Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1396
11
1
gregorian
2018
2
1
32
1
online
1
fulltext
en
A Successful implementation of an idea to a nationally approved plan: Analyzing Iran's National Health Roadmap using the Kingdon model of policymaking
Health
Health
Original Research
Original Research
<strong>Introduction:</strong> Hospital beds, human resources, and medical equipment are the costliest elements in the health system and play an essential role at the time of treatment. In this paper, different phases of the NEDA 2026 project and its methodological approach were presented and its formulation process was analysed using the Kingdon model of policymaking.<br>
<strong> Methods:</strong> Iran Health Roadmap (NEDA 2026) project started in March 2016 and ended in March 2017. The main components of this project were hospital beds, clinical human resources, specialist personnel, capital medical equipment, laboratory facilities, emergency services, and service delivery model. Kingdon model of policymaking was used to evaluate NEDA 2026 development and implementation. In this study, all activities to accomplish each step in the Kingdon model was described.<br>
<strong> Results</strong><strong>:</strong> The followings were done to accomplish the goals of each step: collecting experts’ viewpoint (problem identification and definition), systematic review of the literature, analysis of previous experiences, stakeholder analysis, economic analysis, and feasibility study (solution appropriateness analysis), three-round Delphi survey (policy survey and scrutinization), and intersectoral and interasectoral agreement (policy legislation).<br>
<strong> Conclusion:</strong> In the provision of an efficient health service, various components affect each other and the desired outcome, so they need to be considered as parts of an integrated system in developing a roadmap for the health system. Thus, this study demonstrated the cooperation process at different levels of Iran’s health system to formulate a roadmap to provide the necessary resources for the health sector for the next 10 years and to ensure its feasibility using the Kingdon policy framework.<br>
<br>
Policy making, National Roadmap, Health system, Iran
262
267
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1615-3&slc_lang=en&sid=1
Hassan
Hashemi
hhashemi@norc.ac.ir
200319475328460038210
200319475328460038210
No
Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Ali Akbar
Haghdoost
ahaghdoost@gmail.com
200319475328460038211
200319475328460038211
No
Modeling in Health Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
Mohammad
Haji-Aghajani
200319475328460038212
200319475328460038212
No
Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Ghasem
Janbabaee
200319475328460038213
200319475328460038213
No
Department of Hematology-Oncology, Gastrointestinal Cancer Research Center, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.
Ali
Maher
200319475328460038214
200319475328460038214
No
Department of Health Policy, School of Medical Education, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Somayeh
Noori Hekmat
200319475328460038215
200319475328460038215
No
Modeling in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
Amir M.
Javadi
200319475328460038216
200319475328460038216
Yes
Executive director, Iranian healthcare information Observatory, Researcher of Noor Ophthalmology Research Center, Tehran, Iran.
Rohaneh
Rahimisadegh
200319475328460038217
200319475328460038217
No
Research Center for Health Services Management, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
Samira
Emadi
200319475328460038218
200319475328460038218
No
Research Center for Health Services Management, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
Mahamad Reza
Rajabalipour
200319475328460038219
200319475328460038219
No
Supervisor of Public Health Department in School of Public Health in Bam University of Medical Sciences, Bam, Iran.
Hajar
Haghighi
200319475328460038220
200319475328460038220
No
Research Center for Health Services Management, Future Studies Research Center in Health, Kerman University of Medical Sciences, Kerman, Iran.
Reza
Dehnavieh
200319475328460038221
200319475328460038221
No
Medical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
Masoud
Ferdosi
200319475328460038222
200319475328460038222
No
Health Management and Economics Research Center (HMERC), Isfahan University of Medical Sciences, Isfahan, Iran.
Gholamreza
Khademi
200319475328460038223
200319475328460038223
No
Assistant Director of Medical Accident and Emergency Management Center, Kerman University of Medical Sciences, Kerman, Iran.
