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Atefeh Ghanbari, Fatemeh Moaddab, Abtin Heydarzade, Fatemeh Jafaraghaee, Fatemeh Barari. Health System Evolution Plan; a New Approach to Health Care Delivery: The Challenge Ahead. Hakim 2017; 20 (1) :1-8
URL: http://hakim.tums.ac.ir/article-1-1761-en.html

Health System Evolution Plan; a New Approach to Health Care Delivery: The Challenge Ahead

Atefeh Ghanbari (PhD)¹, Fatemeh Moaddab (MSc)^2*, Abtin Heydarzade (MD)³, Fatemeh Jafaraghaee (PhD)⁴,Fatemeh Barari (BSc)<sup>5

1</sup> PhD in Nursing Education, Associate Professor, Nursing Department,
Social Determinants of Health Research Center, Guilan University of Medical Sciences, Rasht, Iran
² MSc in nursing education, Instructor, Department of Nursing,
Social determinants of health research center, Guilan University of Medical Sciences, Rasht, Iran
³ Social medicine specialist, Associate professor, Social Medicine Department,
Guilan University of Medical Sciences, Rasht, Iran
⁴ PhD in nursing education, Assistant professor, Nursing Department,
Social determinants of health research center, Guilan University of Medical Sciences, Rasht, Iran
⁵ Bachelor of Educational Sciences, Social Determinants of Health Research Center,
Guilan University of Medical Sciences, Rasht, Iran

Background: In the past 2 decades, following the failure of health systems to fulfill new needs and expectations of the community, a strong international motion to health system reform is formed. According to the new plan for this reform, the current study aimed at evaluating the challenges ahead of the health system evolution plan in Guilan University of Medical Sciences, Rasht, Iran.
Methods: The current study was conducted based on a content analysis approach. A total of 43 managers of health care systems and hospitals directors completed a researcher-designed open-ended questions questionnaire. The qualitative data were analyzed using the content analysis method.
Results: Based on the obtained results, a total of 672 initial codes were extracted. After the analysis of initial codes, they were categorized into 4 main classes: “the health system: a need for the country”, “prerequisites”, “sustained monitoring” and “challenges”. The health system: a need for the country focused on regional necessities, health-oriented goals of the government, achieving health; a human priority; prerequisites focused on planning, culture-making, and infrastructures; sustained monitoring focused on polls and continuous supervision, and challenges focused on current and future challenges.
Conclusions: The health system evolution plan was implemented emphasizing the accessibility of health care services to everybody. Based on the viewpoint of manager, the plan was aimed to reduce the health care costs for the people, which is of great importance in Guilan province with regard to the problem of tourism industry. Of course, given the prerequisites and sustained monitoring of plan to carry out it better, it can play an effective role.
Keywords: Health System; Health Care Delivery; Health

Please cite this article as follows:

Ghanbari A, Moaddab F, Jafaraghaee F, Heydarzade A, Barari F. Health System Evolution Plan; a New Approach to Health Care Delivery: The Challenge Ahead. Hakim Health Sys Res 2017; 20(1):1-8

*Corresponding Author: Guilan University of Medical Sciences, Shahid Beheshti Nursing and Midwifery school of Rasht, Rasht, Iran.
Tel: +98-1333555058. Fax: +98-1333550097, E-mail: f.moaddab89@gmail.com