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A Successful Implementation of an Idea to a Nationally Approved Plan: Analyzing Iran's National Health Roadmap Using the Kingdon Model of Policymaking Publisher



Hashemi H1 ; Haghdoost AA2 ; Hajiaghajani M3 ; Janbabaee G4 ; Maher A5 ; Hekmat SN6 ; Javadi AM7 ; Rahimisadegh R8 ; Emadi S9, 16 ; Rajabalipour MR10 ; Haghighi H11 ; Dehnavieh R12, 15 ; Ferdosi M13 ; Khademi G14 Show All Authors
Authors
  1. Hashemi H1
  2. Haghdoost AA2
  3. Hajiaghajani M3
  4. Janbabaee G4
  5. Maher A5
  6. Hekmat SN6
  7. Javadi AM7
  8. Rahimisadegh R8
  9. Emadi S9, 16
  10. Rajabalipour MR10
  11. Haghighi H11
  12. Dehnavieh R12, 15
  13. Ferdosi M13
  14. Khademi G14
  15. Mehralhasani MH12, 15
  16. Sabermahani A9, 16
  17. Bezanjani KN17
  18. Iranpour A18
  19. Rashidinejad H19
  20. Samadani FM20
  21. Maki M21
  22. Kalantari B22, 23
  23. Farrokhyar N22, 23
  24. Rouhanizadeh H24
  25. Falakbaz M25
  26. Allahyari H26
  27. Fathalian MT27
  28. Khajehmirzaei AR28
  29. Jannati A29
  30. Derakhshani J30
  31. Rezapour A31
  32. Eftekhari J32
  33. Khaterneshanian Fam P33
  34. Kazemi M34
  35. Mohammadi M35
  36. Rastbin P36
  37. Pirhayati B37
  38. Souri E38
  39. Torabipour A39
  40. Keshvari M40
  41. Alikhani N41
  42. Salehi L42
  43. Moradi M43
  44. Aghajaniyan S44
  45. Hedayati A45
  46. Kargar M46
  47. Sharifi L47
  48. Omranikhoo H48
  49. Poursamad A49
  50. Boyuki NA50
  51. Zarei Z51
  52. Sahraei Z52, 53
  53. Keshavaez A52, 53
  54. Sadeghi M54
  55. Sabet SA55
  56. Taiari K56
  57. Koohpayehzadeh J57
  58. Moazam E58
  59. Tafti AD59
  60. Dehnavi SSF60
  61. Barownaghi MR61
  62. Jafari H62
  63. Foroghifar S63
  64. Arefnejad M64
  65. Ebrahimipour H65
  66. Sedaghat M66
  67. Mehdipoor S67
  68. Mollajafari F68
  69. Forouzan R69
  70. Mood SM70
  71. Sharifpour S71
  72. Adel A72
  73. Nirouand S73
  74. Ghaznavi GR74
  75. Zamanzadeh R75
  76. Etesam K76
  77. Dalili M77
  78. Sirizi MJ78
  79. Omidifar R79
Show Affiliations
Authors Affiliations
  1. 1. Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Modeling in Health Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
  3. 3. Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  4. 4. Department of Hematology-Oncology, Gastrointestinal Cancer Research Center, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
  5. 5. Department of Health Policy, School of Medical Education, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  6. 6. Modeling in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
  7. 7. Executive director, Iranian healthcare information Observatory, Researcher of Noor Ophthalmology Research Center, Tehran, Iran
  8. 8. Research Center for Health Services Management, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
  9. 9. Research Center for Health Services Management, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
  10. 10. Supervisor of Public Health Department in School of Public Health, Bam University of Medical Sciences, Bam, Iran
  11. 11. Research Center for Health Services Management, Future Studies Research Center in Health, Kerman University of Medical Sciences, Kerman, Iran
  12. 12. Medical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
  13. 13. Health Management and Economics Research Center (HMERC), Isfahan University of Medical Sciences, Isfahan, Iran
  14. 14. Assistant Director of Medical Accident and Emergency Management Center, Kerman University of Medical Sciences, Kerman, Iran
  15. 15. Medical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
  16. 16. Research Center for Health Services Management, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
  17. 17. Master of Public Administration, Research Center for Health Services Management, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
  18. 18. HIV/STI Surveillance Research Center, WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
  19. 19. Research Center for Modeling in Health, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
  20. 20. Department of Statistics, Deputy of Curative Affaire, Kerman University of Medical Sciences, Kerman, Iran
  21. 21. Department of Environmental Health, School of public Health, Kerman University of Medical Sciences, Kerman, Iran
  22. 22. Department of Planning, Deputy of Curative Affaire, MOHME, Tehran, Iran
  23. 23. Department of Planning, Deputy of Curative Affaire, MOHME, Tehran, Iran
  24. 24. Department of Pediatrics, Mazandaran University of Medical Sciences, Sari, Iran
  25. 25. Department of Statistics, Deputy of Curative Affaire, Guilan University of Medical Sciences, Rasht, Iran
  26. 26. Golestan University of Medical Sciences, Gorgan, Iran
  27. 27. Management of Diseases, Diagnosis and Treatment Center, Semnan University of Medical Sciences, Semnan, Iran
  28. 28. Shahroud University of Medical Sciences, Shahroud, Iran
  29. 29. Iranian Center of Excellence in Health Management (IceHM), School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
