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Quality of Health Services of the Islamic Republic of Iran: Status, Barriers and Improvement Strategies



Dehnavieh R1 ; Haghdoost AA2 ; Majdzadeh R3 ; Noorihekmat S4 ; Ravaghi H5 ; Mehrolhasani MH6 ; Barati O7 ; Salari H8 ; Masoud A9 ; Poursheikhali A10 ; Mirshekari N11 ; Ghasemi S12 ; Esfandiary A13
Authors
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Authors Affiliations
  1. 1. Health Services Management, Health Services Management Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
  2. 2. Modeling in Health Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
  3. 3. Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Health Services Management, Social Diterminant of Health Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
  5. 5. Department of health services management, School of Health Management and Information Sciences, Iran university of medical sciences, Tehran, Iran
  6. 6. Health Services Management, Medical Informatis Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
  7. 7. Health Services Management, School of Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
  8. 8. Health Policy, Bushehr University of Medical Sciences, Bushehr, Iran
  9. 9. Health policy, Social Determinant of Health Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
  10. 10. Health Services Management Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
  11. 11. Health Technology Assessment, Medical Informatics Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
  12. 12. Health Policy, Modeling in Health Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
  13. 13. Bushehr University of Medical Sciences, Bushehr, Iran

Source: Iranian Journal of Epidemiology Published:2018

Abstract

Background and Objectives: Universal health coverage will have a problem in achieving it’s goals if it doesn’t consider the quality. This study aimed to Background and Objectives: Universal health coverage cannot achieve it’s goals if it doesn’t consider the quality. This study wants to assess the quality of health services in Iran, identify existing challenges and provide solutions. Methods: This study was a mixed qualitative and review study. In the first stage, the national main indicators of the quality of services were reviewed. Then, the orientation of the available upstream documents on the quality of services was explained. The most important challenges, trends, and recommendations of health quality improvement were extracted via interviews. Results: Proper observation of the Iran health care quality requires appropriate framework and indicators. Upstream documents strongly emphasized on the government's responsibility to play a key role as stewardship and that the health system should provide the necessary structural, procedural, and consequential requirements besides determining appropriate model. Quality management programs had obstacles in some aspects like the performance of managers and human resources, structural/communicational requirements, education, payment system, culture, use of quality management indicators and models, financial, information, and equipment resources, laws and regulations, and supervision. Conclusion: Improving the quality of health services in Iran requires strategies in organizing, resource generation, payment, laws and regulations, and behavior of policy makers and planners. Quality tools should be used without haste and should pay attention changes in the nature of diseases, expectations of stakeholders, and increased global attention to this issue in designing related plans. © 2018, Iranian Epidemiological Association. All rights reserved.
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