ارزیابی حکمرانی خوب در ابعادکیفیت و اثربخشی و مسئولیتپذیری در نظام سلامت ایران و کشورهای منتخب: یک مطالعه‌ی تطبیقی
محورهای موضوعی : -مدیریت خدمات بهداشتی و درمانی
محسن کاظمی نیا
1
,
علیرضا خاتونی
2
,
فرانک جعفری
3
1 - دانشجوی کارشناسی پرستاری، کمیته تحقیقات دانشجویی دانشکده پرستاری و مامایی دانشگاه علوم پزشکی کرمانشاه، کرمانشاه، ایران
2 - استاد، گروه آموزش داخلی و جراحی دانشکده پرستاری و مامایی دانشگاه علوم پزشکی کرمانشاه، کرمانشاه، ایران
3 - استادیار، گروه مدیریت خدمات بهداشتی درمانی، دانشکده پرستاری و مامایی دانشگاه علوم پزشکی کرمانشاه، کرمانشاه، ایران
کلید واژه: نظام سلامت, کیفیت, حکمرانی خوب, مسئولیتپذیری, اثربخشی,
چکیده مقاله :
مقدمه: امروزه مقوله توسعه، مورد توجه بسیاری از کشورهاست و یکی از الزامات اولیه تحقق توسعه متوازن، مبحث حکمرانی خوب است. لذا مطالعه حاضر با هدف ارزیابی حکمرانی خوب در ابعاد کیفیت، اثربخشی و مسئولیتپذیری در نظام سلامت انجام گردید. روش پژوهش: این مطالعه به‌صورت تطبیقی انجام شد. در این فرایند مطالعه حاکمیت نظام سلامت در ابعاد سازمانی کیفیت و اثر بخشی و مسئولیتپذیری در هفت کشور منتخب جهان و ایران انجام شد. داده‌ها پس از جمع‌آوری توصیف، تفسیر و تحلیل شدند. جهت یافتن مقالات و مستندات اطلاعاتی بانک های اطلاعاتی فارسی و انگلیسی، سایت های معتبر سازمان بهداشت جهانی مورد جستجو قرار گرفتند. یافته‌ها: نتایج حاصل از مطالعه کشورهای منتخب و ایران نشان داد که همه کشورها جهت ارتقای کیفیت و اثر بخشی خدمات، توجه ویژه ای به سیستم های الکترونیکی و فن آوری اطلاعات داشته اند، در بعد مسئولیتپذیری نیز نتایج نشان داد که در کشورهای سنگاپور، ترکیه و ایران، تعدد مسئولیت های وزارت بهداشت مانعی در برابر انجام وظایف اصلی آن‌ها می باشد. نتیجه‌گیری: الگوی فعلی حاکمیت نظام سلامت ایران و کشورهای در حال توسعه با نظام سلامت مشابه با آن چالش‌هایی در دست‌یابی به اهداف نظام سلامت ایجاد می‌کند. توسعه یک مدل یکپارچه نظام سلامت و تدوین استانداردهای جامع سیستمی برای ارزشیابی و اعتباربخشی خدمات سلامت، برای حاکمیت نظام سـلامت این کشورها پیشـنهاد می‌شـود.
Introduction: Today, the issue of development is considered by many countries and one of the basic requirements for achieving balanced development is the issue of good governance. Therefore, the present study was conducted to evaluate good governance in terms of quality, effectiveness and responsibility in the health system. Methods: This study was a comparative study. In this process, the study of the governance of the health system in the organizational dimensions of quality, effectiveness and responsibility was conducted in seven selected countries of the world and Iran. Data were described, interpreted and analyzed after collection. In order to find articles and information documents in Persian and English databases, reputable sites of the World Health Organization were searched. Results: The results of the study of selected countries and Iran showed that all countries to improve the quality and effectiveness of services, have paid special attention to electronic systems and information technology, in terms of responsibility, the results showed that In Singapore, Turkey and Iran, the multiplicity of responsibilities of the Ministry of Health is an obstacle to the performance of their core tasks. Conclusion: The current model of governance of the health system of Iran and developing countries with similar health systems creates challenges in achieving the goals of the health system. The development of an integrated model of the health system and the development of comprehensive system standards for the evaluation and accreditation of health services are proposed for the governance of the health system of these countries.
1- Greer SL, Wismar M, Figueras J, Vasev N. Policy lessons for health governance. Strengthening Health System Governance; 2016: 1-290.
2- Betz CL, O'Kane LS, Nehring WM, Lobo ML. Systematic review: Health care transition practice service models. Nursing Outlook, 2016; 64(3): 229-43.
3- Smith MA, Spiggle S, McConnell B. Strategies for community-based medication management services in value-based health plans. Research in Social and Administrative Pharmacy, 2017; 13(1): 48-62.
4- Sheng Y. What is good governance?[Homepage of Economic and Social Commission for Asia and the Pacific]; 2011.
5- Bennett B. Health law's kaleidoscope: Health law rights in a global age: Routledge; 2017.
