شناسایی و اعتبارسنجی مدل اجرای خط‌مشی‌های عمومی سلامت با رویکرد عدالت

مظاهری کلهرودی, آناهیتا; رمضان, مجید; گیوریان, حسن; رستمی بشمنی, مجید

doi:10.30473/ipom.2024.71288.4983

نوع مقاله : اکتشافی

نویسندگان

¹ دانشجوی دکتری، گروه مدیریت دولتی، واحد علوم و تحقیقات، دانشگاه آزاد اسلامی، تهران، ایران.

² دانشیار، گروه مدیریت منابع انسانی، دانشگاه صنعتی مالک اشتر، تهران، ایران.

³ دانشیار، گروه مدیریت دولتی، واحد تهران مرکز، دانشگاه آزاد اسلامی، تهران، ایران.

⁴ استادیار، گروه مدیریت، واحد نراق، دانشگاه آزاد اسلامی، نراق، ایران.

https://doi.org/10.30473/ipom.2024.71288.4983

چکیده

سلامتی در تمام جوامع به‌عنوان یکی از مهم‌ترین الزامات عدالت و توسعه است. یکی اهداف مهم در سیاست‌گذاری‌های سلامت در ایران امکان دسترسی به خدمات بهداشتی برای همگان به صورت عادلانه باشد، اما تحقق این هدف در مرحله اجرا بسیار ضعیف است. بنابراین طراحی الگویی مناسب برای اجرای خط‌مشی‌های عمومی سلامت مبتنی بر عدالت هدف پژوهش حاضر است. روش پژوهش آمیخته است که در ابتدا از روش کیفی و راهبرد نظریه داده‌بنیاد است. داده‌ها از طریق مصاحبه نیمه ساختاریافته با 15 نفر از خبرگان سلامت گردآوری شد. مطابق با مدل استرواس و کوربین، کدگذاری انجام شد در تحلیل داده‌ها، در نهایت به 120 مفهوم و 24 مقوله فرعی و 6 مؤلفه اصلی به اشباع نظری رسید و به ایجاد مدلی که تأثیر شرایط علی، عوامل زمینه‌ای، عوامل مداخله‌گر، راهبردها و پیامدها بر پدیده محوری همان اجرای خط‌مشی‌های عمومی سلامت مبتنی بر عدالت شناسایی شد. سپس این مدل توسط 15 نفر از خبرگان سلامت در قالب پرسشنامه‌ای با تکنیک دلفی فازی با حذف، اصلاح و اضافه نمودن تعدادی از شاخص‌ها سرانجام 58 مفهوم و 26 مقوله فرعی و 6 مقوله اصلی تأیید شد. برای اعتبارسنجی مدل پژوهش پرسشنامه که براساس یافته‌های کیفی مرحله قبل طراحی شده حجم نمونه از فرمول کوکران تعداد 384 نفر از کارشناسان بخش سلامت نظرسنجی انجام شد، سپس داده‌ها با استفاده از مدل‌سازی معادلات ساختاری، با نرم‌افزار اسمارت پی. ال. اس تجزیه و تحلیل شدند. تمامی شاخص‌های برازش مدل در محدوده مطلوب قرار دارند که این امر نشان می‌دهد روابط معناداری بین متغیرهای مدل وجود دارد.

کلیدواژه‌ها

موضوعات

مدل سازی

عنوان مقاله [English]

Identification and Accreditation of the Public Health Policy Implementation Model with the Equity Approach

نویسندگان [English]

Anahita Mazaheri kalahroodi ¹
Majid Ramezan ²
Hasan Givaryan ³
Majid Rostami Beshmani ⁴

¹ PhD Student, Department of Public Administration, Science and Research, Islamic Azad University, Tehran, Iran.

² Associate Professor, Department of Human Resource Management, Malek Ashtar University of Technology, Tehran, Iran.

³ Associate Professor, Department of Public Administration, Central Tehran Branch, Islamic Azad University, Tehran, Iran.

⁴ Assistant Professor, Department of Management, Naraq Branch, Islamic Azad University, Naraq, Iran.

چکیده [English]

Health is as one of the important requirements of equity and development in all societies. One of the important goals of public health policies in Iran that everyone can access health services fairly, but most of the time this goal is achieved very weak when it will be implemented. Therefore, it is necessary to design a suitable model for the implementation of public health policies. the research method is mixed, first method is qualitative and data-based theory strategy. To gather the required data, the researcher conducted semi-structured interviews with 15 policy specialists and health experts. The interviews were analyzed through coding to according to Strauss and Corbin’s paradigm model. The results of data analysis finally research theoretical saturation as it consisted of 6 main categories and 24 subcategories and 120 concepts and to create a model that identifies the causal, context and intervention and their impact on the central phenomenon that same the implementation of public health policies based on equity.then this model was surveyed by 15 health experts using fuzzy Delphi method with questionnaire. Then removing, modifying and adding a number of indicators, finally 58 concepts, 26 sub-categories and 6 main categories were confirmed. Model of research was accredited by questionnaire was designed based on the qualitative findings of the previous stage, a sample size of 384 health sector experts was surveyed based on Cochran's formula, then the data were collected using structural equation modeling by Smart PLS software. All of indicators, sub-categories, main categories of the model are desired range, which shows there are significant relationships between the model of variables.

کلیدواژه‌ها [English]

Implementation
Public Health Policies
Equity
Data-Based Theory
Fuzzy Delphi

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مدیریت سازمان‌های دولتی

شناسایی و اعتبارسنجی مدل اجرای خط‌مشی‌های عمومی سلامت با رویکرد عدالت

مراجع

مراجع

دوره 12، شماره 4 (پیاپی 48) - شماره پیاپی 48
آبان 1403
صفحه 81-106

شناسایی و اعتبارسنجی مدل اجرای خط‌مشی‌های عمومی سلامت با رویکرد عدالت

مراجع

مراجع

دوره 12، شماره 4 (پیاپی 48) - شماره پیاپی 48آبان 1403صفحه 81-106

دوره 12، شماره 4 (پیاپی 48) - شماره پیاپی 48
آبان 1403
صفحه 81-106