Farhadi Zeynab, Salemi Morteza, Jahani Mohammad Ali
Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Islamic Republic of Iran.
Social Determinants in Health Promotion Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Islamic Republic of Iran.
Cost Eff Resour Alloc. 2022 Dec 12;20(1):70. doi: 10.1186/s12962-022-00404-w.
Preparation and financing of treatments, control of disease by limited resources, are known as the most important challenges encountered by the policy-makers involved in an epidemic outbreak. Therefore, the present study was conducted to analyze the policy responses of Babol University of Medical Sciences (BUMS) to Coronavirus (COVID-19).
A qualitative study was performed to investigate the policy responses of BUMS to COVID-19 in Babol of January to March, 2021. The statistical population included the experts, pundits, policy-makers and planners involved in four areas of management, treatment, healthcare, and health donation. Data collection was done according to interviews and policy documents, and the obtained data were analyzed based on the Walt and Gilson's policy triangle.
There are five main themes to names: policy context, policy analysis, policy-making process, actors and stakeholders and 16 sub-themes. After several rounds of revision, the text of the interviews and policy documents were tagged and finally, various issues related to sub-themes were extracted. Also, two sub-themes entitled (improving the policy framework, People's participation) were obtained from the strategies to reduce the incidence of Covid-19 theme.
(BUMS) was able to use the capacities and skills of experienced physicians, specialists and nurses to respond to patients awaiting treatment. Therefore, most of the policies were aimed at patient care and treatment. The lack of financial resources was compensated by health donors. But the (BUMS) could not use the power of the city government to control traffic and comply with health protocols and prevent infections. It was mainly the formulation and implementation of irregular and unstable policies.
治疗的准备和资金筹集,以及利用有限资源控制疾病,是参与疫情爆发应对的政策制定者所面临的最重要挑战。因此,本研究旨在分析巴博尔医科大学(BUMS)对冠状病毒病(COVID-19)的政策应对措施。
进行了一项定性研究,以调查2021年1月至3月期间BUMS在巴博尔对COVID-19的政策应对情况。统计总体包括参与管理、治疗、医疗保健和健康捐赠四个领域的专家、学者、政策制定者和规划者。通过访谈和政策文件收集数据,并根据沃尔特和吉尔森的政策三角对获得的数据进行分析。
有五个主要主题,分别是政策背景、政策分析、政策制定过程、行为者和利益相关者,以及16个子主题。经过几轮修订,对访谈和政策文件的文本进行了标记,最后提取了与子主题相关的各种问题。此外,从降低COVID-19发病率主题的策略中获得了两个子主题,即(改善政策框架、民众参与)。
(BUMS)能够利用经验丰富的医生、专家和护士的能力和技能来应对等待治疗的患者。因此,大多数政策旨在患者护理和治疗。财政资源的短缺由健康捐赠者弥补。但(BUMS)未能利用市政府的权力来控制交通、遵守健康协议并预防感染。主要是制定和实施了不规范且不稳定的政策。