医疗服务套餐的基于证据的优先设定制度化的挑战:来自伊朗的定性文件和采访分析
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
概括
在伊朗,实证医疗服务套餐 (HSP) 的制度化面临法律缺口和资金问题等挑战. 解决透明度,问责制和政治承诺是健康政策制定可持续发展的关键.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生政策和管理卫生政策和管理
- 以证据为基础的决策
背景情况:
- 实施基于证据的健康服务套餐 (HSP) 对改善健康和有效利用资源至关重要.
- 尽管有培训和结构性努力,但建立基于证据的HSP机构仍然是一个全球性的挑战.
- 本研究审查了伊朗在制定高质量服务计划方面的经验,并确定了制度化以证据为基础的优先设定障碍.
研究的目的:
- 审查在伊朗建立基于证据的卫生服务套餐 (HSP) 的过程.
- 确定阻碍HSP实证优先设置制度化的挑战.
主要方法:
- 通过网站搜索,谷歌查询,专家咨询和手动图书馆搜索来检索文件.
- 九个定性半结构面试与卫生政策制定和融资的有意抽样利益相关者.
- 根据Kuchenmüller等人指导的框架分析. 数据解释的框架.
主要成果:
- 在伊朗,为证据提供信息的HPS的倡议可以追溯到20世纪70年代,在2015年和2019年有显著的努力.
- 关键的挑战包括法律缺口,方法的多样性,不稳定的伙伴关系,领导层的变化,资金不足,以及缺乏问责制.
- 这些因素阻碍了基于证据的实践的整合和可持续性,影响了决策和资源分配.
结论:
- 在使用证据来制定政策方面的技术熟练程度是不够的,如果没有制度化,可持续性是不够的.
- 优先考虑透明度,问责制,包容性公众参与和弹性至关重要.
- 强有力的法律框架和持续的政治承诺对于推动变革和确保进步至关重要.
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