伊朗的家庭医学项目：SWOT分析与TOWS矩阵模型
Family Medicine Program in Iran: SWOT Analysis and TOWS Matrix Model.
作者信息
Dargahi Hossein, Darrudi Ali, Zalvand Rostam
机构信息
Health Information Management Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Department of Health Care Management, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
出版信息
Iran J Public Health. 2019 Jun;48(6):1140-1148.
BACKGROUND
We aimed to determine strength, weakness, opportunities and threats analysis and intended to present strengths, weaknesses, opportunities and threats matrix model for appropriate implementation of Family medicine program in Iran.
METHODS
This was a descriptive-analytical and cross-sectional study. All attending physicians in 30 health care centers of Tehran University of Medical Sciences, Tehran, Iran were asked to present and prioritized their views about strengths, weaknesses, opportunities, and threats factors of family medicine program in Iran in 2015. Then, the prioritization of these factors was showed by weighted score of each factor. Finally, the respondents determined four groups of TOWS model including SO, ST, WO, and WT strategy for development of family medicine in Iran.
RESULTS
Totally, the respondents expressed 44 factors as strengths, weaknesses, opportunities, and threats of family medicine program and prioritized these factors and suggested 30 TOWS matrix strategy for efficient implementation of this program.
CONCLUSION
There were many internal and external factors that impress the implementation of family medicine program. There is a gap between the ideal and the current situation of this program. We suggest the health care system policy makers notice the TOWS matrix strategies determined for improvement of family medicine program in Iran.
背景
我们旨在确定优势、劣势、机会和威胁分析，并打算提出优势、劣势、机会和威胁矩阵模型，以便在伊朗适当实施家庭医学项目。
方法
这是一项描述性分析横断面研究。2015年，伊朗德黑兰医科大学30个医疗中心的所有主治医生被要求就伊朗家庭医学项目的优势、劣势、机会和威胁因素发表并排列他们的看法。然后，通过每个因素的加权分数显示这些因素的优先级。最后，受访者确定了四组TOWS模型，包括伊朗家庭医学发展的SO、ST、WO和WT策略。
结果
受访者总共表达了44个作为家庭医学项目优势、劣势、机会和威胁的因素，并对这些因素进行了优先级排序，并提出了30个TOWS矩阵策略以有效实施该项目。
结论
有许多内部和外部因素影响家庭医学项目的实施。该项目的理想状况与现状之间存在差距。我们建议医疗保健系统政策制定者注意为改善伊朗家庭医学项目而确定的TOWS矩阵策略。
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