Letafatnejad Mozhgan, Maleki Mohammadreza, Ebrahimi Parvin
Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
J Educ Health Promot. 2020 Apr 28;9:95. doi: 10.4103/jehp.jehp_548_19. eCollection 2020.
It is less than a decade in Iran that integrated health kiosks have been limitedly provided to public by private sector. Considering the significant benefits of them, this study aimed to identify the barriers and facilitators for deploying kiosks in Iran's formal health system in three phases, "design and construct, implement, and use."
This was a qualitative study in Iran, and the data were collected through 20 semi-structured interviews with experts in 2019. Participants were selected by purposeful method with the most diversity in terms of background and work experience; the interview texts were coded in MAXQDA10 software and analyzed through framework analysis. Participants' viewpoint was used to verify the data and observers' review to confirm them.
The barriers for designing and constructing kiosks were identified in the form of two main themes: the overall structure of the country and the structure of the health system; the obstacles for implementing were categorized in one main theme, lack of sources; and the barriers to use were also fall into four themes related to people, policymakers, service providers, and designers of kiosks. The facilitators at construction and implementation phases included the overall structure of the country and the structure of health system. At the use stage, the facilitators related to people, health and insurance policymakers, and owners and constructers were identified.
It is possible to deploy health kiosks in the Iranian formal health system, although there are some time-consuming and costly barriers which can be overcome by the strengths and opportunities of the system.
在伊朗，综合健康信息亭由私营部门有限地提供给公众还不到十年。鉴于它们的显著益处，本研究旨在分三个阶段，即“设计与构建、实施和使用”，确定在伊朗正规卫生系统中部署信息亭的障碍和促进因素。
这是一项在伊朗进行的定性研究，2019年通过对专家进行20次半结构化访谈收集数据。采用目的抽样法选择参与者，使其在背景和工作经验方面具有最大的多样性；访谈文本在MAXQDA10软件中进行编码，并通过框架分析进行分析。利用参与者的观点来验证数据，并通过观察者的审查来确认数据。
设计和构建信息亭的障碍以两个主要主题的形式被识别出来：国家的整体结构和卫生系统的结构；实施方面的障碍归为一个主要主题，即资源缺乏；使用方面的障碍也分为与人员、政策制定者、服务提供者和信息亭设计者相关的四个主题。建设和实施阶段的促进因素包括国家的整体结构和卫生系统的结构。在使用阶段，确定了与人员、卫生和保险政策制定者以及所有者和建设者相关的促进因素。
在伊朗正规卫生系统中部署健康信息亭是可行的，尽管存在一些耗时且成本高昂的障碍，但该系统的优势和机遇可以克服这些障碍。