Mohammad Hossein
Mehralhasani
200319475328460038224
200319475328460038224
No
Medical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
Asma
Sabermahani
200319475328460038225
200319475328460038225
No
Research Center for Health Services Management, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
Kaveh Nouhi
Bezanjani
200319475328460038226
200319475328460038226
No
Master of Public Administration, Research Center for Health Services Management, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
Abedin
Iranpour
200319475328460038227
200319475328460038227
No
HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
Hamidreza
Rashidi Nejad
200319475328460038228
200319475328460038228
No
Research Center for Modeling in Health, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
Fatemeh Moeen
Samadani
200319475328460038229
200319475328460038229
No
Department of Statistics, Deputy of Curative Affaire, Kerman University of Medical Sciences, Kerman, Iran.
Maryam
Maki
200319475328460038230
200319475328460038230
No
Department of Environmental Health, School of public Health, Kerman University of Medical Sciences, Kerman, Iran.
Behzad
Kalantari
200319475328460038231
200319475328460038231
No
MD, Department of Planning, Deputy of Curative Affaire, MOHME, Tehran, Iran.
Nahid
Farrokhyar
200319475328460038232
200319475328460038232
No
Department of Planning, Deputy of Curative Affaire, MOHME, Tehran, Iran.
Hamed
Rouhanizadeh
200319475328460038233
200319475328460038233
No
Department of Pediatrics, Mazandaran University of Medical Sciences, Sari, Iran.
Monireh
Falakbaz
200319475328460038234
200319475328460038234
No
Department of Statistics, Deputy of Curative Affaire, Guilan University of Medical Sciences, Rasht, Iran.
Hamid
Allahyari
200319475328460038235
200319475328460038235
No
Golestan University of Medical Sciences, Gorgan, Iran.
Mohammad Taghi
Fathalian
200319475328460038236
200319475328460038236
No
Management of Diseases, Diagnosis & Treatment Center, Semnan University of Medical Sciences, Semnan, Iran.
Ali Reza
Khajehmirzaei
200319475328460038237
200319475328460038237
No
MD, vice-chancellery of treatment, Shahroud University of Medical Sciences, Shahroud, Iran.
Ali
Jannati
200319475328460038238
200319475328460038238
No
Iranian Center of Excellence in Health Management (IceHM), School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.
Javad
Derakhshani
200319475328460038239
200319475328460038239
No
Health Information Officer, Tabriz University of Medical Sciences, Tabriz, Iran.
Ali
Rezapour
200319475328460038240
200319475328460038240
No
Human Resources. Head of Hospital Administration and Clinical Services Excellence. Ardabil University of Medical Sciences, Ardabil, Iran.
Jamal
Eftekhari
200319475328460038241
200319475328460038241
No
Department of clinical affairs, Urmia university of medical sciences, Urmia, Iran.
Parisa
Khaterneshanian fam
200319475328460038242
200319475328460038242
No
Head of hospital administration and clinical services excellence. Treatment dept. Faculty of medical sciences and health services, Maragheh. Maragheh, Iran.
Mahmoud
Kazemi
200319475328460038243
200319475328460038243
No
Department of Statistics, Deputy of Curative Affaire, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Mohsen
Mohammadi
200319475328460038244
200319475328460038244
No
Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Payam
Rastbin
200319475328460038245
200319475328460038245
No
Department of Statistics, Deputy of Curative Affaire, medical university of Kurdestan, Iran.
Bahareh
Pirhayati
200319475328460038246
200319475328460038246
No
Expert Statistics, Unit of Statistics, Ilam University of Medical Science, Ilam, Iran.
Elahe
Souri
200319475328460038247
200319475328460038247
No
Deputy of Curative Affaire, Hamadan University of Medical Science, Hamadan, Iran.
Amin
Torabipour
200319475328460038248
200319475328460038248
No
Department of Health Services Management, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Mohammad
Keshvari
200319475328460038249
200319475328460038249
No
Department of Health Services Management, School of Medical Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.