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解释健康领域捐赠者参与的障碍:一项定性研究。

Explaining the barriers to donor participation in the field of health: a qualitative study.

作者信息

Mirzadeh Koohshahi Masoud

机构信息

Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

出版信息

Ann Med Surg (Lond). 2023 Jul 31;85(9):4378-4384. doi: 10.1097/MS9.0000000000001109. eCollection 2023 Sep.

Abstract

BACKGROUND

Iran's health system is facing increasing costs and a lack of resources. Developing the financial participation of donors is one of the ways to strengthen the financial health system.

OBJECTIVE

This research was done to explain the barriers to donors' participation in the field of health.

METHOD

This qualitative study was conducted in 2022 using semi-structured interviews with 22 experts, health donors, policymakers, and managers in Iran. The conventional content analysis method was also used for data analysis.

RESULTS

The review and classification of the interviews showed that the participation of donors in the health system includes four main issues: the incompleteness of legal processes, the lack of continuous communication with the charity, management, and resources problems, and the insufficient awareness of the donors about the problems and needs of the health system and 18 subtopics.

CONCLUSIONS

Donors play an important role in financing, developing resources, providing health services, and financially supporting patients in Iran's health system. Therefore, by recognizing and removing obstacles to the participation of donors, policymakers and managers of the health system should target the participation of donors with proper planning, organization, guidance, and supervision, and avoid parallel work and waste of resources.

摘要

背景

伊朗的卫生系统面临着成本不断上升和资源短缺的问题。提高捐助者的资金参与度是加强卫生系统财务状况的途径之一。

目的

本研究旨在解释捐助者参与卫生领域的障碍。

方法

2022年开展了这项定性研究,对伊朗的22名专家、卫生捐助者、政策制定者和管理人员进行了半结构化访谈。数据分析采用传统内容分析法。

结果

访谈的回顾和分类表明,捐助者参与卫生系统包括四个主要问题:法律程序不完善、与慈善机构缺乏持续沟通、管理和资源问题,以及捐助者对卫生系统问题和需求的认识不足,以及18个子主题。

结论

在伊朗的卫生系统中,捐助者在融资、资源开发、提供卫生服务和为患者提供财务支持方面发挥着重要作用。因此,通过认识和消除捐助者参与的障碍,卫生系统的政策制定者和管理人员应以适当的规划、组织、指导和监督为目标,促进捐助者的参与,并避免工作并行和资源浪费。

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本文引用的文献

1
Donors' Participation in Iran's Health System: Challenges and Solutions.
Int J Health Policy Manag. 2022 Dec 6;11(11):2514-2524. doi: 10.34172/ijhpm.2021.177. Epub 2021 Dec 28.
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Inquiry. 2021 Jan-Dec;58:469580211028180. doi: 10.1177/00469580211028180.
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