Search published articles


Showing 2 results for Moeini
The Reasons Why Laws and Policies Developed in Irans Health Sector are not Implemented Effectively
Mohammad Javad Kabir, Alireza Heidari, Nahid Jafari, Honarvar Mohammad Reza, Sajad Moeini, Zahra Khatirnamani,
Volume 16, Issue 6 (Feb 2023)
Abstract
Background and Aim: Many health policies are not implemented or incompletely implemented after approval. This issue significantly reduces the popularity and responsiveness of the top managers of the health system and leads to service disruption in the target community. Therefore, this study was conducted to explain the existing challenges in the implementation of health policies.
Materials and Methods: A qualitative study was conducted in 2021. The participants in the study were 20 scientific and executive experts. The data was collected using an interview guide and the in-depth individual interview method and was analyzed using the content analysis method using thematic analysis with Graneheim and Lundman's approach.
Results: The challenges include the policies formulation (lack of evidence-informed decision-making, lack of attention to the details of the implementation, the change of the initial text of the policy, conflict of interests, unclarity the executives, the lack of proper integration between the political and technical components of the policies, the weak participation of the main stakeholders, the lack of the same understanding of policies concept between policy makers and executives and lack of budget forecasting), challenges of policies implementation (uncertainty about roles of executive organizations, lack of executive attachment, conflict of interest,  lack of project management, change of formulated policies with change of executives, little belief among executives, lack of executive guarantee, lack of operational plan) and challenges of policies evaluation (Inadequate supervision and the absence of an informational and supervisory dashboard).
Conclusion: Using effective solutions to solve the challenges extracted in the stages of formulation, implementation and evaluation of health policies can lead to achieving the goals of the formulated policies and improving the health of the society.
 

Smart Health Ecosystem of Osteoporotic Fracture Prevention: A Qualitative Systematic Review
Ayoub Mohamadian, Ali Moeini, Mahnaz Sanjari, Zahra Abdullahzade,
Volume 18, Issue 6 (2-2025)
Abstract
Background and Aim: Smart health, due to its capacity in disease prevention, is a suitable solution for providing osteoporosis fracture prevention services. Also, the existence of close relationships between active organizations for the prevention of this disease requires this area to be examined from the perspective of the ecosystem. Therefore, the purpose of this study is to identify the factors and players of the ecosystem of preventing fractures caused by osteoporosis in smart health.
Materials and Methods: A qualitative systematic review of meta-synthesis was conducted to find resources related to the prevention of osteoporosis-related fractures. For this purpose, scientific databases of Web of Science, Scopus and PubMed were examined and 155 were selected from 10344 sources found. At the end, by using the Shannon entropy method, the categories of each dimension were ranked.
Results: This systematic review demonstrated that the ecosystem for preventing fractures caused by osteoporosis comprises four main categories of factors: lifestyle (nutrition, exercise, fall prevention, cessation of tobacco, alcohol, and caffeine consumption), clinical (screening, diagnosis, and drug therapy), technological (infrastructure, platform, and application), and contextual (cultural, social participation, policy, economic, and education). The application and infrastructure secured the first and second positions in the ranking, while the platform and education collectively ranked third. Ecosystem participants were also categorized into three core layers: the fracture prevention and treatment team members, firms related to fracture prevention and treatment, and other health stakeholders; the extended layer, which includes affected or at-risk individuals, education stakeholders, cultural stakeholders, social stakeholders, and health stakeholders; and the external layer, comprising international organizations and national ministries. In the ranking, affected or at-risk individuals, other health stakeholders, and fracture prevention and treatment team members earned first to third positions, respectively.
Conclusion: The research results showed that “technological”, “contextual”, “lifestyle change” and “clinical” factors are in the first to fourth places, respectively. Also, among the players, the first place was assigned to the extended layer, the main core took the second place, and the external layer took the third place.

Page 1 from 1     

© 2026 , Tehran University of Medical Sciences, CC BY-NC 4.0

Designed & Developed by: Yektaweb