在伊朗,克服卫生技术评估发展的障碍:对利益相关者的观点进行定性探索
Meysam Behzadifar1, Saeed Shahabi2, Ahad Bakhtiari3
1Social Determinants of Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran.
概括
发展卫生技术评估 (HTA) 在伊朗面临的政治,金融和技术障碍. 通过政策改革和投资解决这些问题是改善医疗保健决策的关键.
科学领域:
- 卫生政策与经济 卫生政策与经济
- 医疗保健管理的管理
- 卫生技术评估 卫生技术评估
背景情况:
- 卫生技术评估 (HTA) 对低收入和中等收入国家的医疗保健政策至关重要.
- 伊朗面临着对HTA发展的重大政治,金融,技术和社会障碍.
- 了解利益相关者的观点对于推动伊朗的HTA至关重要.
研究的目的:
- 探讨利益相关者对伊朗HTA发展障碍的看法.
- 确定克服HTA实施障碍的策略.
- 为有效的医疗保健决策提供政策改革的信息.
主要方法:
- 使用半结构面试进行的定性研究.
- 从伊朗的18个不同的医疗保健利益相关者收集的数据.
- 用于确定关键障碍和主题的主题分析.
主要成果:
- 确定了七个主要主题:监管差距,财务约束,劳动力短缺,意识低,基础设施薄弱,合作不佳和政治干预.
- 这些障碍阻碍了HTA在伊朗医疗保健系统的整合.
- 利益相关者建议加强治理,增加投资和加强合作.
结论:
- 伊朗在HTA优先事项和国家卫生政策之间存在独特的不一致.
- 有针对性的政策改革,投资和合作对于HTA发展至关重要.
- 克服障碍可以改善伊朗的医疗保健决策.
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