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Challenges in institutionalizing evidence-informed priority setting for health service packages: a qualitative
Haniye Sadat Sajadi1, Hamidreza Safikhani2, Alireza Olyaeemanesh3
1Knowledge Utilization Research Center, University Research and Development Center, Tehran University of Medical Sciences, Tehran, Iran.
Health Research Policy and Systems
|August 19, 2024
Summary
Institutionalizing evidence-informed health service packages (HSPs) in Iran faces challenges like legal gaps and funding issues. Addressing transparency, accountability, and political commitment is key for sustainable progress in health policymaking.
Area of Science:
- Health Services Research
- Health Policy and Management
- Evidence-Informed Decision-Making
Background:
- Implementing evidence-informed health service packages (HSPs) is vital for health improvement and effective resource use.
- Despite training and structural efforts, institutionalizing evidence-informed HSPs remains a global challenge.
- This study examines Iran's experience in setting HSPs and identifies barriers to institutionalizing evidence-informed priority-setting.
Purpose of the Study:
- To review the process of setting evidence-informed health service packages (HSPs) in Iran.
- To identify the challenges hindering the institutionalization of evidence-informed priority-setting for HSPs.
Main Methods:
- Document retrieval via website searches, Google queries, expert consultations, and manual library searches.
- Nine qualitative semi-structured interviews with purposively sampled stakeholders in health policymaking and financing.
- Framework analysis guided by the Kuchenmüller et al. framework for data interpretation.
Main Results:
- Initiatives for evidence-informed HSPs in Iran date back to the 1970s, with notable efforts in 2015 and 2019.
- Key challenges include legal gaps, diverse methodologies, unstable partnerships, leadership changes, insufficient funding, and a lack of accountability.
- These factors obstruct the integration and sustainability of evidence-informed practices, impacting decision-making and resource allocation.
Conclusions:
- Technical proficiency in using evidence for policy is insufficient for sustainability without institutionalization.
- Prioritizing transparency, accountability, inclusive public participation, and resilience is crucial.
- A strong legal framework and sustained political commitment are essential for driving change and ensuring progress.
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