运用米歇尔和斯科特的政策制定模型对伊朗国家医学教育发展与创新计划进行分析。
Analysis of Iran's National Medical Education Evolution and Innovation Plan using the Michelle and Scott's model of policymaking.
作者信息
Pourabbasi Ata, Akbari Hamid, Akhvan Amir Ahmad, Haghdoost Ali Akbar, Kheiry Zahra, Dehnavieh Reza, Rahimi Hamed, Noori Hekmat Somayeh, Larijani Bagher
机构信息
Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
Department of Pharmaceutics, Faculty of Pharmacy, Tehran University of Medical Science, Tehran, Iran.
出版信息
J Adv Med Educ Prof. 2019 Jan;7(1):20-26. doi: 10.30476/JAMP.2019.41041.
INTRODUCTION
Lack of a clear policy for the development of health human resources has created inconsistencies. These imbalances are threats to the health system to achieve its goals. Therefore, the development of human resources through proper performance of higher education health system is an important part of the policy development process of the health sector. The present paper aims to introduce the methods applied for the compilation of evolution and innovation program of medical sciences training as well as the most important directions for evolution and innovation.
METHODS
In this study, we evaluated the methodology for designing packages of Iran's higher education health system evolution and innovation. For this purpose, the evaluation of the policy process was conducted based on Michelle and Scott's policy process models. This policy evaluation model starts by problem identification and definition and continue by agenda setting, policy formation, legitimation, implementation, evaluation, and policy modification, using the proper feedback. Qualitative content analysis method was used as a research method for subjective interpretation of the content of the text data.
RESULTS
Twelve policies, 68 strategies and their translation in the health system were adopted in a comprehensive plan for higher health education. Eleven practical packages were also developed in order to implement these policies as packages for reform and innovation in medical education. These packages were organized based on the IPOCC pattern.
CONCLUSIONS
The lack of a comprehensive look at each project or program could bring about irreparableness consequences. However, the MoHME of Iran, relying on the integration of health higher education with health care system and comprehensive method used for transformation and innovation plan in the field of health higher education could take an important step towards improving the nation's health.
引言
缺乏明确的卫生人力资源发展政策导致了一些不一致的情况。这些失衡对卫生系统实现其目标构成了威胁。因此，通过高等教育卫生系统的适当运作来发展人力资源是卫生部门政策制定过程的重要组成部分。本文旨在介绍医学科学培训演进与创新计划编制所采用的方法以及演进与创新的最重要方向。
方法
在本研究中，我们评估了伊朗高等教育卫生系统演进与创新一揽子计划的设计方法。为此，基于米歇尔和斯科特的政策过程模型对政策过程进行了评估。该政策评估模型始于问题识别与定义，接着是议程设定、政策形成、合法化、实施、评估以及政策修改，并利用适当的反馈。定性内容分析法被用作一种研究方法，用于对文本数据内容进行主观解读。
结果
在一项高等卫生教育综合计划中采用了12项政策、68项策略及其在卫生系统中的转化。还制定了11个实用一揽子计划，以便将这些政策作为医学教育改革与创新的一揽子计划来实施。这些一揽子计划是根据IPOCC模式组织的。
结论
对每个项目或计划缺乏全面审视可能会带来无法挽回的后果。然而，伊朗医疗卫生与医学教育部依靠高等卫生教育与卫生保健系统的整合以及在高等卫生教育领域用于转型与创新计划的综合方法，能够朝着改善国民健康迈出重要一步。
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