Challenges in Implementation of Health Care Reform in the Area of Treatment Qom City
Journal Title: مجله راهبردهای مدیریت در نظام سلامت - Year 2018, Vol 3, Issue 3
Abstract
Background: The health system reform was implemented with 3 approaches of financial protection of people, creating equity in accessing health services, and improving quality in May 2014. The health care reform, similar to any other plans was faced with some challenges. This study aimed to explain the challenges of health care reform in the area of treatment in Qom city, Iran. Methods: In this qualitative study, purposive sampling was applied to collect the participants. In this regard, 23 service providers (health managers and workers) working in the educational-treatment centers affiliated to Qom University of Medical Sciences and 5 service recipients were selected in 2017-2018. The semi-structured interviews were conducted to collect the required data. Data analyses were performed using conventional content analysis method by MaxQDA 10 software. Results: A total of 5 main themes, including: “economic challenges", “induced demand”, “human resources”, “reform negative outcomes”, and “improper infra-structure” were derived from data analysis. Conclusion: Findings of this study explained the main challenges of health care reform in the area of treatment. Lack of appropriate planning for these challenges will face the implementation of reform with serious problems. Therefore, implementation and continuation of this project require comprehensive support as well as appropriate planning and policy making from the authorities.
Authors and Affiliations
Zohreh Khalajinia, Mina Gaeeni
Keywords
Related Articles
- EP ID EP428328
- DOI 10.18502/mshsj.v3i3.253
- Views 83
- Downloads 0
The Relationship between Gender Inequality Index and Indicators Related to Children in Countries with Different Income Levels: An Ecologic Study
Background: Gender inequality index shows reduction in human development due to inequality between men and women, which results in vulnerability to diseases. Therefore, this study aimed to investigate gender inequality i...
Investigating the Factors Affecting Out-of-Pocket in Hospitals Affiliated to Mazandaran University of Medical Sciences
Background: Out-of-pocket is one of the most important payment methods in Iran's health system, which has negative impacts on equity and pushes the vulnerable groups into poverty. Considering the importance of this metho...
Evaluating the Efficiency of Intensive Care Unit Departments in Hospitals Affiliated with Yazd University of Medical Sciences Using Data Envelopment Analysis
Background: Despite the resources allocated to hospitals, there is a gap between resources at hand and those needed in hospitals. This study aimed to evaluate the efficiency of intensive care unit departments of hospital...
Relationship between Mental Health and Quality of Working Life among Clinical Staff of Selected Hospitals of Medical Sciences, Yazd
Background: Quality of working life and mental health including the important factors affecting the performance of the organizations. The aim of this study was to investigate the relationship between the quality of worki...
Relationship between Health and Psychological Empowerment of the Librarians in the State Universities of Yazd (2016)
Background: Staff is the only sustainable competitive advantage of any organization; the success of the organization depends on the empowerment and health of the staff. The purpose of this study was to investigate the re...