scholarly journals Situation analysis on evidence-informed health policy-making in Poland

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
K Dubas-Jakóbczyk ◽  
E Kocot ◽  
A Domagała ◽  
T Mikołajczyk ◽  
J Adamski ◽  
...  
Keyword(s):  
Health Policy ◽  
Knowledge Translation ◽  
Health System ◽  
Information Exchange ◽  
Policy Making ◽  
Good Practice ◽  
Situation Analysis ◽  
Ministry Of Health ◽  
Proposed Model ◽  
Research And Policy

Abstract Background Over the last few years, increased international attention has been paid to bridging the gap between health research and policy-making. The situation analysis on evidence-informed policy-making (EIP) in Poland aims to increase understanding of interactions among a country’s research and policy-making communities, to determine where and how to best establish a knowledge translation platform (KTP), i.e. an organization or network that through its structure and functioning brings the worlds of research and policy together. Methods The methods were guided by the EVIPNet Europe Situation Analysis Manual and included a literature review, key-informant interviews and survey data analysis. Results In Poland, the existence of incentives or requirements stipulating the use of research evidence in health policy varies, depending on the type of policy. The use of evidence is a standard practice in drug policy, and in decisions related to the inclusion of services in the health benefit package. In other areas, some good practice examples of using evidence in policy can be identified. Yet these are rather individual, isolated and bottom-up initiatives, which neither occur systematically, nor routinely. Key challenges in view of strengthening a systemic approach to EIP relate to: overlapping mandates of key health system and research institutions, generally low research capacity and lack of knowledge translation skills. Conclusions Establishing and operationalizing a KTP can be an effective means of supporting sustainable EIP. Building such infrastructure, however, is a longer-term and complex process that needs to be based on the current characteristics of the country’s EIP landscape. The proposed model of a future KTP in Poland is a network with a joint secretariat within the Ministry of Health. Such form can take advantage of existing organizations’ competencies via information exchange and cooperation. Key messages Although systemic mechanisms for evidence-informed health policy are missing in Poland, its importance is recognized among major health system stakeholders. The proposed model of a future knowledge translation platform in Poland is a network with a joint secretariat within the Ministry of Health.

scholarly journals Opportunities and Challenges for effective implementations of Karnali Province Health Policy

2021 ◽  
Vol 3 (1) ◽  
pp. i-iii
Author(s):  
Padam Prasad Simkhada ◽  
Sharada Prasad Wasti
Keyword(s):  
Health Policy ◽  
Health System ◽  
National Health ◽  
Local Governments ◽  
Local Level ◽  
Health Sector ◽  
Governance Structure ◽  
National Health Policy ◽  
Ministry Of Health ◽  
Healthcare Needs

The health sector is complex, involving many stakeholders, multiple goals, and different beneficiaries. Health policy is an instrument to decide, plan and action that are undertaken to achieve health care goals within a society to combat the health problems. It is crucial for understanding it influences on health systems and prioritizing the health needs of the population.1 In 2015, Nepal became a federal republic and replaced a unitary government with a federal government at the central level, seven provincial and 753 local governments having more authority and resources in planning and managing than before. In the spirit of Constitution of Nepal 2015 and with the vision to make the health services of the country universal and qualitative, Ministry of health and population of Nepal (2019) revised National health policy in 2019. National Health policy 2019 of Nepal has expanded its plan and strategies according to federal structure of the country to improve health sector.2 The revision of health policy paved the way forward towards health system reform in the country which is further supported by Local Government operation act 2017.3 With the new governance structure, accountability has also been divided among the three tiers and the local level is responsible for the program implementation responsibilities.4 5 The Ministry of Health and Population (MoHP) is responsible for managing the health system at the federal level, whereas at the provincial level leads by the Ministry of Social Development and local governments metro/sub-metropolitan, municipality and rural municipality are responsible for its management.6 This indicates that the health system must gear up to meet the escalating healthcare needs of every citizen and upgrading the system as per the structure of the country.

