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Hashemi H, Haghdoost AA, Haji-Aghajani M, Janbabaee G, Maher A, Noori Hekmat S, Javadi AM, Rahimisadegh R, Emadi S, Rajabalipour MR, Haghighi H, Dehnavieh R, Ferdosi M, Khademi G, Mehralhasani MH, Sabermahani A, Bezanjani KN, Iranpour A, RashidiNejad H, Samadani FM, Maki M, Kalantari B, farrokhyar N, Rouhanizadeh H, Falakbaz M, Allahyari H, Fathalian MT, Khajehmirzaei AR, Jannati A, Derakhshani J, Rezapour A, Eftekhari J, Khaterneshanian fam P, Kazemi M, Mohammadi M, Rastbin P, Pirhayati B, Souri E, Torabipour A, Keshvari M, Alikhani N, Salehi L, Moradi M, Aghajaniyan S, Hedayati A, Kargar M, Sharifi L, OmraniKhoo H, Poursamad A, Amrolahi boyuki N, Zarei Z, Sahraei Z, Keshavaez A, Sadeghi M, Abdollahi Sabet S, Taiari K, Koohpayehzadeh J, Moazam E, Dehghani Tafti A, Forghani Dehnavi SS, Rezaei Barownaghi M, Jafari H, Foroghifar S, Arefnejad M, Ebrahimipou H, Sedaghat M, Mehdipoor S, Mollajafari F, Forouzan R, Meskini Mood S, Sharifpour S, Adel A, Nirouand S, Ghaznavi GR, Zamanzadeh R, Etesam K, Dalili M, Jafari Siriz M, Omidifar R. A Successful implementation of an idea to a nationally approved plan: Analyzing Iran's National Health Roadmap using the Kingdon model of policymaking. Med J Islam Repub Iran 2018; 32:46. [PMID: 30159297 PMCID: PMC6108245 DOI: 10.14196/mjiri.32.46] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2018] [Indexed: 11/18/2022] Open
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.
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Affiliation(s)
- Hassan Hashemi
- Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran
| | - Ali Akbar Haghdoost
- Modeling in Health Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
| | | | - Ghasem Janbabaee
- Department of Hematology-Oncology, Gastrointestinal Cancer Research Center, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
| | - Ali Maher
- Department of Health Policy, School of Medical Education, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Somayeh Noori Hekmat
- Modeling in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
| | - Amir M. Javadi
- Executive director, Iranian healthcare information Observatory, Researcher of Noor Ophthalmology Research Center, Tehran, Iran
| | - Rohaneh Rahimisadegh
- Research Center for Health Services Management, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
| | - Samira Emadi
- Research Center for Health Services Management, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
| | - Mahamad Reza Rajabalipour
- Supervisor of Public Health Department in School of Public Health in Bam University of Medical Sciences, Bam, Iran
| | - Hajar Haghighi
- Research Center for Health Services Management, Future Studies Research Center in Health, Kerman University of Medical Sciences, Kerman, Iran
| | - Reza Dehnavieh
- Medical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman,
Iran
| | - Masoud Ferdosi
- Health Management and Economics Research Center (HMERC), Isfahan University of Medical Sciences, Isfahan, Iran
| | - Gholamreza Khademi
- Assistant Director of Medical Accident and Emergency Management Center, Kerman University of Medical Sciences, Kerman, Iran
| | - Mohammad Hossein Mehralhasani
- Medical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
| | - Asma Sabermahani
- Research Center for Health Services Management, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
| | - Kaveh Nouhi Bezanjani
- Master of Public Administration, Research Center for Health Services Management, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
| | - Abedin Iranpour
- HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
| | - Hamidreza RashidiNejad
- Research Center for Modeling in Health, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
| | - Fatemeh Moeen Samadani
- Department of Statistics, Deputy of Curative Affaire, Kerman University of Medical Sciences, Kerman, Iran
| | - Maryam Maki
- Department of Environmental Health, School of public Health, Kerman University of Medical Sciences, Kerman, Iran
| | - Behzad Kalantari
- MD, Department of Planning, Deputy of Curative Affaire, MOHME, Tehran, Iran
| | - Nahid farrokhyar
- Department of Planning, Deputy of Curative Affaire, MOHME, Tehran, Iran
| | - Hamed Rouhanizadeh
- Department of Pediatrics, Mazandaran University of Medical Sciences, Sari, Iran
| | - Monireh Falakbaz
- Department of Statistics, Deputy of Curative Affaire, Guilan University of Medical Sciences, Rasht, Iran
| | | | - Mohammad Taghi Fathalian
- Management of Diseases, Diagnosis & Treatment Center, Semnan University of Medical Sciences, Semnan, Iran
| | - Ali Reza Khajehmirzaei
- MD, vice-chancellery of treatment, Shahroud University of Medical Sciences, Shahroud, Iran
| | - Ali Jannati
