Author/Authors :
Hashemi, Hassan Faculty of Medicine - Tehran University of Medical Sciences, Tehran, Iran , Haghdoost, Ali Akbar Modeling in Health Research Center - Institute for Future Studies in Health - Kerman University of Medical Sciences, Kerman, Iran , Haji-Aghajani, Mohammad Faculty of Medicine - Shahid Beheshti University of Medical Sciences, Tehran, Iran , Janbabaee, Ghasem Department of Hematology-Oncology - Gastrointestinal Cancer Research Center - Faculty of Medicine - Mazandaran University of Medical Sciences, Sari, Iran , Maher, Ali Department of Health Policy - School of Medical Education - Shahid Beheshti University of Medical Sciences, Tehran, Iran , Noori Hekmat, Somayeh Modeling in Health Research Center - Institute for Futures Studies in Health - Kerman University of Medical Sciences, Kerman, Iran , Javadi, Amir M. Executive director - Iranian healthcare information Observatory - Researcher of Noor Ophthalmology Research Center, Tehran, Iran , Rahimisadegh, Rohaneh Research Center for Health Services Management - Institute for Futures Studies in Health - Kerman University of Medical Sciences, Kerman, Iran , Emadi, Samira Research Center for Health Services Management - Institute for Future Studies in Health - Kerman University of Medical Sciences, Kerman, Iran , Rajabalipour, Mahamad Reza Supervisor of Public Health Department in School of Public Health in Bam University of Medical Sciences, Bam, 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.
Keywords :
Iran , Health system , National Roadmap , Policy making
