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A Successful Implementation of an Idea to a Nationally Approved Plan: Analyzing Iran's National Health Roadmap Using the Kingdon Model of Policymaking Publisher



Hashemi H1 ; Haghdoost AA2 ; Hajiaghajani M3 ; Janbabaee G4 ; Maher A5 ; Hekmat SN6 ; Javadi AM7 ; Rahimisadegh R8 ; Emadi S9, 16 ; Rajabalipour MR10 ; Haghighi H11 ; Dehnavieh R12, 15 ; Ferdosi M13 ; Khademi G14 Show All Authors
Authors
  1. Hashemi H1
  2. Haghdoost AA2
  3. Hajiaghajani M3
  4. Janbabaee G4
  5. Maher A5
  6. Hekmat SN6
  7. Javadi AM7
  8. Rahimisadegh R8
  9. Emadi S9, 16
  10. Rajabalipour MR10
  11. Haghighi H11
  12. Dehnavieh R12, 15
  13. Ferdosi M13
  14. Khademi G14
  15. Mehralhasani MH12, 15
  16. Sabermahani A9, 16
  17. Bezanjani KN17
  18. Iranpour A18
  19. Rashidinejad H19
  20. Samadani FM20
  21. Maki M21
  22. Kalantari B22, 23
  23. Farrokhyar N22, 23
  24. Rouhanizadeh H24
  25. Falakbaz M25
  26. Allahyari H26
  27. Fathalian MT27
  28. Khajehmirzaei AR28
  29. Jannati A29
  30. Derakhshani J30
  31. Rezapour A31
  32. Eftekhari J32
  33. Khaterneshanian Fam P33
  34. Kazemi M34
  35. Mohammadi M35
  36. Rastbin P36
  37. Pirhayati B37
  38. Souri E38
  39. Torabipour A39
  40. Keshvari M40
  41. Alikhani N41
  42. Salehi L42
  43. Moradi M43
  44. Aghajaniyan S44
  45. Hedayati A45
  46. Kargar M46
  47. Sharifi L47
  48. Omranikhoo H48
  49. Poursamad A49
  50. Boyuki NA50
  51. Zarei Z51
  52. Sahraei Z52, 53
  53. Keshavaez A52, 53
  54. Sadeghi M54
  55. Sabet SA55
  56. Taiari K56
  57. Koohpayehzadeh J57
  58. Moazam E58
  59. Tafti AD59
  60. Dehnavi SSF60
  61. Barownaghi MR61
  62. Jafari H62
  63. Foroghifar S63
  64. Arefnejad M64
  65. Ebrahimipour H65
  66. Sedaghat M66
  67. Mehdipoor S67
  68. Mollajafari F68
  69. Forouzan R69
  70. Mood SM70
  71. Sharifpour S71
  72. Adel A72
  73. Nirouand S73
  74. Ghaznavi GR74
  75. Zamanzadeh R75
  76. Etesam K76
  77. Dalili M77
  78. Sirizi MJ78
  79. Omidifar R79

Source: Medical Journal of the Islamic Republic of Iran Published:2018


Abstract

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.
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