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伊朗伊斯兰共和国成功实施一般卫生政策:障碍和机制。

Successful implementation of general health policies in the Islamic Republic of Iran: barriers and mechanisms.

机构信息

Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Islamic Republic of Iran.

Faculty of Management and Economics, Tarbiat Modares University, Tehran, Islamic Republic of Iran.

出版信息

East Mediterr Health J. 2019 Feb 18;24(12):1127-1134. doi: 10.26719/emhj.18.009.

DOI:10.26719/emhj.18.009
PMID:30799552
Abstract

BACKGROUND

The general health policies for the Islamic Republic of Iran were approved in April 2014.

AIMS

This study examined the barriers currently faced by general health policies and the mechanisms required for the successful implementation of these polices.

METHODS

This qualitative study was conducted as a two-phase project based on standard CAN-IMPLEMENT guidelines. A set of qualitative methods, including face-to-face in-depth interviews, focus groups, and in-person consensus meetings, were used to clarify mechanisms and barriers.

RESULTS

Twenty-one mechanisms and 13 barriers were identified. The majority of mechanisms were related to the development of health infrastructures and appropriate allocation of resources. The most significant barriers to implementation of general health policies were lack of formulated strategies, poor management, lack of a comprehensive national action plan, minimal information infrastructures, and inadequate funding.

CONCLUSIONS

A thorough understanding of barriers and mechanisms for implementation of general health policies can provide the necessary background to ensure successful health promotion in the country.

摘要

背景

伊朗伊斯兰共和国的一般健康政策于 2014 年 4 月获得通过。

目的

本研究旨在探讨当前一般健康政策所面临的障碍,以及成功实施这些政策所需的机制。

方法

本研究采用定性研究方法,分两个阶段进行,基于标准的 CAN-IMPLEMENT 指南。采用了一系列定性方法,包括面对面深入访谈、焦点小组和现场共识会议,以明确机制和障碍。

结果

确定了 21 个机制和 13 个障碍。大多数机制与卫生基础设施的发展和资源的合理分配有关。实施一般健康政策的最大障碍是缺乏制定的战略、管理不善、缺乏全面的国家行动计划、信息基础设施薄弱以及资金不足。

结论

深入了解实施一般健康政策的障碍和机制,可以为确保国家成功促进健康提供必要的背景。

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