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- Title
Which Social Values Are Considered in Iranian Health System?
- Authors
Rashidian, Arash; Arab, Mohammad; Mahdavi, Mohammadreza Vaez; Ashtarian, Koimars; Mostafavi, Hakimeh
- Abstract
Background: Health systems have a set of limited resources for meeting the needs of communities. Health priority setting based on criteria and values is inevitable in such situation. This paper aims to identify the social values that are considered in Iranian health system. Methods: This qualitative study was conducted in 3 steps including collecting national documents and literature review, interviewing key informants, and a 2 round Delphi. Interviews and documents were analyzed through thematic framework analysis. Statistical guidance was applied for determining consensus cut-off in Delphi technique. Results: Five social values including freedom of choice, equity, solidarity, severity of disease(s), and burden of disease(s) were considered more important than other values in the health priority setting decisions. Moreover, 2 non-value based factors including conflict of interest and lobbying had a high effect on decision making. Conclusion: Most health policy makers decide based on Egalitarian school, but restriction of resources in the country decreases the outcome. Moreover, personal judgments and preferences sometimes affect their decisions. It seems that developing a valuebased framework and making it as a national guidance could have affirmative effect on health administers decisions.
- Subjects
IRAN; CONFLICT of interests; DELPHI method; HEALTH planning; HEALTH services accessibility; INTERVIEWING; LIBERTY; LOBBYING; HEALTH policy; SOCIAL values; DECISION making in clinical medicine; QUALITATIVE research; THEMATIC analysis; SEVERITY of illness index
- Publication
Archives of Iranian Medicine (AIM), 2018, Vol 21, Issue 5, p199
- ISSN
1029-2977
- Publication type
Article