Janbazi Shahriar, Bahadorimonfared Ayad, Rezaei-Tavirani Mostafa, Maher Ali, Zonoobi Mojtaba, Vazifehshenas Naser, Hanani Khatereh
Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Health & Community Medicine, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Arch Acad Emerg Med. 2020 Sep 23;8(1):e77. eCollection 2020.
Health and efforts to maintain and promote it have always been an essential priority in various countries. This study aims to evaluate the implementation of the health system reform plan in emergency departments in Iran.
This qualitative study evaluated five dimensions (finance, social responsibility, growth and learning, service recipients, and internal processes) through examining 70 indicators in 400 healthcare service providers and 300 healthcare recipients after the implementation of reform plan in ten emergency departments affiliated to Shahid Beheshti University of Medical Sciences using the balanced scorecard based on comprehensive evaluation model for the health system reform plan in Iran (CEHSRP-IR), from 2018 to 2019.
From the perspective of 51% of service providers and 55% of service recipients, the health system reform plan has achieved its goals in hospital emergencies. Significant gap between the ideal effectiveness and the current situation in health services in hospital emergencies was observed, especially in the educational and financial dimension.
According to the findings of this study, adaptation of activities and programs to the model proposed for emergency departments in Health Reform Plan is essential for improving its effectiveness.
健康以及维护和促进健康的努力一直是各国的一项基本优先事项。本研究旨在评估伊朗急诊科卫生系统改革计划的实施情况。
这项定性研究在2018年至2019年期间，通过基于伊朗卫生系统改革计划综合评估模型（CEHSRP - IR）的平衡计分卡，对设拉子医科大学附属的十个急诊科实施改革计划后，在400名医疗服务提供者和300名医疗服务接受者中检查70项指标，评估了五个维度（财务、社会责任、成长与学习、服务接受者和内部流程）。
从51%的服务提供者和55%的服务接受者的角度来看，卫生系统改革计划在医院急诊科实现了其目标。观察到医院急诊科卫生服务的理想效果与现状之间存在显著差距，特别是在教育和财务维度。
根据本研究的结果，使活动和计划适应卫生改革计划中为急诊科提出的模式对于提高其有效性至关重要。
