fa تبیین و پیش‌بینی رفتار مشارکت خیرین در نظام سلامت ایران عمومى General پژوهشی Original <strong><span style="color:black;"><span style="font-family:B Roya;"><span style="font-size:12.0pt;">مقدمه:</span></span></span></strong><strong><span style="color:black;"><span style="font-family:B Lotus;"> <em>خیرین سلامت در تامین مالی، تولید منابع و ارایه</em></span></span></strong><strong><em><span dir="LTR"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;">ی خدمات سلامت مشارکت دارند. عوامل مختلفی بر رفتار خیرخواهانه</span></span></em></strong><strong><em><span dir="LTR"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;">ی خیرین سلامت اثر می</span></span></em></strong><strong><em><span dir="LTR"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;">گذارند. هدف پژوهش حاضر، تبیین و پیش</span></span></em></strong><strong><em><span dir="LTR"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;">بینی رفتار مشارکت خیرین در نظام سلامت ایران است.</span></span></em></strong><br> <strong><span style="color:black;"><span style="font-family:B Roya;"><span style="font-size:12.0pt;">روش کار:</span></span></span></strong><strong><span style="color:black;"><span style="font-family:B Lotus;"> <em>مطالعه</em></span></span></strong><strong><em><span dir="LTR"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;">ی استقرایی حاضر، به</span></span></em></strong><strong><em><span dir="LTR"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;">صورت کیفی با </span></span></em></strong><strong><em><span dir="LTR"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;">استفاده </span></span></em></strong><strong><em><span dir="LTR"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;">از مصاحبه</span></span></em></strong><strong><em><span dir="LTR"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;">ی نیمه</span></span></em></strong><strong><em><span dir="LTR"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;">ساختار</span></span></em></strong><strong><em><span dir="LTR"><span style="color:black;">‌‌</span></span></em></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;">یافته با 38 نفر از خیرین سلامت و 26 نفر از سیاست</span></span></em></strong><strong><em><span dir="LTR"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;">گذاران، مدیران و کارشناسان حوزه</span></span></em></strong><strong><em><span dir="LTR"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;">ی معاونت اجتماعی وزارت بهداشت و دانشگاه</span></span></em></strong><strong><em><span dir="LTR"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;">های علوم پزشکی کشور انجام شد. مصاحبه</span></span></em></strong><strong><em><span dir="LTR"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;">ها به</span></span></em></strong><strong><em><span dir="LTR"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;">صورت هدف</span></span></em></strong><strong><em><span dir="LTR"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;">مند و به</span></span></em></strong><strong><em><span dir="LTR"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;">روش گلوله</span></span></em></strong><strong><em><span dir="LTR"><span style="color:black;">‌‌</span></span></em></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;">برفی تا مرحله</span></span></em></strong><strong><em><span dir="LTR"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;">ی اشباع داده</span></span></em></strong><strong><em><span dir="LTR"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;">ها ادامه یافت. برای تحلیل داده</span></span></em></strong><strong><em><span dir="LTR"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;">ها، از روش تحلیل موضوعی استفاده شد. کلیه</span></span></em></strong><strong><em><span dir="LTR"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;">ی ملاحظات اخلاقی در پژوهش حاضر رعایت شد.