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伊朗医疗保健系统中预防医疗服务过度使用和使用不足的政策包:一项研究方案。

Policy package for preventing overuse and underuse of health care services in the Iranian health care system: A study protocol.

作者信息

Arab-Zozani Morteza, Janati Ali, Zakaria Pezeshki Mohammad, Khodayari-Zarnaq Rahim

机构信息

Iranian Center of Excellence in Health Management, Department of Health Services Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.

Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

Med J Islam Repub Iran. 2019 Aug 21;33:86. doi: 10.34171/mjiri.33.86. eCollection 2019.

Abstract

Overuse and underuse of health care services are progressively recognized in all health systems around the world. There is evidence of overuse and underuse of health care services in Iran. In this study, it was aimed to summarize the evidence of overuse and underuse of health care services in the Iranian health care system. This study will be conducted in 5 steps using a sequential explanatory multimethod design, literature review, systematic review, qualitative interview, expert panel, and policy Delphi method. This study was approved by Tabriz University of Medical Sciences (ethical confirmation number: IR.TBZMED.REC.1396.908). There is a strong evidence of worldwide overuse and underuse of health care services. Designing context-based prevention strategies by conducting comprehensive and systematic studies will improve the appropriate use of routine services and help patients, physicians, and providers make evidence-based decisions.

摘要

全球所有卫生系统都逐渐认识到医疗服务的过度使用和使用不足问题。伊朗存在医疗服务过度使用和使用不足的证据。本研究旨在总结伊朗医疗系统中医疗服务过度使用和使用不足的证据。本研究将采用顺序解释性多方法设计、文献综述、系统评价、定性访谈、专家小组和政策德尔菲法分5个步骤进行。本研究已获大不里士医科大学批准(伦理确认编号:IR.TBZMED.REC.1396.908)。有充分证据表明全球存在医疗服务过度使用和使用不足的情况。通过开展全面系统的研究来设计基于背景的预防策略,将改善常规服务的合理使用,并帮助患者、医生和提供者做出基于证据的决策。

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