scholarly journals Factors Affecting Health Policies for Older People in Iran

2021 ◽  
Author(s):  
Leila Doshmangir ◽  
Ahmad Ahmadi Teymourlouy ◽  
Parinaz Doshmangir ◽  
Rahim Khodayari-Zarnaq ◽  
Vladimir Gordeev
Keyword(s):  
Health Policy ◽  
Older People ◽  
Health System ◽  
Policy Making ◽  
Health Care Service ◽  
Health Policies ◽  
Factors Affecting ◽  
Intersectoral Cooperation ◽  
System Responsiveness ◽  
Health System Responsiveness

Abstract Introduction: Globally, the number and proportion of people aged 60 years and older is growing fast. As people age, health needs become more complex, and the health system responsiveness to older people's needs requires evidence-informed policies. This study explored the factors affecting the process of health policies development for older people in Iran. Methods: We reviewed and analysed policy documents related to health policies development for older people in Iran. We also conducted 32 interviewers with people aged 60 years and older and 21 interviews with key informants involved in policy-making related to older people. Qualitative data were analysed using thematic analysis.Findings: Actors and stakeholders, policy structure and selected health policy processes, the system of health care service delivery, government financial support, community and culture building are prominent factors that influence health policy-making for older people. Conclusion: To identify and implement effective policy options for older people, the Iranian health system needs to change its health policy-making approach for this target group. It requires a revision of existing structures and processes, timely planning and provision of a comprehensive range of quality services tailored to specific needs of older people, strengthening intersectoral cooperation and coordination to enable evidence-informed policies, facilitation and maintenance of health system responsiveness.

scholarly journals Empowering Researchers and Knowledge-Producing Organizations for Evidence-Informed Health Policy Making: Interventions in the Iranian Health System

2020 ◽  
Author(s):  
leila Doshmangir ◽  
Hakimeh Mostafavi ◽  
Reza Majdzadeh
Keyword(s):  
Health Policy ◽  
Health System ◽  
Policy Making ◽  
Scientific Evidence ◽  
Effective Interaction ◽  
Evidence Based ◽  
Structured Interviews ◽  
Framework Analysis ◽  
Community Based Interventions ◽  
Iranian Health System

Abstract Background: Providing appropriate information to policymakers by strengthening evidence-based capacity is a key factor in the development of evidence-based policy making (EIPM). This study aims to examine the necessary interventions in the Iranian health system for empowering researchers and knowledge-producing organizations to strengthen EIPM.Methods: This qualitative study was conducted using interviews and document review. The views and experiences of enterviewees were extracted through semi-structured interviews. Purposive sampling was used and continued until data saturation. Thematic framework analysis and MAXQDA 12 software were used for data analysis.Results: Necessary interventions for empowering researchers and knowledge-producing organizations were categorized into health system interventions, community-based interventions, organization interventions, and individual interventions.Conclusion: Incompatibility of health policy decisions with scientific evidence derived from research highlights the importance of creating a common language among health policymakers and researchers. In this regard, developing scientific and practical interventions, educating health researchers on knowledge translation, and using mechanisms and networks for effective interaction will be constructive.

scholarly journals The rocky road to health reform:some lessons from New Zealand

2001 ◽  
Vol 24 (1) ◽  
pp. 151 ◽  
Author(s):  
Toni Ashton
Keyword(s):  
Health Policy ◽  
New Zealand ◽  
Structural Change ◽  
Health System ◽  
Policy Making ◽  
Early Stage ◽  
Sufficient Time ◽  
Implementing Change ◽  
Clear Vision ◽  
Look Back

Ongoing structural change has been a feature of the New Zealand health system throughout the 1990s. As we enterthe new millennium a new government is now embarking upon yet another round of reform. I look back on the pastfew years and consider what lessons might be learned about the process of health policy-making in New Zealand. Theyinclude the need for a clear vision about the goals of health policy, the importance of consulting with key stakeholdersat an early stage, the problems of implementing change too speedily, and the need to allow sufficient time for systemsto mature before replacing them with new structures.

