GOOD GOVERNANCE IN THE HEALTH SYSTEM:A QUALITATIVE STUDY

GOOD GOVERNANCE IN THE HEALTH SYSTEM:A QUALITATIVE STUDY


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نویسندگان: کتایون جهانگیری

کلمات کلیدی: Modern public management; Good health governance; Health policies; Content analysis; Health assessment system; Healthy society.

نشریه: International Journal of Mycobacteriology, 10,8,1127 - 1141,2019

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کد مقاله 66018807
عنوان فارسی مقاله GOOD GOVERNANCE IN THE HEALTH SYSTEM:A QUALITATIVE STUDY
عنوان لاتین مقاله GOOD GOVERNANCE IN THE HEALTH SYSTEM:A QUALITATIVE STUDY
نوع مقاله اصیل پژوهشی - Original Article
نحوه ایندکس شدن مقاله Science Sitation Index Expanded -ISI - Web of Science
IF 0.0
عنوان نشریه International Journal of Mycobacteriology
نوع نشریه خارجی نمایه شده
شماره نشریه 10
دوره 8
صفحه شروع و پایان در نشریه 1127 - 1141
سال انتشار/ ارائه شمسی 1398
سال انتشار/ارائه میلادی 2019
آدرس لینک مقاله/ همایش در شبکه اینترنت http://TUENGR.COM/V10A/1127.pdf
ISSN 2228-9860
DOI 10.14456/ITJEMAST.2019.107
آدرس علمی (Affiliation) نویسنده متقاضی Department of Health in Disasters and Emergencies, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, IRAN

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Good governance, a key concept of public management, integrates and coordinates governmental and managerial sets and all relevant stakeholders so that it can provide reforms to improve the living conditions of all citizens. This concept has been raised frequently in modern public management, but it has been neglected in the health system. This study aimed to explain good governance in Iran's health system. This qualitative study used inductive content analysis. Participants were 10 experts in the field of health. The study method was purposive. Semi-structured interviews were conducted to collect qualitative data. The findings were analyzed using MAXQDA®11 software. This research, 10 components (dimensions) and 55 sub-components (factors) of good governance in the health system were explained. The dimensions were: participation, rule of law, transparency, accountability, equity, efficiency and effectiveness, responsiveness, consensus orientation, health orientation, and decentralization. Iran's health system has undergone profound changes over the past decades, but it is faced with many challenges regarding good health governance. The lack of decentralization and consensus between intrasectoral and intersectoral institutions, lack of stakeholder participation in policy and decision making, lack of transparency and responsiveness, lack of equality of stakeholders against the law, and treatment-orientation instead of health-orientation have been the most important challenges. Despite the 2014 Iran’s promotion of health system, there is still a long way before the components of good health governance are realized.

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کتایون جهانگیریسوم

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