伊朗医疗保健透明度:预期的好处,风险,机遇和障碍
Hossein Bouzarjomehri1, Mohammadreza Maleki1, Iravan Masoudi-Asl1
1Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Journal of health organization and management
|October 24, 2025
概括
提高伊朗医疗保健系统的透明度提供了诸如减少腐败和提高质量的好处. 解决政治阻力和利用机会对于成功的政策改革至关重要.
科学领域:
- 卫生政策和治理卫生政策和治理
- 医疗保健管理的管理
- 公共卫生 公共卫生
背景情况:
- 透明度对于有效的治理至关重要,但伊朗的医疗保健部门缺乏透明度.
- 了解好处,风险,机遇和障碍 (BROB) 对于政策改革至关重要.
研究的目的:
- 确定和优先考虑伊朗医疗保健系统中透明度的BROB.
- 为加强医疗保健治理的政策制定提供信息.
主要方法:
- 采用了修改后的Delphi方法,整合了范围审查和专家采访.
- 为了验证BROB框架,进行了三次Delphi轮,涉及70名参与者.
主要成果:
- 在BROB的70个初步建议中,有54个得到了验证.
- 确认的好处包括减少腐败和改善服务质量;公认的风险是最小的.
- 在55个评估的机会和障碍中,有52个得到确认,分为政治,管理,社会和技术因素.
结论:
- 透明度可以显著改善伊朗的医疗保健系统,但面临着重大的系统和政治挑战.
- 公共需求和数字基础设施为推动变革提供了关键机会.
- 为决策者提供了一份路线图,以设计定制的透明度战略并克服约束.
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