جستجوی مقالات مرتبط با کلیدواژه "اجرای خط مشی" در نشریات گروه "پزشکی"

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policy implementation is the actions that are taken by government or private sector individuals with the aim of realizing the goals of the policy.Many experts have listed many factors in explaining the factors affecting policy implementation and the problems of policy implementation, and most of them believe that the problems of policy implementation are different with the conditions of each society. Several measures lead to the reduction of failure in the implementation of health system policies/ the purpose of this research is to identify and rank these factors.

This research was applied and in terms of strategy, it was a survey. The research community consisted of 21 health managers of the country, who were selected through non-random and purposeful sampling. The tools of data collection are interviews and questionnaires, and the FMEA technique and the combined approach of AHP and Fuzzy TOPSIS were used to analyze the data.

The results of the research showed that the experts have a total of 10 dimensions in the spectrum of failure reduction measures, including cultural factors, communication, structure, implementation method, management, support, manpower.policy implementers, society, policy formulation and environment and 50 components. They proposed important measures effective in reducing the failure of the implementation of health system policies.

What was stated in this research as the measures to reduce the failure in the implementation of these policies will help the managers and actors of the health system policy field to prevent the occurrence of problems in the path of successful implementation of the health system policies by knowing the factors that reduce the failure of the implementation of the health system policies. Get healthy.

Medical tourism as a money-making industry in the world has led to the increasing competition of countries to attract the maximum number of tourists. Considering the growing international competition in this field, in order to properly utilize the capabilities of Golestan province, this research was conducted with the aim of analysis and explaining the dimensions and components that promote and hinder the implementation of medical tourism policies in Golestan province.

This research was conducted using the qualitative method based on the Grounded theory in 2020. Data collection was conducted through in-depth and semi-structured interviews. The research population included experts such as managers and faculty members of the university of medical sciences and public and private hospitals, managers and officials of the General Office of Cultural Heritage and Tourism, and travel agencies, doctors and nurses with at least 5 years of relevant work experience and expertise in the field of medical tourism. Purposive sampling was done and continued until data saturation. Finally, 13 people were interviewed. Data analysis was done simultaneously with data collection through Open, Axial and Selective coding and MaxQDA 2020 software.

The findings of the present study showed that the promoting and hindering factors for the implementation of medical tourism policies in Golestan province were categorized in the form of 263 codes, 65 concepts, 9 subcategories and 5 main categories. They consisted of climatic and environmental attractions, organizational architecture, policymaking system, capacity development and service quality and strategic management.

Using the results of this study, the policymakers of medical tourism in Golestan province can predict the appropriate implementation instrument regarding the policy-making process to develop medical tourism, income and business in Golestan province.

Policies will be communicated to administrators after being drafted and approved. Sometimes, they undergo changes at the implementation stage that remove them from their goals. The aim of this study was to provide a model to improve the quality of policy implementation in the health system of Iran.

This qualitative study was conducted in 2018. In order to collect the required information, a library method was used by not taking tool and in the second field stage, exploratory interviewing tool was applied. The study population consisted of the senior managers in the Ministry of Health, heads of the medical universities, and government hospitals. In this research, targeted and snowball sampling methods were used to select the interviewees. A total of 33 interviews were conducted. For analysis of the data, the database analysis was used and for modeling a system attitude was applied. Also, for the purpose of model testing, narrative interviews were used.

After recording the collected data and removing the repetitive components of the exploratory interviews and research background,
115 statements were identified. After the open encryption, 115 concepts were introduced. Finally, by axial and selective encodings, 9 components were determined: general culture, structure, information, policy quality, implementation style, rules and regulations, resource allocation, empowerment, and environment. Each of these components had dimensions and characteristics, which made a total of 46 indicators associated with capacity building of the health system policies.

 Improved quality of the policies' implementation in various layers of the health system leads to a mutual trust between the health system of Iran and various levels of the target community, increases motivation, strengthens the spirit of cooperation, improves sharing efforts and teamwork among the executives, and provides an optimal context for emergence of creativity and innovation in implementation of policies, promotes health indicators in the community, and gains credibility for the health system of Iran.

In 2014, the Supreme Leader of Iran issued the general health policies.document (GHPD). Despite the announcement of the GHPD and the emphasis on building strengthening and fortifying the infrastructure needed to produce pharmaceuticals, vaccines, and biotechnical products ,necessary for medical supplies and equipment  the nation still faces many challenges in the development of the areas mentioned in this document. The current paper aims to clarify the barriers hindering the implementation of the fourth article of the general health policy. This   applied and descriptive paper reviews related literature to identify barriers hindering the implementation of the fourth article of the general health policies and then the list was revised and corrected through  interviewing a group of knowledgeable experts. The results of the interviews indicated that the identified barriers can be broadly categorized into several main categories: barriers related to policy makers, barriers related to policy enforcers, weaknesses in supervision and assessing the implementation of general policies, weaknesses in funding and budget, barriers of community awareness, and barriers related to the nature of the issue. Strides must be taken to overcome the aforementioned barriers,