Integrated framework to improve health policy implementation in the way of Iran 2025 vision: Bridging policy to practice gap in developing countries
نویسندگان
1 Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences Health Managers Development Institute (HMDI), Ministry of Health and Medical Education
2 Health Managers Development Institute (HMDI), Ministry of Health and Medical Education, Secretariat of Supreme Council for Health and Food Security, Ministry of Health and Medical Education, Tehran, Iran
3 Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences
doi
چکیده
INTRODUCTION: Health policymaking seems simple; in practice, but, it is very complex. However,this study aimed to provide a framework to bridge the gap between policy and action in order topresent an interconnected model for developing countries.MATERIALS AND METHODS: This was a qualitative study. Using desk search, different modelswere searched from various scientific databases for formulation of an integrated policy‑makingframework. In next stage, the identified National upstream documents were analyzed to achieveexisting policymaking evidence. Then to determine the validity of the initial model and to gather theviews of key experts, two Delphi rounds were used. The tool used in Delphi method was a 9‑pointLikert questionnaire that was sent to the experts via E‑mail.RESULTS: This model, by employing integrated chain of visions and strategic targeting ofultimate aims on the one hand and expected key functions and support functions for generatingoutput (operational goal) on the other, provides an extensive operable insight being influenced byhuman‑Islamic principles and values, social, technological, economic, environmental, and politicalfor strategic as well as operational managers./Policy makersCONCLUSION: This framework consisted of general, strategic, and executive levels. It createsthe needed institutional and structural capacity to achieve a comprehensive health approach for alllaws and policies to control social factors affecting health, improve health situation, and promotethe health of citizens.
