传统波斯医学 (TPM) 的基于证据的实践:利益相关者和社交网络分析
Seyed Reza Abdipour Mehrian1, Shahadat Uddin2, Zahra Ghahramani3
1Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
了解传统波斯医学 (TPM) 政策中的利益相关者是基于证据的医学 (EBM) 整合的关键. 吸引强大,不太感兴趣的群体和改善网络连接对于推进TPM政策至关重要.
科学领域:
- 公共卫生政策 公共卫生政策
- 综合医学是一个整体的医学.
- 卫生系统研究 卫生系统研究
背景情况:
- 全球补充和替代医学 (CAM) 使用的增加需要国家政策.
- 传统波斯医学 (TPM) 在伊朗被广泛用作CAM,面对基于证据的医学 (EBM) 整合的障碍.
- 利益相关者分析对于在TPM政策中推进EBM至关重要.
研究的目的:
- 确定TPM政策制定中的关键利益相关者.
- 分析通信模式和网络结构.
- 在TPM政策中促进EBM的整合.
主要方法:
- 采用雪球采样 (2023) 进行跨部门全国性利益相关者分析.
- 基于健康的六个构建块的半结构面试.
- 利益相关者评估 (权力,兴趣,影响力,地位,能力) 和社交网络分析 (中心性措施,模块化).
主要成果:
- 卫生和医学教育部 (MOHME) 和公众被确定为最强大/最有影响力.
- 伊朗医学科学院因最高能力而被认可.
- 观察到网络密度低;制药公司作为关键连接器;公共,政府机构和工会作为守门员/经纪人.
结论:
- 确定了有影响力的利益相关者,强调需要吸引不感兴趣但有意义的参与者.
- 建议包括通过教育提高利益相关者的能力,培养更强的关系.
- 参与关键连接器和守门员对于网络改进和TPM的EBM进步至关重要.
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