Evidence map›Paper›PMID 39616321›Full record

ArticleBMC health services research2024

Challenges and executive requirements of advanced health system governance based on general health policies in Iran: qualitative research.

Masoud Aboulhallaj, Seyed Masood Mousavi, Mehdi Jafari, Abbas Vosoogh-Moghaddam, Sajjad Bahariniya, Shabnam Ghasemyani, Sedighe Sadat Tabatabaei Far

Abstract read
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Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Masoud AboulhallajHealthcare Services Management Iran Ministry of Health and Medical Education, Tehran, Iran.
Seyed Masood MousaviHealth Policy and Management Research Center, Department of Health Management & Economics, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. m.mousavihp93@gmail.com.
Mehdi JafariDepartment of Healthcare Services Management, School of Health Management & Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Abbas Vosoogh-MoghaddamGovernance and Health Training and Research Department, National Institute for Health Research, Tehran University of Medical Sciences (TUMS), Tehran, Iran. a.vosoogh@gmail.com.
Sajjad BahariniyaDepartment of Healthcare Services Management, School of Health Management & Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Shabnam GhasemyaniDepartment of Healthcare Services Management, School of Health Management & Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Sedighe Sadat Tabatabaei FarPhD Candidate of Healthcare Services Management, Student Research Committee, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe optimal management of the health system depends on its functions. The functional issues of Iran's health system are organized in a scattered manner and it has many challenges, especially in the field of stewardship. In order to achieve sustainable health-oriented development, bold and smart policy reforms in the main components of the health system are essential. The purpose of this study was to identify challenges and institutional-operational requirements in order to promote stewardship based on the general health policies of the country.

methodsThis study was conducted qualitatively with a framework analysis approach on policy makers and health experts. Purposive sampling was done with maximum diversity. To achieve a comprehensive view, snowball sampling was completed, resulting in the participation of 47 individuals in this study. A semi-structured interview was used to collect data. The analysis was done in MAXQDA software.

resultsChallenges and requirements for the implementation of General Health Policy tasks in promoting the function of stewardship, according to the World Health Organization model, in 3 fields of vital evidence production and policymaking (4 main topics and 20 sub-topics), internal governance (6 main topics and 23 subtopics) and Inter-Sectoral Leadership (2 main topics and 6 subtopics) were categorized. The most important challenges in the field of stewardship included fragmentation, the lack of an integrated information system and coherent and coordinated evidence production institutions, and weakness in the supervisory dimension due to the fatness of the structure, conflict of interests, and lack of transparency in responsibilities.

conclusionIt seems that the creation of comprehensive governance structures in the form of a network in active interaction with the Secretariat of the Supreme Council of Health and Food Safety, the development of the information system, the coordination of vital evidence production institutions, capacity building to strengthen intra-sectoral governance and inter-sectoral leadership and create a suitable platform be effective for public participation.

Indexed as

Health PolicyQualitative ResearchAdministrative PersonnelDelivery of Health CareFemaleHumansInterviews as TopicIranLeadershipMalePolicy MakingGovernanceHealth policyHealth systemPoliciesStewardship

Identifiers

PMID39616321
PMCPMC11608473

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