Medical Journal of The Islamic Republic of Iran (MJIRI)
Iran University of Medical Sciences
Sun, May 19, 2024
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Volume 37, Issue 1 (2-2023)
Med J Islam Repub Iran 2023 |
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Emami M, Haghdoost A, Yazdi-Feyzabadi V, Mehrolhassani M H. Identification of Key Components in Health System Using System Thinking Approach: A Scoping Review. Med J Islam Repub Iran 2023; 37 (1) :399-421
URL: http://mjiri.iums.ac.ir/article-1-8068-en.html
URL: http://mjiri.iums.ac.ir/article-1-8068-en.html
Department of Health Management, Policy, and Economics, Faculty of Management and Medical Information Sciences, & Medical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran , mhmhealth@kmu.ac.ir
Abstract: (617 Views)
Background: The dynamic and systemic planning and targeting in the health system require attention to all the system's components and investigation of their causal relationship in order to form a clear view and image of it. Therefore, the present study was designed with the aim of identifying the comprehensive dimensions of the system within a specific framework.
Methods: Key components in the health system were identified through the scoping review method. For this purpose, 61 studies with selected keywords were extracted from international databases, including Scopus, Web of Science, PubMed and Embase, and Persian language databases including Magiran and SID. Inclusion and exclusion criteria in this study were languages, time range, repeated studies, studies related to the health system, appropriateness of studies with the subject and purpose of the present study and the method used. The content of the selected studies and extracted themes were analyzed and categorized in the Balanced Scorecard (BSC) framework.
Results: In health system analysis, key components were divided into 18 main categories and 45 categories. Also, they were categorized according to the BSC framework into five dimensions of population health, service delivery, growth and development, financing, and governance & leadership.
Conclusion: For health system improvement, policymakers and planners should consider these factors in a dynamic system and a causal network.
Methods: Key components in the health system were identified through the scoping review method. For this purpose, 61 studies with selected keywords were extracted from international databases, including Scopus, Web of Science, PubMed and Embase, and Persian language databases including Magiran and SID. Inclusion and exclusion criteria in this study were languages, time range, repeated studies, studies related to the health system, appropriateness of studies with the subject and purpose of the present study and the method used. The content of the selected studies and extracted themes were analyzed and categorized in the Balanced Scorecard (BSC) framework.
Results: In health system analysis, key components were divided into 18 main categories and 45 categories. Also, they were categorized according to the BSC framework into five dimensions of population health, service delivery, growth and development, financing, and governance & leadership.
Conclusion: For health system improvement, policymakers and planners should consider these factors in a dynamic system and a causal network.
Type of Study: Review Article |
Subject:
Health
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