چکیده مقاله
Background: District Health Network DHN as one of the most successful health reforms in Iran, was launched in 1985 for the provision of PHC, in response to health problems and health inequities in Iran The present study aims to use interrelated elements of ideas, interests, and institutions 3i framework to explain retrospectively how DHN policy in Iran, as a developing country, was initiated and formed Methods: A historical narrative approach with a case study perspective was employed to focus on the formation and framing process of DHN For this purpose, interests, ideas, institutions 3i , and Network Analysis frameworks were used This study was carried out in three main steps: collecting data from secondary sources published research evidence, reports, documents, news media, presentations, and books , analyzing and interpreting the data using a hybrid approach, and presenting results in a defined format Results: Previous experiences and evidence and social beliefs and discourses formed as a result of the of Iranian Revolution in 1979 and Iraq Iran War ideas , policy network between the main actors with similar tight knit beliefs and experiences interests , and laws and organizational structures institutions were interconnected factors that formed the DHN in Iran The findings also showed that ideas with the concept of values, beliefs, and discourses greatly impacted this policy's formation Conclusions: Alignment of laws, structures, and interests of the main actors of a policy with the ideas and values that govern society, especially in crisis times, can be a positive step towards the successful formation of that policy
کلیدواژهها
نویسندگان
Vahid Yazdi-Feyzabadi
Assistant Professor in Health Policy Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran Department of Health Management, Policy and Economics, Faculty of Management and
Mohammad Bazyar
Assistant Professor in Health Policy Department of Health Promotion, Faculty of Health, Ilam University of Medical Sciences, Ilam, Iran
Sara Ghasemi
PhD Candidate in Health Policy Social Determinants of Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran Department of Health Management, Policy and Economics, Faculty of Management and Me
شیوه ارجاع
Yazdi-Feyzabadi, Vahid and Bazyar, Mohammad and Ghasemi, Sara,1399,How was the District Health Network policy formed in Iran? The role of ideas, interests, institutions and networks in a nutshell,5th International Conference on Health and Health Promotion
ارائهشده در
مجموعه مقالات پنجمین کنفرانس بین المللی بهداشت،درمان و ارتقای سلامت20 اسفند 1399