6- Dorri KS, Zolfagharnasab A, Torabi F. Primary health care quality improvement patterns: A systematic review study; 2019.
7- Hedman E, Andersson E, Lindefors N, Andersson G, Rück C, Ljótsson B. Cost-effectiveness and long-term effectiveness of internet-based cognitive behaviour therapy for severe health anxiety. Psychological medicine; 2013; 432: 74-363.
8- Azfar O. Conditions for effective decentralized governance: A synthesis of research findings; 2001.
9- Asartamar M, Moghtader Mansouri A. The Role of Social Responsibility Components on Organizational Health (Case Study of Urmia Health Network Staff). Journal of healthcare management, 2019; 10(3): 7-20.
10- Damari B. Challenges and directions of public health development in Iran from the viewpoint of provincial health deputies and health center. Journal of School of Public Health and Institute of Public Health Research, 2015; 13(1): 1-16.
11- Damari B, VOSOOGH MA, ROSTAMI GN, Kabir MJ. Evaluation of the urban family physician and referral system program in Fars and Mazandran provinces: history, achievements, challenges and solutions; 2016.
12- Fouladi Z, Shaarbafchi Zadeh N, Shaikhvaisi Y, Alimoradnuri M, Bagheri F. The effect of healthcare reform plan to reduce the rate of cesarean in hospitals affiliated to Qom University of Medical Sciences. Military Caring Sciences Journal, 2018; 4(3): 207-12.
13- Alidadi A, Amerioun A, Sepandi M, Hosseini Shokouh SM, Abedi R, Zibadel L, et al. The opportunities and challenges of the Ministry of Health and Medical education for improvement of healthcare system. Health Research Journal, 2016; 1(3): 173-84.
14- Kaikhavani S, Saffarinia M, Alipor A, Farzad V. Development of social dimensions of health from the perspective of urban management. Quarterly Social Psychology Research, 2020; 10(38): 41-64.
15- Mosadeghrad A, Sokhanvar M. Organizational culture of selected hospitals of Tehran city; 2017.
16- Brinkerhoff DW, Bossert TJ. Health governance: principal–agent linkages and health system strengthening. Health policy and planning, 2014; 29(6): 685-93.
17- Kickbusch I, Behrendt T. Implementing a Health 2020 vision: governance for health in the 21st century. Making it happen: World Health Organization. Regional Office for Europe; 2013.
18- Damari B. Challenges and directions of public health development in Iran from the viewpoint of provincial health deputies and health center. Journal of School of Public Health and Institute of Public Health Research, 2015; 13(1): 1-16.
19- Baris E, Mollahaliloglu S, Aydin S. Healthcare in Turkey: from laggard to leader. Bmj; 2011: 342.
20- Neinavae M, Nasiripour AA, Tabibi SJ, Raeissi P. Designing the maternal and child health services package based on comparative study of developed countries models. The Iranian Journal of Obstetrics, Gynecology and Infertility, 2016; 19(17): 1-12.
21- Haseltine WA. Affordable excellence: the Singapore healthcare story: how to create and manage sustainable healthcare systems: Brookings Institution Press; 2013.
22- Quick D, Choo K-KR. Impacts of increasing volume of digital forensic data: A survey and future research challenges. Digital Investigation, 2014; 11(4): 273-94.
23- Quick D, Choo K-KR. Impacts of increasing volume of digital forensic data: A survey and future research challenges. Digital Investigation, 2014; 11(4): 273-94.
24- Glover L. The Australian health care system, 2015. International Profiles of Health Care Systems New York, NY: The Commonwealth Fund; 2016: 11-9.
25- Glenngård AH. The Swedish health care system, 2014. International Profiles of Health Care Systems; 2015: 133.
26- Motivans M. Federal Justice Statistics, 2013-2014. Department of Justice Office of Justice Programs Bureau of Justice Statistics; 2017.
27- Busse R, Blümel M, Organization WH. Germany: health system review; 2014.
28- Damari B, VOSOOGH MA, ROSTAMI GN, Kabir MJ. Evaluation of the urban family physician and referral system program in Fars and Mazandran provinces: history, achievements, challenges and solutions; 2016.
29- Kickbusch I, Behrendt T. Implementing a Health 2020 vision: governance for health in the 21st century. Making it happen: World Health Organization. Regional Office for Europe; 2013.
30- Mollahaliloglu S, Kavuncubasi S, Gursoz H, Agirbas I, Oguz Ari H, Gokhun Oncul H, et al. Outsourcing profile in the Turkish health care system. Journal of health care finance. 2009;35(4):74.
31- Anell A, Glenngård AH, Merkur S, Organization WH. Sweden: Health system review; 2012.
_||_
1- Greer SL, Wismar M, Figueras J, Vasev N. Policy lessons for health governance. Strengthening Health System Governance; 2016: 1-290.
2- Betz CL, O'Kane LS, Nehring WM, Lobo ML. Systematic review: Health care transition practice service models. Nursing Outlook, 2016; 64(3): 229-43.
