عنوان مقاله :
ﻃﺮاﺣﯽ ﻓﺮآﯾﻨﺪ ﺗﺪوﯾﻦ و ﺑﺎزﻧﮕﺮي ﺑﺴﺘﻪ ﺧﺪﻣﺎت ﭘﺎﯾﻪ ﺳﻼﻣﺖ اﯾﺮان: ﯾﮏ ﻣﻄﺎﻟﻌﻪ ﺗﺮﮐﯿﺒﯽ
عنوان به زبان ديگر :
Designing a Process for Developing and Revising a Basic Health Services Package in Iran: A Mixed Methods Study
پديد آورندگان :
ﮐﺒﯿﺮ، ﻣﺤﻤﺪﺟﻮاد داﻧﺸﮕﺎه ﻋﻠﻮم ﭘﺰﺷﮑﯽ ﮔﻠﺴﺘﺎن - ﻣﺮﮐﺰ ﺗﺤﻘﯿﻘﺎت ﻣﺪﯾﺮﯾﺖ ﺳﻼﻣﺖ و ﺗﻮﺳﻌﻪ اﺟﺘﻤﺎﻋﯽ، ﮔﺮﮔﺎن، اﯾﺮان , ﺣﯿﺪري، ﻋﻠﯿﺮﺿﺎ داﻧﺸﮕﺎه ﻋﻠﻮم ﭘﺰﺷﮑﯽ ﮔﻠﺴﺘﺎن - ﻣﺮﮐﺰ ﺗﺤﻘﯿﻘﺎت ﻣﺪﯾﺮﯾﺖ ﺳﻼﻣﺖ و ﺗﻮﺳﻌﻪ اﺟﺘﻤﺎﻋﯽ، ﮔﺮﮔﺎن، اﯾﺮان , ﺟﻌﻔﺮي، ﻧﺎﻫﯿﺪ داﻧﺸﮕﺎه ﻋﻠﻮم ﭘﺰﺷﮑﯽ ﮔﻠﺴﺘﺎن - ﻣﺮﮐﺰ ﺗﺤﻘﯿﻘﺎت ﻣﺪﯾﺮﯾﺖ ﺳﻼﻣﺖ و ﺗﻮﺳﻌﻪ اﺟﺘﻤﺎﻋﯽ، ﮔﺮﮔﺎن، اﯾﺮان , ﺧﻄﯿﺮﻧﺎﻣﻨﯽ، زﻫﺮا داﻧﺸﮕﺎه ﻋﻠﻮم ﭘﺰﺷﮑﯽ ﮔﻠﺴﺘﺎن - ﻣﺮﮐﺰ ﺗﺤﻘﯿﻘﺎت ﻣﺪﯾﺮﯾﺖ ﺳﻼﻣﺖ و ﺗﻮﺳﻌﻪ اﺟﺘﻤﺎﻋﯽ، ﮔﺮﮔﺎن، اﯾﺮان , ﻫﻨﺮور، ﻣﺤﻤﺪرﺿﺎ داﻧﺸﮕﺎه ﻋﻠﻮم ﭘﺰﺷﮑﯽ ﮔﻠﺴﺘﺎن - ﻣﺮﮐﺰ ﺗﺤﻘﯿﻘﺎت ﻣﺪﯾﺮﯾﺖ ﺳﻼﻣﺖ و ﺗﻮﺳﻌﻪ اﺟﺘﻤﺎﻋﯽ، ﮔﺮﮔﺎن، اﯾﺮان , ﺑﻬﻨﺎمﭘﻮر، ﻧﺎﺻﺮ داﻧﺸﮕﺎه ﻋﻠﻮم ﭘﺰﺷﮑﯽ ﮔﻠﺴﺘﺎن - ﻣﺮﮐﺰ ﺗﺤﻘﯿﻘﺎت ﻣﺪﯾﺮﯾﺖ ﺳﻼﻣﺖ و ﺗﻮﺳﻌﻪ اﺟﺘﻤﺎﻋﯽ، ﮔﺮﮔﺎن، اﯾﺮان
