Volume 22, Issue 6 (Iranian South Medical Journal 2020)
Iran South Med J 2020, 22(6): 415-431 |
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Ravanipour M, Ostovar A, Darabi H, Pouladi S. Challenges of Health System Reform Plan in Bushehr: A Qualitative Study. Iran South Med J 2020; 22 (6) :415-431
URL: http://ismj.bpums.ac.ir/article-1-1203-en.html
URL: http://ismj.bpums.ac.ir/article-1-1203-en.html
1- The Persian Gulf Tropical Medicine Research Center, The Persian Gulf Biomedical Sciences Research Institute, Bushehr University of Medical Sciences, Bushehr, Iran
Department of Nursing, School of Nursing and Midwifery, Bushehr University of Medical Sciences, Bushehr, Iran
2- Osteoporosis Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
3- The Persian Gulf Tropical Medicine Research Center, The Persian Gulf Biomedical Sciences Research Institute, Bushehr University of Medical Sciences, Bushehr, Iran
4- Department of Nursing, School of Nursing and Midwifery, Bushehr University of Medical Sciences, Bushehr, Iran , Sh.pooladi@bpums.ac.ir
Department of Nursing, School of Nursing and Midwifery, Bushehr University of Medical Sciences, Bushehr, Iran
2- Osteoporosis Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
3- The Persian Gulf Tropical Medicine Research Center, The Persian Gulf Biomedical Sciences Research Institute, Bushehr University of Medical Sciences, Bushehr, Iran
4- Department of Nursing, School of Nursing and Midwifery, Bushehr University of Medical Sciences, Bushehr, Iran , Sh.pooladi@bpums.ac.ir
Abstract: (3738 Views)
Background: The health system reform plan was implemented by the Ministry of Health and Medical Education in accordance with the Fourth and Fifth Development Plan Acts in order to achieve public health coverage. Despite achieving many successes in the pursuit of the objectives of the plan, it has faced challenges. The purpose of the study was to determine the challenges of health system reform plan in the centers of affiliated to Bushehr University of Medical Sciences.
Materials and Methods: This study was conducted with qualitative content analysis approach. A total of 38 healthcare providers were selected from centers affiliated with Bushehr University of Medical Sciences by purposive sampling method. Data was collected from semi- structured interviews in six focus group discussions, and analyzed simultaneously with data collection. Data accuracy and rigor were confirmed in various ways.
Results: The three main categories of decreased satisfaction, infrastructure problems, and management system weaknesses emerged after analyzing 860 initial codes. Decreased satisfaction emerged from primary satisfaction and dissatisfaction subcategories; infrastructure problems emerged from ambiguities in upstream laws, weaknesses in policy making and building culture of change, and lack of comprehensive coverage, and the management system weaknesses emerged from weaknesses in planning, weakness in human resource management, and weaknesses in supervisory practices.
Conclusion: It appears that the main challenges included financial problems, rapid implementation and failure to consider the less-favored cities in the implementation of the plan. In order to quickly revive the plan and achieve its positive and beneficial goals, it is recommended to revise the plan and take effective measures, especially in solving infrastructure and management problems.
Materials and Methods: This study was conducted with qualitative content analysis approach. A total of 38 healthcare providers were selected from centers affiliated with Bushehr University of Medical Sciences by purposive sampling method. Data was collected from semi- structured interviews in six focus group discussions, and analyzed simultaneously with data collection. Data accuracy and rigor were confirmed in various ways.
Results: The three main categories of decreased satisfaction, infrastructure problems, and management system weaknesses emerged after analyzing 860 initial codes. Decreased satisfaction emerged from primary satisfaction and dissatisfaction subcategories; infrastructure problems emerged from ambiguities in upstream laws, weaknesses in policy making and building culture of change, and lack of comprehensive coverage, and the management system weaknesses emerged from weaknesses in planning, weakness in human resource management, and weaknesses in supervisory practices.
Conclusion: It appears that the main challenges included financial problems, rapid implementation and failure to consider the less-favored cities in the implementation of the plan. In order to quickly revive the plan and achieve its positive and beneficial goals, it is recommended to revise the plan and take effective measures, especially in solving infrastructure and management problems.
Type of Study: Original |
Subject:
General Medicine. Health Professions
Received: 2019/02/16 | Accepted: 2019/11/2 | Published: 2020/01/28
Received: 2019/02/16 | Accepted: 2019/11/2 | Published: 2020/01/28
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