Shafaghat Tahereh, Rahimi Zarchi Mohammad Kazem, Mousavi Seyed Masood, Askari Roohollah, Ranjbar Mohammad, Ebadi Faezeh
Health Human Resources Research Center, School of Health Management and Information Sciences, 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.
Int J Prev Med. 2023 Apr 28;14:52. doi: 10.4103/ijpvm.ijpvm_359_21. eCollection 2023.
The COVID-19 pandemic has created several challenges for countries all over the world. Different countries have taken different measures to fight this pandemic and reduce its challenges depending on their cultural, economic, and social structures. This study aims to understand and explain the Iranian health system's response to fighting the COVID-19 pandemic from the managers' and authorities' perspective.
This study is a basic applied research performed under a qualitative approach. In the survey, 30 experts including the managers of health centers and deputies and heads of the Ministry of Health and Medical Education and Medical Universities were selected by purposive snowball sampling and participated in semi-structured interviews from March to May 2020. The researchers explained the actions of the Iranian health system in fighting the COVID-19 pandemic in 2020 by content analysis.
As a result, 14 subthemes were found and classified into four major themes, including the informative and regulative actions (two subthemes), administrative and supportive actions (six subthemes), preventive and curative actions (three subthemes), and resource-related actions (three subthemes).
Due to its strong health structures, such as urban and rural health networks, various general and specialized hospitals, experienced doctors, and committed health staff, Iran has taken practical actions in fighting the COVID-19 pandemic. However, the findings of this study and its relevant measures can help combat this pandemic in countries with similar social and cultural structures or counter future similar crises.
新冠疫情给世界各国带来了诸多挑战。不同国家根据其文化、经济和社会结构采取了不同措施来抗击疫情并减少其带来的挑战。本研究旨在从管理者和当局的角度理解并解释伊朗卫生系统对新冠疫情的应对措施。
本研究是一项采用定性方法的基础应用研究。在调查中，通过目的抽样和滚雪球抽样选取了30名专家，包括卫生中心管理人员、卫生部和医学教育与医科大学的副部长及负责人，他们于2020年3月至5月参与了半结构化访谈。研究人员通过内容分析解释了2020年伊朗卫生系统在抗击新冠疫情中的行动。
结果发现了14个子主题，并将其分为四个主要主题，包括信息和监管行动（两个子主题）、行政和支持行动（六个子主题）、预防和治疗行动（三个子主题）以及资源相关行动（三个子主题）。
由于伊朗拥有强大的卫生结构，如城乡卫生网络、各类综合和专科医院、经验丰富的医生以及敬业的卫生工作人员，伊朗在抗击新冠疫情中采取了切实行动。然而，本研究的结果及其相关措施有助于在具有相似社会和文化结构的国家抗击这一疫情，或应对未来类似危机。