كليدواژه :
اوﻟﻮﯾﺖﺑﻨﺪي , ﺑﺴﺘﻪ ﺧﺪﻣﺎت ﭘﺎﯾﻪ ﺳﻼﻣﺖ , ﻣﻄﺎﻟﻌﻪ ﺗﺮﮐﯿﺒﯽ , ﻃﺮاﺣﯽ ﻓﺮآﯾﻨﺪ ﺗﺪوﯾﻦ و ﺑﺎزﻧﮕﺮي , ايران و سلامت
چكيده فارسي :
اﺳﺘﻔﺎده ﯾﮏ روش ﻣﻨﺎﺳﺐ ﺑﺮاي اوﻟﻮﯾﺖ ﺑﻨﺪي و ﭼﮕﻮﻧﮕﯽ ﺗﺪوﯾﻦ ﺑﺴﺘﻪ ﺧﺪﻣﺎت ﭘﺎﯾﻪ ﺳﻼﻣﺖ ﯾﮏ ﭼﺎﻟﺶ ﺟﺪي ﻣﯽﺑﺎﺷﺪ. اﯾﻦ ﭘﮋوﻫﺶ ﺑﺎ ﻫﺪف ﻃﺮاﺣﯽ ﻓﺮاﯾﻨﺪ ﺗﺪوﯾﻦ ﺑﺴﺘﻪ ﺧﺪﻣﺎت ﭘﺎﯾﻪ ﺳﻼﻣﺖ در اﯾﺮان اﻧﺠﺎم ﺷﺪ.
روش ﮐﺎر: ﯾﮏ ﻣﻄﺎﻟﻌﻪ ﺗﺮﮐﯿﺒﯽ از روشﻫﺎي ﮐﻤﯽ و ﮐﯿﻔﯽ اﻧﺠﺎم ﺷﺪ. ﺑﺨﺶ ﮐﯿﻔﯽ ﺑﺎ اﺳﺘﻔﺎده از ﻃﺮﯾﻖ 25 ﻣﺼﺎﺣﺒﻪ ﻋﻤﯿﻖ ﻓﺮدي و 2 ﺟﻠﺴﻪ ﺑﺤﺚ ﮔﺮوﻫﯽ ﻣﺘﻤﺮﮐﺰ ﺑﺎ ﺻﺎﺣﺐﻧﻈﺮان وزارت ﺑﻬﺪاﺷﺖ، ﺳﺎزﻣﺎنﻫﺎي ﺑﯿﻤﻪﮔﺮ و ﺳﺎزﻣﺎن ﺑﺮﻧﺎﻣﻪ و ﺑﻮدﺟﻪ اﻧﺠﺎم ﺷﺪ و ﺑﺨﺶ ﮐﻤﯽ، ﻣﻄﺎﻟﻌﻪاي ﺗﻮﺻﯿﻔﯽ و ﻣﻘﻄﻌﯽ ﺑﺎ 277 ﻧﻔﺮ از ﺻﺎﺣﺐﻧﻈﺮان و ﺑﻮﺳﯿﻠﻪ ﭘﺮﺳﺸﻨﺎﻣﻪاي ﮐﻪ رواﯾﯽ و ﭘﺎﯾﺎﯾﯽ آن ﺗﺎﯾﯿﺪ ﺷﺪه ﺑﻮد، اﻧﺠﺎم ﮔﺮدﯾﺪ. ﺑﺨﺶ ﮐﯿﻔﯽ ﺑﺎ روﯾﮑﺮد ﺗﺤﻠﯿﻞ ﻣﺤﺘﻮا و ﺑﺨﺶ ﮐﻤﯽ ﺑﺎ اﺳﺘﻔﺎده از ﻧﺮماﻓﺰار SPSS23 ﺗﺤﻠﯿﻞ ﺷﺪ.
