Paper Information

Journal:   MEDICAL JOURNAL OF THE ISLAMIC REPUBLIC OF IRAN (MJIRI)   2018 , Volume 32 , Number 1; Page(s) 0 To 0.
 
Paper: 

A Successful implementation of an idea to a nationally approved plan: Analyzing Iran's National Health Roadmap using the Kingdon model of policymaking

 
DOI: 

10.14196/mjiri.32.46

 
Author(s):  HASHEMI HASSAN, HAGHDOOST ALI AKBAR, HAJI AGHAJANI MOHAMMAD, JANBABAEE GHASEM, MAHER ALI, NOORI HEKMAT SOMAYEH*, Javadi Amir M., Rahimisadegh Rohaneh, EMADI SAMIRA, Rajabalipour Mahamad Reza, HAGHIGHI HAJAR, DEHNAVIEH REZA, FERDOSI MASOUD, KHADEMI GHOLAMREZA, Mehralhasani Mohammad Hossein, SABERMAHANI ASMA, Nouhi Bezanjani Kaveh, IRANPOUR ABEDIN, RASHIDINEJAD HAMIDREZA, Moeen Samadani Fatemeh, Maki Maryam, KALANTARI BEHZAD, farrokhyar Nahid, ROUHANIZADEH HAMED, Falakbaz Monireh, Allahyari Hamid, Fathalian Mohammad Taghi, Khajehmirzaei Ali Reza, JANNATI ALI, Derakhshani Javad, REZAPOUR ALI, Eftekhari Jamal, Khaterneshanian fam Parisa, KAZEMI MAHMOUD, MOHAMMADI MOHSEN, Rastbin Payam, Pirhayati Bahareh, Souri Elahe, TORABIPOUR AMIN, Keshvari Mohammad, Alikhani Najmeh, Salehi Lobat, MORADI MOHAMMAD, Aghajaniyan Saeed, HEDAYATI ARVIN, KARGAR MARYAM, SHARIFI LEILA, OMRANIKHOO HABIB, Poursamad Abdollah, Amrolahi boyuki Noraste, ZAREI ZAHRA, SAHRAEI ZOHRE, Keshavaez Abdollah, Sadeghi Mahdiyeh, ABDOLLAHI SABET SOMAYAE, Taiari Katayon, KOOHPAYEHZADEH JALIL, MOAZAM ELHAM, Dehghani Tafti Abbasali, Rezaei Barownaghi Mostafa, JAFARI HOSSEIN, Foroghifar Somayeh, Arefnejad Masoud, EBRAHIMIPOUR HOSSEIN, SEDAGHAT MOJTABA, Mehdipoor Saeedeh, MOLLAJAFARI FARIBA, Forouzan Reza, Meskini Mood Saeed, Sharifpour Shrvin, ADEL AMIN, Nirouand Shabnam, Ghaznavi Gholam Reza, Zamanzadeh Reza, Etesam Khatereh, DALILI MAHDIEH, JAFARI SIRIZI MOHAMMAD, OMIDIFAR ROODABEH
 
* Modeling in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
 
Abstract: 
Introduction: Hospital beds, human resources, and medical equipment are the costliest elements in the health system and play an essential role at the time of treatment. In this paper, different phases of the NEDA 2026 project and its methodological approach were presented and its formulation process was analysed using the Kingdon model of policymaking. Methods: Iran Health Roadmap (NEDA 2026) project started in March 2016 and ended in March 2017. The main components of this project were hospital beds, clinical human resources, specialist personnel, capital medical equipment, laboratory facilities, emergency services, and service delivery model. Kingdon model of policymaking was used to evaluate NEDA 2026 development and implementation. In this study, all activities to accomplish each step in the Kingdon model was described. Results: The followings were done to accomplish the goals of each step: collecting experts’ viewpoint (problem identification and definition), systematic review of the literature, analysis of previous experiences, stakeholder analysis, economic analysis, and feasibility study (solution appropriateness analysis), three-round Delphi survey (policy survey and scrutinization), and intersectoral and interasectoral agreement (policy legislation). Conclusion: In the provision of an efficient health service, various components affect each other and the desired outcome, so they need to be considered as parts of an integrated system in developing a roadmap for the health system. Thus, this study demonstrated the cooperation process at different levels of Iran’ s health system to formulate a roadmap to provide the necessary resources for the health sector for the next 10 years and to ensure its feasibility using the Kingdon policy framework.
 
Keyword(s): Policy making,National Roadmap,Health system,Iran
 
References: 
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