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首页> 外文期刊>Iranian journal of public health. >Imbalance between Goals and Organizational Structure in Primary Health Care in Iran- a Systematic Review
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Imbalance between Goals and Organizational Structure in Primary Health Care in Iran- a Systematic Review

机译：伊朗初级卫生保健的目标与组织结构之间的不平衡-系统评价

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Background:In recent years, the main focus of health sector reforms in Iran is the family physician and referral system plan. Fundamental changes in the goals and strategies, has increased the necessity of the need to reform the organizational structure. This study tries to review and summarize all cases about the organizational structure of Iran and its challenges in primary health care system.Methods:This study was a systematic review of published and grey literature. We searched the relevant databases, bibliography of related papers, and laws, using appropriate search strategies and key words. The CASP tool was used by two experts to evaluate the quality of retrieved papers and inconsistencies were resolved by discussion.Results:After removal of duplicate citations, a total of 52 titles were identified through database searching, among which 30 met the inclusion criteria. Considering the research quality criteria, 14 papers were recognized qualified, which were categorized into two groups of: articles and policies. The results showed ineffectiveness of the current organizational structure at different level. The majority of the papers recommend performing reforms in the system because of changes in goals and strategies. Also, some suggest an appropriate information system to be designed in the current structures. Centralization and delegation process are the main discussions for the studies.Conclusion:Because of fundamental changes in goals and strategies, reforms in the organizational structure of primary health system in Iran especially in peripheral levels are highly recommended.
机译：背景：近年来，伊朗卫生部门改革的主要重点是家庭医生和转诊系统计划。目标和策略的根本变化增加了改革组织结构的必要性。本研究试图回顾和总结有关伊朗组织结构及其在初级卫生保健系统中所面临挑战的所有案例。方法：本研究是对已发表的灰色文献的系统综述。我们使用适当的搜索策略和关键词搜索了相关的数据库，相关论文的书目和法律。结果：删除重复的引文后，通过数据库检索共检索到52个标题，其中30个符合纳入标准。考虑到研究质量标准，有14篇论文被确认为合格，被分为文章和政策两类。结果表明，当前的组织结构在不同层面上都是无效的。大多数论文建议由于目标和策略的变化而在系统中进行改革。另外，有人建议在当前结构中设计适当的信息系统。结论：由于目标和战略的根本变化，强烈建议对伊朗初级卫生系统的组织结构进行改革，特别是在外围一级。

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