</span></span></em></strong><br> <strong><span style="letter-spacing:.1pt;"><span style="color:black;"><span style="font-family:B Roya;"><span style="font-size:12.0pt;">یافته</span></span></span></span></strong><strong><span dir="LTR" style="letter-spacing:.1pt;"><span style="color:black;"><span style="font-size:12.0pt;">‌</span></span></span></strong><strong><span style="letter-spacing:.1pt;"><span style="color:black;"><span style="font-family:B Roya;"><span style="font-size:12.0pt;">ها:</span></span></span></span></strong><strong><span style="letter-spacing:.1pt;"><span style="color:black;"><span style="font-family:B Lotus;"> <em>خیرین سلامت، رفتاری هدف</em></span></span></span></strong><strong><em><span dir="LTR" style="letter-spacing:.1pt;"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="letter-spacing:.1pt;"><span style="color:black;"><span style="font-family:B Lotus;">مند و برنامه</span></span></span></em></strong><strong><em><span dir="LTR" style="letter-spacing:.1pt;"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="letter-spacing:.1pt;"><span style="color:black;"><span style="font-family:B Lotus;">ریزی</span></span></span></em></strong><strong><em><span dir="LTR" style="letter-spacing:.1pt;"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="letter-spacing:.1pt;"><span style="color:black;"><span style="font-family:B Lotus;">شده را دنبال می</span></span></span></em></strong><strong><em><span dir="LTR" style="letter-spacing:.1pt;"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="letter-spacing:.1pt;"><span style="color:black;"><span style="font-family:B Lotus;">کنند. عوامل هدف، نیت، نگرش، هنجار، ویژگی</span></span></span></em></strong><strong><em><span dir="LTR" style="letter-spacing:.1pt;"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="letter-spacing:.1pt;"><span style="color:black;"><span style="font-family:B Lotus;">های شخصی، دانش زمینه</span></span></span></em></strong><strong><em><span dir="LTR" style="letter-spacing:.1pt;"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="letter-spacing:.1pt;"><span style="color:black;"><span style="font-family:B Lotus;">ای، رفتار گذشته، تجربه</span></span></span></em></strong><strong><em><span dir="LTR" style="letter-spacing:.1pt;"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="letter-spacing:.1pt;"><span style="color:black;"><span style="font-family:B Lotus;">ی گذشته و کنترل رفتار بر رفتار مشارکت خیرین در تامین مالی، تولید منابع و ارایه</span></span></span></em></strong><strong><em><span dir="LTR" style="letter-spacing:.1pt;"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="letter-spacing:.1pt;"><span style="color:black;"><span style="font-family:B Lotus;">ی خدمات سلامت موثر هستند. مشارکت خیرین در نظام سلامت، تابعی از هدف، نیت و نگرش آن</span></span></span></em></strong><strong><em><span dir="LTR" style="letter-spacing:.1pt;"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="letter-spacing:.1pt;"><span style="color:black;"><span style="font-family:B Lotus;">ها نسبت</span></span></span></em></strong><strong><em><span dir="LTR" style="letter-spacing:.1pt;"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="letter-spacing:.1pt;"><span style="color:black;"><span style="font-family:B Lotus;"> به مشارکت در حوزه</span></span></span></em></strong><strong><em><span dir="LTR" style="letter-spacing:.1pt;"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="letter-spacing:.1pt;"><span style="color:black;"><span style="font-family:B Lotus;">ی سلامت و کنترل آن</span></span></span></em></strong><strong><em><span dir="LTR" style="letter-spacing:.1pt;"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="letter-spacing:.1pt;"><span style="color:black;"><span style="font-family:B Lotus;">ها بر انجام این رفتار است. هنجارها، ویژگی</span></span></span></em></strong><strong><em><span dir="LTR" style="letter-spacing:.1pt;"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="letter-spacing:.1pt;"><span style="color:black;"><span style="font-family:B Lotus;">های شخصی، دانش زمینه، تجربه</span></span></span></em></strong><strong><em><span dir="LTR" style="letter-spacing:.1pt;"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="letter-spacing:.1pt;"><span style="color:black;"><span style="font-family:B Lotus;">ی گذشته و رفتار گذشته</span></span></span></em></strong><strong><em><span dir="LTR" style="letter-spacing:.1pt;"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="letter-spacing:.1pt;"><span style="color:black;"><span style="font-family:B Lotus;">ی