Health Human Resources Research Center, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran.
Health Policy and Management Research Center, Department of Health Care Management, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
J Prev Med Hyg. 2022 Jan 31;62(4):E841-E853. doi: 10.15167/2421-4248/jpmh2021.62.4.2230. eCollection 2021 Dec.
The COVID-19 pandemic has become a global threat for the general public and health care workers, and it has created major challenges for all healthcare sectors. The challenges created by this disease can vary in different countries depending on cultural, social, and economic factors. The purpose of this study was to explain the challenges of the Iranian health system in fighting the COVID-19 pandemic from the managers' and executive authorities' viewpoints.
The present study was a basic-applied research performed using a qualitative approach. It has studied 30 hospitals and medical centers' managers, deputies of the Ministry of Health, and the universities of medical sciences, which were selected by purposive and snowball sampling with the maximum variety in March-September 2020. Data collection was done through semi-structured interviews and content analysis was used to explain the challenges of the Iranian health system in fighting the COVID-19 pandemic (2020).
Most of the interviewees (34%) had a Ph.D. degree, and 40% of the participants were graduated in management and health economy and policymaking fields. Analysis and synthesis of the data collected from the interviews led to the creation of 19 sub-themes and 12 main themes classified into four general scopes: organizational factors, resources, management factors, and other factors.
Identifying the mentioned challenges can provide helpful information for the managers and policy-makers to develop appropriate plans, take the necessary measures to resolve the challenges, and use the available resources to provide the most effective services.
COVID-19 大流行已成为公众和医护人员的全球性威胁，给所有医疗保健部门带来了重大挑战。这种疾病在不同国家造成的挑战可能因文化、社会和经济因素而异。本研究的目的是从管理者和行政当局的角度解释伊朗卫生系统应对 COVID-19 大流行的挑战。
本研究是一项基础应用研究，采用定性方法进行。它研究了 30 家医院和医疗中心的管理者、卫生部副部长以及医科大学，这些参与者是在 2020 年 3 月至 9 月通过有目的和滚雪球抽样选择的，以最大限度地体现多样性。数据收集是通过半结构化访谈进行的，采用内容分析来解释伊朗卫生系统应对 COVID-19 大流行的挑战（2020 年）。
大多数受访者（34%）拥有博士学位，40%的参与者毕业于管理和卫生经济与政策制定领域。对访谈中收集的数据进行分析和综合，产生了 19 个子主题和 12 个主要主题，分为四个总体范围：组织因素、资源、管理因素和其他因素。
确定这些提到的挑战可以为管理者和决策者提供有用的信息，以制定适当的计划，采取必要措施解决挑战，并利用现有资源提供最有效的服务。