3- Smith MA, Spiggle S, McConnell B. Strategies for community-based medication management services in value-based health plans. Research in Social and Administrative Pharmacy, 2017; 13(1): 48-62.
4- Sheng Y. What is good governance?[Homepage of Economic and Social Commission for Asia and the Pacific]; 2011.
5- Bennett B. Health law's kaleidoscope: Health law rights in a global age: Routledge; 2017.
6- Dorri KS, Zolfagharnasab A, Torabi F. Primary health care quality improvement patterns: A systematic review study; 2019.
7- Hedman E, Andersson E, Lindefors N, Andersson G, Rück C, Ljótsson B. Cost-effectiveness and long-term effectiveness of internet-based cognitive behaviour therapy for severe health anxiety. Psychological medicine; 2013; 432: 74-363.
8- Azfar O. Conditions for effective decentralized governance: A synthesis of research findings; 2001.
9- Asartamar M, Moghtader Mansouri A. The Role of Social Responsibility Components on Organizational Health (Case Study of Urmia Health Network Staff). Journal of healthcare management, 2019; 10(3): 7-20.
10- Damari B. Challenges and directions of public health development in Iran from the viewpoint of provincial health deputies and health center. Journal of School of Public Health and Institute of Public Health Research, 2015; 13(1): 1-16.
11- Damari B, VOSOOGH MA, ROSTAMI GN, Kabir MJ. Evaluation of the urban family physician and referral system program in Fars and Mazandran provinces: history, achievements, challenges and solutions; 2016.
12- Fouladi Z, Shaarbafchi Zadeh N, Shaikhvaisi Y, Alimoradnuri M, Bagheri F. The effect of healthcare reform plan to reduce the rate of cesarean in hospitals affiliated to Qom University of Medical Sciences. Military Caring Sciences Journal, 2018; 4(3): 207-12.
13- Alidadi A, Amerioun A, Sepandi M, Hosseini Shokouh SM, Abedi R, Zibadel L, et al. The opportunities and challenges of the Ministry of Health and Medical education for improvement of healthcare system. Health Research Journal, 2016; 1(3): 173-84.
14- Kaikhavani S, Saffarinia M, Alipor A, Farzad V. Development of social dimensions of health from the perspective of urban management. Quarterly Social Psychology Research, 2020; 10(38): 41-64.
15- Mosadeghrad A, Sokhanvar M. Organizational culture of selected hospitals of Tehran city; 2017.
16- Brinkerhoff DW, Bossert TJ. Health governance: principal–agent linkages and health system strengthening. Health policy and planning, 2014; 29(6): 685-93.
17- Kickbusch I, Behrendt T. Implementing a Health 2020 vision: governance for health in the 21st century. Making it happen: World Health Organization. Regional Office for Europe; 2013.
18- Damari B. Challenges and directions of public health development in Iran from the viewpoint of provincial health deputies and health center. Journal of School of Public Health and Institute of Public Health Research, 2015; 13(1): 1-16.
19- Baris E, Mollahaliloglu S, Aydin S. Healthcare in Turkey: from laggard to leader. Bmj; 2011: 342.
20- Neinavae M, Nasiripour AA, Tabibi SJ, Raeissi P. Designing the maternal and child health services package based on comparative study of developed countries models. The Iranian Journal of Obstetrics, Gynecology and Infertility, 2016; 19(17): 1-12.
21- Haseltine WA. Affordable excellence: the Singapore healthcare story: how to create and manage sustainable healthcare systems: Brookings Institution Press; 2013.
22- Quick D, Choo K-KR. Impacts of increasing volume of digital forensic data: A survey and future research challenges. Digital Investigation, 2014; 11(4): 273-94.
23- Quick D, Choo K-KR. Impacts of increasing volume of digital forensic data: A survey and future research challenges. Digital Investigation, 2014; 11(4): 273-94.
24- Glover L. The Australian health care system, 2015. International Profiles of Health Care Systems New York, NY: The Commonwealth Fund; 2016: 11-9.
25- Glenngård AH. The Swedish health care system, 2014. International Profiles of Health Care Systems; 2015: 133.
26- Motivans M. Federal Justice Statistics, 2013-2014. Department of Justice Office of Justice Programs Bureau of Justice Statistics; 2017.
27- Busse R, Blümel M, Organization WH. Germany: health system review; 2014.
28- Damari B, VOSOOGH MA, ROSTAMI GN, Kabir MJ. Evaluation of the urban family physician and referral system program in Fars and Mazandran provinces: history, achievements, challenges and solutions; 2016.
29- Kickbusch I, Behrendt T. Implementing a Health 2020 vision: governance for health in the 21st century. Making it happen: World Health Organization. Regional Office for Europe; 2013.
30- Mollahaliloglu S, Kavuncubasi S, Gursoz H, Agirbas I, Oguz Ari H, Gokhun Oncul H, et al. Outsourcing profile in the Turkish health care system. Journal of health care finance. 2009;35(4):74.
31- Anell A, Glenngård AH, Merkur S, Organization WH. Sweden: Health system review; 2012.
