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首页> 美国卫生研究院文献>Medical Journal of the Islamic Republic of Iran >Iran’s Health System Transformation Plan: A SWOT analysis
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Iran’s Health System Transformation Plan: A SWOT analysis

机译：伊朗卫生系统转型计划：SWOT分析

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>Background: Societies are characterized by evolving health needs, which become more challenging throughout time, to which health system should respond. As such, a constant monitoring and a periodic review and reformation of healthcare systems are of fundamental importance to increase the efficiency and effectiveness of healthcare services delivery, equity, and sustainable funding. The establishment of President Rouhani’s government in Iran, on May 5, 2014, the settlement of the new Ministry of Health and Medical Education administration (MoHME) and the need for change in the provision of healthcare services has led to the "Health System Transformation Plan" (HSTP). The aim of the current investigation was to critically evaluate the health transformation plan in Iran. >Methods: Strengths, Weaknesses, Opportunities and Threats (SWOT) analysis enables to identify and assess the strengths and weaknesses within an organization or program, as well as the threats and opportunities outside the given organization or program. To identify SWOT of the HSTP in Iran, all articles concerning this program published in scholarly databases as well as in the gray literature were systematically searched. Subsequently, all factors identified at the first round were thematically classified into four categories and for reaching consensus on this classification, the list of points and factors was sent to 40 experts – policy- and decisionmakers, professors and academicians, health department workers, health activists, journalists. >Results: Thirty-four subjects expressed comments on classification. Incorporating their suggestions, the SWOT analysis of Iran’s HSTP was revised, finalized and then performed. >Conclusion: HSTP in Iran, like many of the initiatives that have been recently introduced and not fully implemented, have various challenges, difficulties and pitfalls that health policymakers need to pay attention to. Interacting with criticisms, taking into account public opinion and strengthening the plan can make the project more effective, and it can be anticipated that in the future, better conditions in the health sector will be achieved.
机译：>背景：社会的特征是不断变化的卫生需求，随着时间的推移，卫生系统应对此做出的挑战越来越艰巨。因此，对医疗保健系统进行持续监控以及定期审查和改革对于提高医疗保健服务提供，公平和可持续资金的效率和有效性至关重要。 2014年5月5日，鲁哈尼总统政府在伊朗成立，新的卫生与医学教育管理部（MoHME）的解决以及对医疗服务提供的需求发生变化，导致了“卫生系统转型计划”（HSTP）。当前调查的目的是严格评估伊朗的健康转型计划。 >方法：优势，劣势，机会和威胁（SWOT）分析可以识别和评估组织或计划内的优势和劣势，以及给定组织或计划外的威胁和机遇。为了确定伊朗HSTP的SWOT，系统地搜索了在学术数据库以及灰色文献中发表的有关该程序的所有文章。随后，将在第一轮中确定的所有因素按主题进行了四类分类，并就此分类达成共识，将要点和因素列表发送给40位专家-政策制定者，决策者，教授和院士，卫生部门工作人员，卫生活动家，记者。 >结果：34名受试者对分类发表了评论。结合他们的建议，对伊朗的HSTP的SWOT分析进行了修订，定稿然后执行。 >结论：伊朗的HSTP与最近刚刚提出但尚未完全实施的许多举措一样，都面临着卫生政策制定者需要注意的各种挑战，困难和陷阱。与批评意见互动，考虑公众意见并加强计划可以使该项目更加有效，并且可以预见，将来在卫生部门将取得更好的条件。

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