Author
Fereshte Davari, Khalil Alimohammadzadeh, Hanieh Sadat Sajadi, Elham Ehsani-Chimeh
Publication Date
1400
Publication Place
-
Shiraz University of Medical Sciences, 1400.
Subject
policy analysis, survival, physicians, deprived areas, Medicine, Medicine (General), R5-920
Type
Periodical
Language
Persian
Digital
Yes
Manuscript
No
Physical Dimensions
electronic resource
Library
Bursa Uludağ University Library
Library Asset ID
edsdoj.bc9c609b8a31402fb8b1415d511cf476
Record ID
u7o3emmgwn
Library Location
LCC:Medicine, LCC:Medicine (General)
Date
1400
Sample Text
Introduction: The concentration of physicians in urban areas and the lack of specialist physicians in deprived areas is a global challenge. It is necessary to adopt specific, scientific and evidence-based policies to increase the health sector’s resources and reduce inequality in the distribution and allocation of these resources in different regions of the country. The Ministry of Health and Medical Education, as the most important custodian of planning and policy-making for distribution of specialized manpower in Iran, has designed policies.Methods: This study aimed to analyze the incentive policies for the retaining physicians in deprived areas of the country. This study has a qualitative – retrospective design to analyze the most effective policies using the Walt and Gilson policy model. Various methods were used to analyze the policies, including reviewing texts and documents.Results: Findings of the study were classified based on the policy context, policy content, policy-making process and role makers in the four law (policies or plan) of service of physicians and paramedics, family physician plan, health transformation plan, and instructions on how to distribute the Specialized medical graduates. Five legal, political-economic, socio-cultural, international and structural factors were identified as policy making factors. In addition, attention to upstream documents and the use of evidence in policy-making were identified as strong points, and stakeholder ignorance and a top-down approach to planning were identified as common weak points of policies.Conclusion: Considering the priority of needs, provision of resources and requirements, constructive interaction of planners, and continuous evaluation of programs are required to formulate and implement policies and interventions.
DOI
10.30476/smsj.2022.91607.1266
ISSN
2322-4339
İlişki
https://smsj.sums.ac.ir/article_48912_8ae7e099929966d3c0f8d62ff5d15cca.pdf; https://doaj.org/toc/2322-4339