  30. 30. Health Information Officer, Tabriz University of Medical Sciences, Tabriz, Iran
  31. 31. Human Resources, Head of Hospital Administration and Clinical Services Excellence, Ardabil University of Medical, Sciences, Ardabil, Iran
  32. 32. Department of clinical affairs, Urmia university of medical sciences, Urmia, Iran
  33. 33. Head of hospital administration and clinical services excellence, Treatment dept., Faculty of medical sciences and health services, Maragheh, Maragheh, Iran
  34. 34. Department of Statistics, Deputy of Curative Affaire, Kermanshah University of Medical Sciences, Kermanshah, Iran
  35. 35. Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran
  36. 36. Department of Statistics, Deputy of Curative Affaire, Medical university of Kurdestan, Iran
  37. 37. Expert Statistics, Unit of Statistics, Ilam University of Medical Science, Ilam, Iran
  38. 38. Deputy of Curative Affaire, Hamadan University of Medical Science, Hamadan, Iran
  39. 39. Department of Health Services Management, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  40. 40. Department of Health Services Management, School of Medical Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
  41. 41. Faculty of Management and Economics, Science and Research Branch, Islamic Azad University, Tehran, Iran
  42. 42. Head of The Policy and Strategic Planning Division, The Chancellor and Chief Executive Office, Shiraz University of Medical Sciences, Iran
  43. 43. Policy-Making and Planning Center of Shiraz University of Medical Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
  44. 44. Shiraz University of Medical Sciences, Iran
  45. 45. Shiraz University of Medical Sciences, Shiraz, Iran
  46. 46. Jahrom University of Medical Sciences, Jahrom, Iran
  47. 47. Nursing Director of Bandar Abbas University of Medical Sciences, Iran
  48. 48. Department of Public Health, Faculty of health, Bushehr University of Medical Sciences, Bushehr, Iran
  49. 49. Yasuj University of Medical Science, Yasuj, Iran
  50. 50. Head of Administrative Affairs and Human Resources Department of Treatment, Alborz University of Medical Science, Alborz, Iran
  51. 51. Qum University of Medical Sciences, Qum, Iran
  52. 52. Vice-Chancellor in Treatment Affairs, Qazvin University of Medical Science, Qazvin, Iran
  53. 53. Vice-Chancellor in Treatment Affairs, Qazvin University of Medical Science, Qazvin, Iran
  54. 54. Arak university of medical science, Arak, Iran
  55. 55. Department of Community Medicine, Faculty of Medicine Zanjan University of Medical Sciences, Zanjan, Iran
  56. 56. Deputy of Curative Affaire, Saveh university of medical sciences, Saveh, Iran
  57. 57. Preventive Medicine and Public Health Research Center, Iran University of Medical Sciences, Tehran, Iran
  58. 58. Cancer Prevention Research Center, Isfahan University of Medical Science, Iran
  59. 59. School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
  60. 60. Shahrekord University of Medical Sciences, Shahrekord, Iran
  61. 61. Kashan University Medical Science, Iran
  62. 62. Department of Statistics, Deputy of Curative Affaire, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
  63. 63. Department of Statistics, Deputy of Curative Affaire, Bam University of Medical Sciences, Kerman, Iran
  64. 64. Department of Statistics, Deputy of Curative Affaire, Zabol University of Medical Sciences, Zabol, Iran
  65. 65. Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
  66. 66. Department of Community Medicine, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  67. 67. Colorectal Research Center, Iran University of Medical Sciences, Tehran, Iran
  68. 68. Health Economy, Standard and Health Technology Office, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  69. 69. Deputy of Curative Affaire, Sabzevar University of Medical Sciences, Sabzevar, Iran
  70. 70. Deputy of Curative Affaire, Zahedan University of Medical Sciences, Zahedan, Iran
  71. 71. Deputy treatment, Babol University of Medical Sciences, Babol, Iran
  72. 72. Department of management sciences and health economics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
  73. 73. Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
  74. 74. Department of Statistics, Deputy of Curative Affaire, Jiroft University of Medical Sciences, Jiroft, Iran
  75. 75. North Khorasan University of Medical Sciences, Bojnurd, Iran
  76. 76. The Coordination Office for Insurance, Tariffs and Standards, Birjand University of Medical Sciences, Birjand, Iran
  77. 77. The Coordination Office for Insurance, Tariffs and Standards, Kerman University of Medical Sciences, Kerman, Iran
  78. 78. Kerman Insurance Organization, Kerman, Iran
  79. 79. Lorestan University of Medical Sciences, Khorramabad, Iran

Source: Medical Journal of the Islamic Republic of Iran Published:2018


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. © Iran University of Medical Sciences.
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