优先考虑伊朗城市家庭医生政策的实施方案:一个多标准决策研究
Lida Shams1, Mohammadreza Mobinizadeh2, Taha Nasiri3,4
1Department of Health Policy and Management, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
实施伊朗家庭医生计划需要解决关键挑战. 优先考虑信息系统和全面的医生培训对于成功的医疗保健改革至关重要.
科学领域:
- 卫生政策和管理卫生政策和管理
- 医疗保健系统改革 医疗保健系统改革
- 实现初级保健的实施.
背景情况:
- 伊朗家庭医生计划是一项重要的卫生系统改革,尽管在某些省份运行了十年,但仍面临着实施挑战.
- 识别和优先考虑这些挑战的解决方案对于计划的成功至关重要.
研究的目的:
- 确定和优先考虑可行的解决方案,以应对在实施伊朗家庭医生计划时遇到的挑战.
主要方法:
- 一项定性研究,涉及与22名专家和管理人员进行半结构面试.
- 使用Atlas Ti软件和内容分析进行数据分析,然后进行多标准决策 (MADM) 以优先考虑解决方案.
- 利用香农和简单聚合权重 (SAW) 方法来排列解决方案.
主要成果:
- 主要挑战主题包括融资,管理,人力资源,结构,文化,支付机制,信息系统,监测,保险绩效和整体实施.
- 信息系统和全面的,以社区为导向的医生培训被确定为需要改进的优先领域.
结论:
- 该研究从保险组织的角度为伊朗城市家庭医生计划提供了优先级的高管级补救措施.
- 解决融资,管理,人事,结构,文化,薪酬,IT系统,监督和保险业绩问题对于有效的决策至关重要.
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