ﻧﺘﺎﯾﺞ: ﻣﺮاﺣﻞ ﻓﺮآﯾﻨﺪ ﺗﺪوﯾﻦ ﺑﺴﺘﻪ ﺧﺪﻣﺎت ﭘﺎﯾﻪ ﺳﻼﻣﺖ ﺷﺎﻣﻞ 4 ﻣﺮﺣﻠﻪ ﺗﺒﯿﯿﻦ ﻟﯿﺴﺖ ﺧﺪﻣﺎت ﻣﻮﺟﻮد در ﺑﺴﺘﻪ ﺧﺪﻣﺎت ﭘﺎﯾﻪ ﺳﻼﻣﺖ، اﺳﺘﺨﺮاج ﻣﻌﯿﺎرﻫﺎي ورود ﺧﺪﻣﺎت ﺑﻪ ﺑﺴﺘﻪ ﺧﺪﻣﺎت، اوﻟﻮﯾﺖ ﺑﻨﺪي ﻣﻌﯿﺎرﻫﺎي ورود ﺧﺪﻣﺎت ﺑﻪ ﺑﺴﺘﻪ، ﻣﻘﺎﯾﺴﻪ ﺧﺪﻣﺎت ﺑﺎ ﻣﻌﯿﺎرﻫﺎي اوﻟﻮﯾﺖدار ﻣﯽﺑﺎﺷﺪ. در ﭘﺎﯾﺎن ﻣﺮﺣﻠﻪ اوﻟﻮﯾﺖ ﺑﻨﺪي، ﻣﻌﯿﺎرﻫﺎي ﺑﺎر ﺑﯿﻤﺎريﻫﺎ، ﮔﺮوهﻫﺎي ﻫﺪف و ﻧﯿﺎز ﺟﺎﻣﻌﻪ داراي ﺑﯿﺸﺘﺮﯾﻦ ﻣﯿﺎﻧﮕﯿﻦ و ﺑﻪ ﻋﻨﻮان ﻣﻬﻤﺘﺮﯾﻦ ﻣﻌﯿﺎرﻫﺎ ﺷﻨﺎﺧﺘﻪ ﺷﺪﻧﺪ.
ﻧﺘﯿﺠﻪﮔﯿﺮي: ﻓﺮآﯾﻨﺪ ﻃﺮاﺣﯽ ﺷﺪه در اﯾﻦ ﻣﻄﺎﻟﻌﻪ، ﺷﻮاﻫﺪ ﻋﻠﻤﯽ ﻣﻮرد ﻧﯿﺎز را ﺑﺎ ﺗﺎﮐﯿﺪ ﺑﺮ ورود و ﺗﺪاوم ﺧﺪﻣﺎﺗﯽ ﮐﻪ داراي اوﻟﻮﯾﺖ ﺑﺎﻻﺗﺮي ﻣﯽﺑﺎﺷﻨﺪ و ﺣﺬف ﺧﺪﻣﺎﺗﯽ ﮐﻪ در ﻣﻌﯿﺎرﻫﺎ از اوﻟﻮﯾﺖ ﮐﻤﺘﺮي ﺑﺮﺧﻮردار ﻣﯽﺑﺎﺷﻨﺪ، در اﺧﺘﯿﺎر ﺳﯿﺎﺳﺘﮕﺬاران ﻗﺮار ﻣﯽدﻫﺪ.
چكيده لاتين :
Using a proper method to prioritize and develop a basic health services
package is a serious challenge. This study was conducted to design a process for developing and
revising a basic health services package in Iran.
Materials and Methods: A combined study of quantitative and qualitative methods was used in
this study. The qualitative part was conducted through holding 25 in-depth individual interviews
and two focus group discussions with experts from the Ministry of Health and Medical Education,
Program and Budget Organization and insurance organizations, while the quantitative part was a
descriptive cross-sectional study including 277 experts using a valid and reliable questionnaire. Data
analysis of the qualitative and quantitative parts was done using a content analysis and the SPSS-
23 software, respectively.
Results: The process of developing a basic health services package includes 4 steps, namely,
explaining the list of services in the basic health services package, extracting the criteria for
including services in the service package, prioritizing the criteria for including services in the
package, and comparing services with priority criteria. In the prioritization stage, disease burden
criteria, target groups and community needs were found to have the highest means and recognized
as the most important criteria.
Conclusion: The process designed in this study for developing and revising a basic health services
package provides policymakers with the required scientific evidence by emphasizing the
introduction and continuity of services that have higher priorities and the elimination of services
that have lower priorities.
عنوان نشريه :
مجله دانشكده بهداشت و انستيتو تحقيقات بهداشتي