- Iranian Center of Excellence in Health Management (IceHM), School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Javad Derakhshani
- Health Information Officer, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Ali Rezapour
- Human Resources. Head of Hospital Administration and Clinical Services Excellence. Ardabil University of Medical Sciences, Ardabil, Iran
| | - Jamal Eftekhari
- Department of clinical affairs, Urmia university of medical sciences, Urmia, Iran
| | - Parisa Khaterneshanian fam
- Head of hospital administration and clinical services excellence. Treatment dept. Faculty of medical sciences and health services, Maragheh. Maragheh, Iran
| | - Mahmoud Kazemi
- Department of Statistics, Deputy of Curative Affaire, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Mohsen Mohammadi
- Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Payam Rastbin
- Department of Statistics, Deputy of Curative Affaire, medical university of Kurdestan, Iran
| | - Bahareh Pirhayati
- Expert Statistics, Unit of Statistics, Ilam University of Medical Science,
Ilam, Iran
| | - Elahe Souri
- Deputy of Curative Affaire, Hamadan University of Medical Science, Hamadan, Iran
| | - Amin Torabipour
- Department of Health Services Management, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Mohammad Keshvari
- Department of Health Services Management, School of Medical Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
| | - Najmeh Alikhani
- Faculty of Management and Economics, Science and Research Branch, Islamic Azad University, Tehran, Iran
| | - Lobat Salehi
- Head of The Policy and Strategic Planning Division, the Chancellor and Chief Executive Office, Shiraz University of Medical Sciences
| | - Mohammad Moradi
- Senior expert in the policy-making and planning center of Shiraz University of Medical Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
| | | | | | | | - Leila Sharifi
- Nursing Director of Bandar Abbas University of Medical Sciences, Iran
| | - Habib OmraniKhoo
- Department of Public Health, Faculty of health, Bushehr University of Medical Sciences, Bushehr, Iran
| | | | - Noraste Amrolahi boyuki
- Head of Administrative Affairs and Human Resources Department of Treatment, Alborz University of Medical Science, Alborz, Iran
| | - Zahra Zarei
- Qum University of Medical Sciences. Qum. Iran
| | - Zohre Sahraei
- Vice-Chancellor in Treatment Affairs, Qazvin University of Medical Science, Qazvin, Iran
| | - Abdollah Keshavaez
- Vice-Chancellor in Treatment Affairs, Qazvin University of Medical Science, Qazvin, Iran
| | | | - Somayae Abdollahi Sabet
- Department of Community Medicine, Faculty of Medicine Zanjan University of Medical Sciences, Zanjan, Iran
| | - Katayon Taiari
- Deputy of Curative Affaire, Saveh university of medical sciences, Saveh. Iran
| | - Jalil Koohpayehzadeh
- Preventive Medicine & Public Health Research Center, Iran University of Medical Sciences, Tehran, Iran
| | - Elham Moazam
- Cancer Prevention Research Center, Isfahan University of Medical Science, Iran
| | | | | | | | - Hossein Jafari
- Department of Statistics, Deputy of Curative Affaire, Rafsanjan University of Medical Sciences, Rafsanjan,
Iran
| | - Somayeh Foroghifar
- Department of Statistics, Deputy of Curative Affaire, Bam University of Medical Sciences, Kerman, Iran
| | - Masoud Arefnejad
- Department of Statistics, Deputy of Curative Affaire, Zabol University of Medical Sciences, Zabol, Iran
| | - Hossein Ebrahimipou
- Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Mojtaba Sedaghat
- Department of Community Medicine, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran
| | - Saeedeh Mehdipoor
- Colorectal Research Center, Iran University of Medical Sciences, Tehran, Iran
| | - Fariba Mollajafari
- Vice- Chancellor’s Office in Treatment Affairs, Health Economy, Standard and Health Technology Office, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Reza Forouzan
- Deputy of Curative Affaire, Sabzevar University of Medical Sciences, Sabzevar, Iran
| | - Saeed Meskini Mood
- Deputy of Curative Affaire, Zahedan University of Medical Sciences, Zahedan, Iran
| | | | - Amin Adel
- Department of management sciences and health economics, school of Health, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Shabnam Nirouand
- Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Gholam Reza Ghaznavi
- Department of Statistics, Deputy of Curative Affaire, Jiroft University of Medical Sciences, Jiroft, Iran
| | - Reza Zamanzadeh
- North Khorasan University of Medical Sciences, Bojnurd, Iran
| | - Khatereh Etesam
- The Coordination Office for Insurance, Tariffs and Standards, Birjand University of Medical Sciences, Birjand, Iran
| | - Mahdieh Dalili
- The Coordination Office for Insurance, Tariffs and Standards, Kerman University of Medical Sciences, Kerman, Iran
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