خیرین بر نگرش</span></span></span></em></strong><strong><em><span dir="LTR" style="letter-spacing:.1pt;"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="letter-spacing:.1pt;"><span style="color:black;"><span style="font-family:B Lotus;"> آن</span></span></span></em></strong><strong><em><span dir="LTR" style="letter-spacing:.1pt;"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="letter-spacing:.1pt;"><span style="color:black;"><span style="font-family:B Lotus;">ها نسبت</span></span></span></em></strong><strong><em><span dir="LTR" style="letter-spacing:.1pt;"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="letter-spacing:.1pt;"><span style="color:black;"><span style="font-family:B Lotus;">به فعالیت</span></span></span></em></strong><strong><em><span dir="LTR" style="letter-spacing:.1pt;"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="letter-spacing:.1pt;"><span style="color:black;"><span style="font-family:B Lotus;">های خیرخواهانه اثر می</span></span></span></em></strong><strong><em><span dir="LTR" style="letter-spacing:.1pt;"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="letter-spacing:.1pt;"><span style="color:black;"><span style="font-family:B Lotus;">گذارد. همچنین، هنجارهای اخلاقی، توصیفی و ذهنی بر تقویت نگرش خیرین نسبت</span></span></span></em></strong><strong><em><span dir="LTR" style="letter-spacing:.1pt;"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="letter-spacing:.1pt;"><span style="color:black;"><span style="font-family:B Lotus;">به مشارکت در بخش سلامت موثر هستند.</span></span></span></em></strong><strong><span style="letter-spacing:.1pt;"><span style="color:black;"><span style="font-family:B Lotus;"></span></span></span></strong><br> <strong><span dir="RTL"><span style="color:black;"><span style="font-family:B Roya;"><span style="font-size:12.0pt;">نتیجه</span></span></span></span><span style="color:black;"><span style="font-family:Calibri,sans-serif;"><span style="font-size:12.0pt;">‌</span></span></span><span dir="RTL"><span style="color:black;"><span style="font-family:B Roya;"><span style="font-size:12.0pt;">گیری<em>:</em></span></span></span></span><em><span dir="RTL"><span style="color:black;"><span style="font-family:B Lotus;"><span style="font-size:11.0pt;"> در مطالعه</span></span></span></span><span style="color:black;"><span style="font-family:Calibri,sans-serif;"><span style="font-size:11.0pt;">‌</span></span></span><span dir="RTL"><span style="color:black;"><span style="font-family:B Lotus;"><span style="font-size:11.0pt;">ی حاضر، مدلی برای پیش</span></span></span></span><span style="color:black;"><span style="font-family:Calibri,sans-serif;"><span style="font-size:11.0pt;">‌</span></span></span><span dir="RTL"><span style="color:black;"><span style="font-family:B Lotus;"><span style="font-size:11.0pt;">بینی و تبیین رفتار هدف</span></span></span></span><span style="color:black;"><span style="font-family:Calibri,sans-serif;"><span style="font-size:11.0pt;">‌</span></span></span><span dir="RTL"><span style="color:black;"><span style="font-family:B Lotus;"><span style="font-size:11.0pt;">مند و برنامه</span></span></span></span><span style="color:black;"><span style="font-family:Calibri,sans-serif;"><span style="font-size:11.0pt;">‌‌</span></span></span><span dir="RTL"><span style="color:black;"><span style="font-family:B Lotus;"><span style="font-size:11.0pt;">ریزی</span></span></span></span><span style="color:black;"><span style="font-family:Calibri,sans-serif;"><span style="font-size:11.0pt;">‌‌</span></span></span><span dir="RTL"><span style="color:black;"><span style="font-family:B Lotus;"><span style="font-size:11.0pt;">شده</span></span></span></span><span style="color:black;"><span style="font-family:Calibri,sans-serif;"><span style="font-size:11.0pt;">‌</span></span></span><span dir="RTL"><span style="color:black;"><span style="font-family:B Lotus;"><span style="font-size:11.0pt;">ی خیرین سلامت توسعه یافت. سیاستگذاران و مدیران نظام سلامت می</span></span></span></span><span style="color:black;"><span style="font-family:Calibri,sans-serif;"><span style="font-size:11.0pt;">‌</span></span></span><span dir="RTL"><span style="color:black;"><span style="font-family:B Lotus;"><span style="font-size:11.0pt;">توانند از این مدل برای تقویت مشارکت خیرین در تامین مالی، تولید منابع و ارایه</span></span></span></span><span style="color:black;"><span style="font-family:Calibri,sans-serif;"><span style="font-size:11.0pt;">‌</span></span></span><span dir="RTL"><span style="color:black;"><span style="font-family:B Lotus;"><span style="font-size:11.0pt;">ی خدمات سلامت استفاده کنند.