开发诊断成像服务战略采购所需的因素:专家意见
Abdollah Soltan-Tajian1, Alireza Jabbari2, Nasrin Shaarbafchizadeh2,3
1Student Research Committee, School of Management and Medical Information Sciences, Isfahan University of Medical Sciences, Isfahan, Iran.
Medical journal of the Islamic Republic of Iran
|December 16, 2024
概括
诊断成像服务的战略采购受到32个因素的影响,包括基于证据的套餐,健康需求,推系统和政治/技术能力. 治理是有效实施的关键.
科学领域:
- 卫生政策和管理卫生政策和管理
- 卫生经济学 卫生经济学
- 放射学和成像学 放射学和成像学
背景情况:
- 医疗保健采购不断寻求性能改进,因为先进的医疗技术成本不断上升.
- 战略采购是一种推的方法,但在诊断成像服务中未被充分探索.
- 这项研究调查了战略采购的决定因素,特别是在诊断成像中.
研究的目的:
- 探索诊断成像服务战略采购的潜在决定因素.
- 确定影响该部门采用和有效实施战略采购的因素.
主要方法:
- 使用基于世卫组织战略采购框架的框架分析进行定性研究 (5个问题+结构维度).
- 通过与18名关键信息人进行半结构面试收集的数据,直到数据和为止.
- 使用MAXQDA软件进行的分析.
主要成果:
- 确定了影响诊断成像服务战略采购的32个因素.
- 关键因素包括基于证据的服务包,未来的联合支付系统,考虑疾病负担和健康需求.
- 推系统的实施,与电子健康记录集成的家庭医生计划,政治信念和技术能力至关重要.
结论:
- 实施战略采购需要一种系统方法,解决不同采购领域的相互关联因素.
- 采购治理是根本性的,需要进一步研究,特别是在伊朗等特定的国家背景下.
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