Designing a Comprehensive Evaluation Model for Health Reform Plan in Iran
محل انتشار: فصلنامه تخصصی تحقیقات سلامت، دوره: 10، شماره: 1
سال انتشار: 1399
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 220
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شناسه ملی سند علمی:
JR_JCHR-10-1_009
تاریخ نمایه سازی: 23 خرداد 1400
چکیده مقاله:
Background: The present study aimed to design a comprehensive model to evaluate the health system reform plan so the indicators of this model can lead to the health reform planchr('۳۹')s effectiveness. Hence, this planchr('۳۹')s effective factors, including policymakers and managers, suppliers, and clients, were identified and explained.
Methods: According to the practical purpose and nature of the research, the combined/mixed research method was used, in ۲۰۱۸-۲۰۱۹. For the qualitative phase, the Delphi technique was used in exploratory interviews, and quantitative methods were used to collect data through a questionnaire. In the quantitative phase, ۴۰۰ employees of ۱۰ hospitals were selected by stratified random sampling; and in the second section, ۳۰۰ clients were randomly selected in two hospitals with the highest and lowest evaluation scores in the previous phase. Content analysis method and Delphi technique were used for classification and analysis of qualitative data, and SPSS Ver.۲۲, AMOS Ver.۲۴, and Expert Choicev۲۴ were used for data description and dimensions and indiceschr('۳۹') weight extraction. Dimensions under consideration include the financial, social responsibility, growth and learning, citizens and client, and internal process fields.
Results: The components with the highest and lowest weight and impact on the effectiveness of the plan were identified in the following dimensions: financial field, Social responsibility field, growth and learning field, citizens and client field, internal process field, including weights ۰.۲۶۶, ۰.۲۴۴, ۰.۲۰۲, ۰.۱۶۴, ۰.۱۲۴, respectively.
Conclusion: Given the results, the components, indicators, dimensions, and levels of the model designed, the comprehensive evaluation of the Health System Reform Plan in Iran (CEHSRP-IR) with the normal mean was confirmed by the statistical population, and this model can be used in all organizations implementing this plan.
کلیدواژه ها:
Health care reform ، Health plan ، Integrated healthcare systems ، Performance evaluation ، اصلاح بهداشت و درمان ، برنامه بهداشت ، سیستم های یکپارچه مراقبت های بهداشتی ، ارزیابی عملکرد
نویسندگان
محمد رضا ربیعی مندجین
۱. Department of Public Administration, Faculty of Management, Islamic Azad University, Central Tehran Branch, Tehran, Iran
شهریار جانبازی
۲. Department of Public Policy, Islamic Azad University of Hamedan, An independent researcher, Hamedan, Iran
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