China's Health System: Determinants

1980 ◽  
Vol 08 (03) ◽  
pp. 199-220
Author(s):  
Katherine Ch'iu Lyle
Keyword(s):  
Health Policy ◽  
Health System ◽  
Policy Making ◽  
Social Economic ◽  
Health Policies ◽  
Political Forces ◽  
Policy Making Process

This paper seeks to examine and explain the changes in China's health policy since 1949. It attempts to clarify the role of various determinants in the health policy-making process in various stages of China's development and discover what forces propelled the shifts in health policies and campaigns. Various social, economic and political forces are discussed as they bear on the evolution of China's health policies, and the fate of Maoist vs. pragmatic tendencies in assessed.

scholarly journals Fuzzy Analytical Hierarchy Process )AHP( of Good Governance Components for Health System Policy-Making in the Islamic Republic of Iran

2021 ◽  
Author(s):  
Marziyeh Azadiyan ◽  
Abbas Vosoogh Moghaddam ◽  
Ali Farhadi Mahalli
Keyword(s):  
Health Policy ◽  
Health System ◽  
Rule Of Law ◽  
Policy Making ◽  
Good Governance ◽  
Fuzzy Ahp ◽  
Cultural Development ◽  
Survey Method ◽  
The Rule Of Law ◽  
Iranian Health System

Background: Good governance in the last two decades attracted the attention of scientific and international circles around the world. It is a type of governance that is committed to supporting and promoting human health. In order to achieve good governance, components have been identified that knowledge of the weight and importance of each component is undoubtedly necessary to achieve the desired results in the policy-making of the Iranian health system. Methods: This research is descriptive-survey in terms of goal setting and methodology. The multi-stage stratification and availability method was used for sampling and the theoretical saturation rule was used to determine the sample size. In order to define and explain the concept of components of good governance and health policy-making, the library method and review of reference sources were used. 100 survey managers and experts in the Ministry of Health and Golestan, Mazandaran and Neishabour Universities of Medical Sciences were interviewed using a survey method and using a checklist tool (researcher-made (pairwise comparisons)). To analyze the data, Chang's improved fuzzy AHP method and Expert choice software were used. Results: Among the components of good governance (for the policy-making process of the Iranian health system), the rule of law included the most important component. After the rule of law, consensus and agreement, transparency, accountability, justice and fairness, effectiveness and efficiency and ethics were in the next ranks. Conclusion: Good governance is a new narrative of concepts such as democracy, human rights and justice to pursue people-centered human development goals. The rankings obtained from the analyses of this research indicate the need to pay more attention to the rule of law in the health policy-making cycle. It is suggested that in designing the health sector of the seventh economic, social and cultural development plan, executive strategies are paid attention to strengthening the components of good governance, respectively.

scholarly journals Empowering Researchers and Knowledge-producing Organizations for Evidence-informed Health Policy Making: Interventions in the Iranian Health System

2020 ◽  
Author(s):  
Leila Doshmangir ◽  
hakimeh mostafavi ◽  
Reza Majdzadeh
Keyword(s):  
Health Policy ◽  
Health System ◽  
Policy Making ◽  
Scientific Evidence ◽  
Effective Interaction ◽  
Evidence Based ◽  
Structured Interviews ◽  
Framework Analysis ◽  
Community Based Interventions ◽  
Iranian Health System

Abstract Background: Providing appropriate information to policymakers by strengthening evidence-based capacity is a key factor in the development of evidence-based policy making (EIPM). This study aims to examine the necessary interventions in the Iranian health system for empowering researchers and knowledge-producing organizations to strengthen EIPM.Methods: This qualitative study was conducted using interviews and document review. The views and experiences of enterviewees were extracted through semi-structured interviews. Purposive sampling was used and continued until data saturation. Thematic framework analysis and MAXQDA 12 software were used for data analysis.Results: Necessary interventions for empowering researchers and knowledge-producing organizations were categorized into health system interventions, community-based interventions, organization interventions, and individual interventions.Conclusion: Incompatibility of health policy decisions with scientific evidence derived from research highlights the importance of creating a common language among health policymakers and researchers. In this regard, developing scientific and practical interventions, educating health researchers on knowledge translation, and using mechanisms and networks for effective interaction will be constructive.

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