2018年卫生领域消费方式改革影响因素分析

مسعود فردوسی, یاسمین مولوی طالقانی
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摘要

引言:通过改革卫生和治疗系统的消费模式,有效管理卫生领域的消费,将提高卫生服务质量。本研究旨在确定伊斯法罕医科大学2018年消费模式改革的相关因素。方法:本描述性研究于2018年采用定性方法进行。伊斯法罕医科大学消费模式改革的相关因素分为三个阶段确定,包括文献审查、专家访谈和德尔菲法验证因素。采用框架分析法对定性数据进行分析,采用总分法对影响因素进行修正。结果:在初始阶段,经过细化初级代码,将39个与消费模式改革相关的因素分为四大类,包括消费模式改革总体政策的实施(21个组成部分)、促进国货消费(4个组成部分,以及生产竞争力(2个组成部分)。在德尔菲阶段,11个组成部分被确认为与卫生领域消费模式改革有关的因素。结论:卫生官员,特别是主管机构,可以采取必要的措施来改善卫生领域的消费模式。这些措施可能包括在主要发展计划中增加健康影响评估部分,实施健康扫盲计划,实施全面的卫生服务网络,修改营养模式,以及修改有缺陷的过程。
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Identification of factors related to the consumption pattern reform in health area in2018
Introduction : Effective management of consumption in the field of health, through reforming the consumption pattern in the health and treatment systems, will improve the quality of health services. The present study was conducted to identify factors related to consumption pattern reform in Isfahan University of Medical Sciences in 2018. Methods : This descriptive research was carried out in 2018 using a qualitative approach. The factors related to consumption pattern reform in Isfahan University of Medical Sciences were determined in three phases including documents review, interview with experts, and validation of factors using Delphi method. The framework analysis method was used to analyze the qualitative data and the total score method was used to reform the factors. Results : In the initial phase, after refining the primary codes, 39 factors related to consumption pattern reform were identified in four general categories including implementation of general policies of consumption pattern reform (21 components), promotion of domestic goods consumption (4 components), planning for quality improvement (12 components), and production competitiveness (2 components). In the Delphi phase, 11 components were confirmed as factors related to consumption pattern reform in the field of health. Conclusion : The health officials, especially the institutions in charge, can take the necessary measures to improve the consumption pattern in the field of health. Such measures may include adding a health impact assessment part to the major development plans, implementing a health literacy promotion program, implementation of a comprehensive health services network, modification of the nutritional patterns, and modification of the defective processes.
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