M Yunesian , M Shariati , Gh Zamani ,
Volume 3, Issue 1 (4-2005)
Abstract
The purpose of this study was the creation and measurement of consensus regarding formation of a new Department of Health in Tehran University of Medical Sciences (TUMS).
Using a three-iteration Delphi procedure, consensus was built and measured among experts on different aspects of a possible merger between the current Medical Care and Health Care Departments and the formation of a new Department of Health in TUMS. Forty-two experts from the Ministry of Health, TUMS, other medical universities in Tehran, the Management and Planning Organization and other research bodies were included in this study. Feedback from the aggregate responses of the panel was used to construct questionnaires employed in subsequent iterations of the Delphi. We used a Likert scale for assessment of opinions consensus was defined as agreement or disagreement of at least two thirds of respondents on a particular subject.
Consensus was attained in 27 out of the 36 items presented in the third round of the study.
Consensus on the necessity and feasibility of the formation of the new department in TUMS was achieved after three rounds of the Delphi process. The panel converged to form a consensus on the need for a merger from different perspectives, including the overlapping responsibilities of the two departments, promoting a community-oriented approach, improving the quality of services and bringing the reforms in line with the policies of the Ministry of Health.
Conclusion: The experts who participated in this study achieved consensus on the necessity and feasibility of formation of a new Department of Health in TUMS.
Alimohammad Mosadeghrad, Ali Akbarisari, Parisa Rahimitabar,
Volume 17, Issue 4 (3-2020)
Abstract
Background and Aim: Good governance results in better health outcomes for the society thorugh improving health system performance. The governance of Iran health stsyem faces some challenges. Hence, this study aimed to propose and verify a model for strengthening Iranian health system governance.
Materials and Methods: This descriptive study was conducted in 2016 using the Delphi method. A health governance model with six dimentions including sturucture, communication, regulation, policy making and planning, stewardship and evaluation and accreditation has been proposed. Then, the proposed model verified using 25 Iranian healthcare experts’ opinions in two rounds.
Results: Developing an integrated health system model comprising health system enablers and results, downsizing and reducing the number of directorates in ministry of health,determining basic principles for regulation, enhancing communication with other external organizations affecting people health, using more evidence in policy making and planning, developing a strategic plan and national health policy, enhancing leadership, management and stewardship; and developing comprehensive systemic standards for evaluation and accreditation of healthcare organizations are recommended to enhance the effectiveness and efficiency of Iran health system governance.
Conclusion: Iran health system governance faces numerous challenges. Using successful countries’ experience and internal health care experts’ opinions help to reduce the current challenges and achieve health system goals.
