A successful implementation of an idea to a nationally approved plan: Analyzing Iran's national health roadmap using the kingdon model of policymaking

Hashemi, H. and Haghdoost, A. A. and Haji-Aghajani, M. and Janbabaee, G. and Maher, A. and Hekmat, S. N. and Javadi, A. M. and Rahimisadegh, R. and Emadi, S. and Rajabalipour, M. R. and Haghighi, H. and Dehnavieh, R. and Ferdosi, M. and Khademi, G. and Mehralhasani, M. H. and Sabermahani, A. and Bezanjani, K. N. and Iranpour, A. and RashidiNejad, H. and Samadani, F. M. and Maki, M. and Kalantari, B. and Farrokhyar, N. and Rouhanizadeh, H. and Falakbaz, M. and Allahyari, H. and Fathalian, M. T. and Khajehmirzaei, A. R. and Jannati, A. and Derakhshani, J. and Rezapour, A. and Eftekhari, J. and Khaterneshanian fam, P. and Kazemi, M. and Mohammadi, M. and Rastbin, P. and Pirhayati, B. and Souri, E. and Torabipour, A. and Keshvari, M. and Alikhani, N. and Salehi, L. and Moradi, M. and Aghajaniyan, S. and Hedayati, A. and Kargar, M. and Sharifi, L. and OmraniKhoo, H. and Poursamad, A. and Boyuki, N. A. and Zarei, Z. and Sahraei, Z. and Keshavaez, A. and Sadeghi, M. and Sabet, S. A. and Taiari, K. and Koohpayehzadeh, J. and Moazam, E. and Tafti, A. D. and Dehnavi, S. S. F. and Barownaghi, M. R. and Jafari, H. and Foroghifar, S. and Arefnejad, M. and Ebrahimipour, H. and Sedaghat, M. and Mehdipoor, S. and Mollajafari, F. and Forouzan, R. and Mood, S. M. and Sharifpour, S. and Adel, A. and Nirouand, S. and Ghaznavi, G. R. and Zamanzadeh, R. and Etesam, K. and Dalili, M. and Sirizi, M. J. and Omidifar, R. (2018) A successful implementation of an idea to a nationally approved plan: Analyzing Iran's national health roadmap using the kingdon model of policymaking. Medical Journal of the Islamic Republic of Iran, 32 (1). pp. 262-267.

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Introduction: Hospital beds, human resources, and medical equipment are the costliest elements in the health system and play an essential role at the time of treatment. In this paper, different phases of the NEDA 2026 project and its methodological approach were presented and its formulation process was analysed using the Kingdon model of policymaking. Methods: Iran Health Roadmap (NEDA 2026) project started in March 2016 and ended in March 2017. The main components of this project were hospital beds, clinical human resources, specialist personnel, capital medical equipment, laboratory facilities, emergency services, and service delivery model. Kingdon model of policymaking was used to evaluate NEDA 2026 development and implementation. In this study, all activities to accomplish each step in the Kingdon model was described. Results: The followings were done to accomplish the goals of each step: collecting experts' viewpoint (problem identification and definition), systematic review of the literature, analysis of previous experiences, stakeholder analysis, economic analysis, and feasibility study (solution appropriateness analysis), three-round Delphi survey (policy survey and scrutinization), and intersectoral and interasectoral agreement (policy legislation). Conclusion: In the provision of an efficient health service, various components affect each other and the desired outcome, so they need to be considered as parts of an integrated system in developing a roadmap for the health system. Thus, this study demonstrated the cooperation process at different levels of Iran's health system to formulate a roadmap to provide the necessary resources for the health sector for the next 10 years and to ensure its feasibility using the Kingdon policy framework. © Iran University of Medical Sciences.

Item Type: Article
Additional Information: Export Date: 16 February 2020 CODEN: MJIIE Correspondence Address: Hekmat, S.N.; Modeling in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical SciencesIran; email: snhekmat@kmu.ac.ir
Uncontrolled Keywords: Health system Iran National Roadmap Policy making
Subjects: WA Public Health
Divisions: Mashhad University of Medical Sciences
Depositing User: lib2 lib2 lib2
Date Deposited: 18 May 2020 08:55
Last Modified: 18 May 2020 08:55
URI: http://eprints.mums.ac.ir/id/eprint/17308

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