</span></span></span></span></em></strong> <span style="color:#3498db;"><strong>Explaining and Predicting Donors&rsquo; Participation Behavior in Iranian Health System</strong></span><br> Ali Mohammad Mosadeghrad¹, Fatemeh Ehteshami^2*<br> <em>¹</em><em>Department of Health Management and Economics, Health Information Management Research Center, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran</em><br> <em>²</em><em>Department of Health Management and Economics, School of Public Health,<br> &nbsp;Tehran University of Medical Sciences, Tehran, Iran</em><br> <span style="color:#3498db;"><strong>Abstract</strong></span><br> <strong>Introduction:</strong> Donors can contribute to the funding, resource generation, and provision of healthcare services in the Iran health system. Several factors can influence the donors&rsquo; contribution to the health system. This study aimed to explain and predict the donors&rsquo; participation in the Iran health system.<br> <strong>Methods:</strong> A qualitative and inductive study was performed using semi-structured interviews with 38 donors and 26 policymakers and managers in the Social Affairs Department of the Ministry of Health and the Universities of Medical Sciences in 2018. The interviewees were recruited using a purposeful and snowball method. The thematic content analysis method was used for data analysis. All major ethical considerations were observed in this research.<br> <strong>Results:</strong> Healthcare donors followed a purposeful and planned behavior for contributing to the health system. Nine factors can influence a donor&rsquo;s charitable behavior in the health system, including goal, intention, attitude, norms (ethical, descriptive, and subjective norms), personal characteristics, background knowledge, experience, past behavior, and control of perceived behavior. The donors&rsquo; participation in the health system is a function of their goals, intentions, attitudes, and their control of perceived behavior. The donors&rsquo; attitude is shaped by their characters, background knowledge, experience, past behavior, and ethical, descriptive, and subjective norms.<br> <strong>Conclusion:</strong> The purposeful and planned behavior model developed in this study guides healthcare managers and policymakers in explaining and predicting the donors&rsquo; charitable behavior in the health system.<br> <strong>Keywords:</strong> Purposeful and Planned Behavior Theory; Donors; Iranian Health System; Modelling <table border="0" cellpadding="0" cellspacing="0"> <tbody> <tr> <td style="width:720px;height:72px;"><span style="color:#3498db;"><strong>Please cite this article as follows:</strong></span><br> Mosadeghrad AM, Ehteshami F. Explaining and predicting donors&rsquo; participation behavior in Iranian health system. Hakim Health Sys Res. 2019; 22(4): 284-297.</td> </tr> </tbody> </table> &nbsp;<br clear="ALL" > *<strong>Corresponding Author: </strong>Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. Tel: +98-2181455832, Email: fateme.eht@gmail.com<br> &nbsp; تئوری رفتار هدفمند و برنامه ریزی شده, خیرین, نظام سلامت ایران, توسعه ی مدل Purposeful and Planned Behavior Theory, Donors, Iranian Health System, Modelling 284 297 http://hakim.tums.ac.ir/browse.php?a_code=A-10-860-8&slc_lang=fa&sid=1 alimohammad mosadeghrad علی محمد مصدق راد Yes گروه علوم مدیریت و اقتصاد بهداشت.دانشـکده بهداشـت، مرکـز تحقیقـات مدیریـت اطلاعـات سلامت، دانشگاه علوم پزشکی تهران fatemeh ehteshami فاطمه احتشامی fateme.eht@gmail.com No گروه علوم مدیریت و اقتصاد بهداشت.دانشـکده بهداشـت، مرکـز تحقیقـات مدیریـت اطلاعـات سلامت، دانشگاه علوم پزشکی تهران .کارشـناس معاونـت اجتماعـی وزارت بهداشـت، درمـان و آمـوزش پزشـکی.