified policies were ranked by prioritization matrices. The two policies with the highest scores were selected. 'Policy triangle framework' was used for Policy analyzing. Stakeholders of these policies (42 people) were interviewed. Data were analyzed manually by implementing Content-Analysis methods.
The policies of "pupil liaisons" and "safety belt" were selected for analysis from thirteen potential identified polices. The results of some studies revealed that safety belts had not been properly used in Iran (less than 80%). There was an eight-year hiatus between the approval of the safety belts policy and implementation of this policy. Eight actors were identified for safety belts policy. Lack of diligence in implementation of the policy, failing to pay adequate attention to education and the culture of driving, and failing to select an organization for the implementation of the policy, were identified as the main weaknesses of this policy. For 'pupil liaisons' policy, five actors were identified. Following the implementation of this policy, the number of penalties was reduced (17.9%). Neglecting scientific findings and individual-based nature of the policy were identified as the primary weaknesses of this policy.
Taking serious measures to properly execute the policy, educating people, selecting an efficient organization that is responsible for the implementation of the policies, and using international experience are the measures that can be taken to reduce the number of RTIs in the country.
由于伊朗道路交通事故(RTIs)数量众多,当局已实施了多项预防道路交通事故的政策。然而,迄今为止,对这些政策尚未进行科学分析。因此,开展本研究以对伊朗道路交通事故预防政策进行分析。
本定性研究采用案例研究方法,于2016年在伊朗分两个阶段进行:首先,通过回顾过去十年的文献和文件,确定伊朗已实施的预防道路交通事故的政策。在研究的第二阶段,使用优先矩阵对确定的政策进行排序。选择得分最高的两项政策。采用“政策三角框架”进行政策分析。对这些政策的利益相关者(42人)进行了访谈。通过实施内容分析法对数据进行人工分析。
从确定的13项潜在政策中选择了“学生联络”和“安全带”政策进行分析。一些研究结果显示,伊朗安全带的使用情况不佳(低于80%)。安全带政策获批与实施之间间隔了八年。确定了安全带政策的八个行为主体。该政策的主要弱点包括实施缺乏勤勉、对驾驶教育和文化关注不足以及未选择实施政策的组织。对于“学生联络”政策,确定了五个行为主体。实施该政策后,处罚数量有所减少(17.9%)。忽视科学发现和政策的个体化性质被确定为该政策的主要弱点。
采取认真措施妥善执行政策、教育民众、选择负责政策实施的高效组织以及借鉴国际经验,是可采取的减少该国道路交通事故数量的措施。