Khodadadi Najmeh, Aryankhesal Aidin, Maleki Mohammadreza
Department of Healthcare Services Management, School of Health Management and Information Sciences/ Health Management and Economics Research Center/Iran University of Medical Sciences, Tehran, Iran.
Department of Healthcare Services Management, School of Health Management and Information Sciences/ Health Management and Economics Research Center/ Iran University of Medical Sciences, Tehran, Iran.
J Educ Health Promot. 2021 Jan 28;10:7. doi: 10.4103/jehp.jehp_182_20. eCollection 2021.
This study aimed to identify models for the participation of the city council and municipality with the health system in selected countries.
This is a descriptive comparative study conducted in 2020 qualitatively. The countries studied were examined in terms of the following characteristics: type of political structure, type of health system, level of cooperation between local government and health system, municipal financing, type of financial participation of local government and health system, method or institution for participation Created, level of participation, local government influence on health system decisions, advantages and disadvantages of a partnership between local government and health system. Data were collected through valid databases (PubMed, Scopus, Embase, and Google Search engine) and website of the World Health Organization, local government, and the Ministry of Health of countries concerned and analyzed in a framework of analysis.
Countries were divided into two groups in terms of a partnership between the health system and local governments, which had a distinct partnership between the health system and local government and without their participation. Factors that contribute to the creating and strengthening of partnerships include beliefs of health authorities and local government, the need for participation, transparency in participatory programs, designing a specific mechanism for participation, local authority, and financing joint participation plans.
In countries with planned participation, citizens have better access to services. Citizens' participation, as well as the private sector, is greater in health issues. In these countries, participation in health financing by the private sector and other related agencies has increased. Planning and service delivery increases according to neighborhood needs. The variety of services provided and the use of new methods of service are more, and in these countries, the focus of the Ministry of Health on the preparation of strategies and monitoring the quality of services is increasing.
本研究旨在确定特定国家中市议会和市政府参与卫生系统的模式。
这是一项于2020年进行的定性描述性比较研究。根据以下特征对所研究的国家进行考察：政治结构类型、卫生系统类型、地方政府与卫生系统之间的合作水平、市政融资、地方政府和卫生系统的财政参与类型、参与创建的方法或机构、参与水平、地方政府对卫生系统决策的影响、地方政府与卫生系统之间伙伴关系的优缺点。数据通过有效的数据库（PubMed、Scopus、Embase和谷歌搜索引擎）以及世界卫生组织、地方政府和相关国家卫生部的网站收集，并在一个分析框架内进行分析。
根据卫生系统与地方政府之间的伙伴关系，国家被分为两组，一组是卫生系统与地方政府之间有明显的伙伴关系，另一组是没有它们的参与。有助于建立和加强伙伴关系的因素包括卫生当局和地方政府的信念、参与的必要性、参与计划的透明度、设计特定的参与机制、地方权力以及为联合参与计划提供资金。
在有计划参与的国家，公民能更好地获得服务。公民以及私营部门在卫生问题上的参与度更高。在这些国家，私营部门和其他相关机构在卫生融资方面的参与有所增加。规划和服务提供根据社区需求增加。提供的服务种类和新服务方法的使用更多，并且在这些国家，卫生部对制定战略和监测服务质量的关注在增加。
