پزشکان

Electronic prescription services can enhance patient safety and the quality of healthcare services by reducing medical mistakes. Therefore, this study aimed to examine the perspectives of physicians and pharmacists in Birjand regarding electronic prescriptions. This descriptive-applied study was conducted cross-sectionally during 2023-2024 in public and private hospitals, clinics (including charity, private, government-affiliated, and social security), as well as medical offices and pharmacies in Birjand County. Based on a standard deviation of 0.9, an acceptable margin of error of 0.2, and a 20% anticipated dropout rate, a sample size of 100 physicians and pharmacists was determined and recruited using convenience sampling. Data were collected using a two-part questionnaire. The first part included demographic information, such as gender, age, occupation, workplace, work experience, and electronic prescription experience. The second part consisted of 31 specific items across nine fields. The researcher personally distributed the questionnaire to the participants. The collected data were then analyzed using descriptive-analytical tests in SPSS software version 22. The average scores in the evaluated fields, from highest to lowest according to users' perspectives, were as follows: social influence (4.01), actual use (3.71), habit (3.66), intention to use (3.39), trust (3.15), expected performance (3.07), expected effort (2.78), price value (2.73), and facilitating conditions (2.32). A significant inverse correlation was observed between age and factors such as expected effort (r=-0.615), expected performance (r=-0.44), trust (r=-0.305), price value (r=-0.397), and facilitating conditions (r=-0.584) (P<0.05). Female pharmacists and physicians generally held more favorable views across most dimensions, except for social influences. Notably, expected effort and performance differed significantly between male and female participants (P<0.05). In conclusion, physicians and pharmacists held a moderate perspective on the use of electronic prescription services.

Maldistribution of physicians in different areas has detrimental impacts on people's access to health services. The distribution of physicians in different regions are influenced by various factors. Therefore, this study was carried out with the aim of identifying factors and components affecting the geographical distribution of physicians in different countries.

A scoping review based on the framework of Arkesy and O'Malley was conducted using keywords related to distribution and physicians in five English and Persian databases (Web of Sciences, PubMed, Scopus, Google scholar, SID) between 2000 and 2023. The original and review articles in English and Persian were included in the study. First, the studies were screened based on the title and abstract, and in the next step, the full text of the articles was reviewed. Finally, data were extracted using a self-designed checklist. The identified factors were analyzed using thematic analysis.

After removing duplicates, 122 were identified. Of these 50 articles were reviewed. Finally, based on the inclusion and exclusion criteria, 17 studies were included in the final analysis. The included studies were conducted in different countries. In the analysis of the components and factors affecting the dispersion and distribution of physicians, five main themes emerged including demographic and geographic factors, personal and professional characteristics of the physicians, social, economic and political factors, factors related to the health system and social and cultural factors.

The findings showed that the unequal distribution of physicians is a global problem and most countries were struggling such a problem. The findings showed that the distribution of physicians is influenced by many factors that must be taken into consideration by policy makers and managers. They should develop and design policies and interventions for equitable distribution of physicians.

 Newspaper is one of the tools of knowledge transfer, the result of modernity and one of the constitutional achievements. Golgoun as one of the published local newspapers in Hamedan played a significant role in increasing the knowledge of all citizens during the first Pahlavi period. Health and medical issues were the focus of this newspaper. The purpose of this article is to review the health and medical news and reports published in this newspaper to know the situation in Hamedan at that time.

 This research analyzed the data and explained the findings in a library and descriptive-analytical way. Its main source is Golgoun newspaper and its news and reports. Other sources that are related to this research and the health status of Hamedan in the first Pahlavi period have also been used.

Ethical Considerations: 

In this study, the principles of trustworthiness and honesty have been observed.

 Among the health and medical content Published in Golgoun newspaper are the advice to follow health considerations, introducing diseases and their treatment methods and knowing the types of medicines and famous doctors of Hamedan. The fight against superstitions and illegal usage was considered as the most important mission of this newspaper, which was successful to some extent.

 When the lack of health and medical facilities was felt not only in Hamedan, but in the whole country, Golgoun was able to inform the readers about the importance of health in improving nations and the problems of not paying attention to it by publishing numerous articles and provide valuable information to the audiences. The publication of these materials was its operators’ sensitivity and concern towards the health and medicine and in line of the commitment to the principle of "prevention is better than cure".

Objentive (s): 

Physicians are in the frontline of the distribution channel in the pharmaceutical value chain. The prescribing behavior of doctors influences the use of herbal medicines. This study investigated the effect of knowledge, attitude, and social marketing mix on doctors' prescribing behavior of herbal medicines.

The current cross-sectional study was conducted in 2022 in Ahvaz, Iran. Its statistical population included 878 doctors working in medical centers and public and private offices in Ahvaz, and the data were collected using the census method. Data was collected using a self-designed questionnaire to measure the level of knowledge and attitude of doctors and the role of social marketing mix on doctors' prescribing behavior. Descriptive and analytical statistics, including Pearson's correlation, linear regression, t-test, and one-way analysis of variance were used to analyze the data.

The results showed a significant relationship between all research variables and doctors' prescribing behavior (p= 0.001), where the attitude showed the strongest positive relationship (r= 0.692). Regression analysis showed that the two factors of attitude and knowledge had a positive effect, and promotion strategy has a negative and inverse effect on doctors' prescribing behavior. Also, a significant relationship observed between doctors' prescribing behavior and gender (p= 0.001) and education level (p= 0.004).

Knowledge, attitude, and promotion strategy are predictors of herbal medicine prescribing behavior by physicians.

Electronic prescribing has been implemented in many countries, with its first application in outpatient care. In Iran, electronic prescribing has been seriously implemented for two years now, and while it has been successful in some regions, it has also faced challenges. Identifying these challenges and determining their causes can not only help address the problems faced by physicians but also significantly contribute to the improvement of the electronic prescribing program. The present study aimed to investigate the challenges faced by physicians in electronic prescribing in Ahvaz County in 2024.

This qualitative study was conducted in Ahvaz County, Khuzestan Province, Iran, in 2024, with a population of physicians. Participants were 33 individuals selected using a purposive sampling method. Data collection methods included semi-structured interviews with physicians, field notes, and recording reminders based on the principle of data saturation.

The data analysis process yielded four main themes (inconsistencies in drug coding, lack of security in electronic prescription systems, lack of legal regulations and non-acceptance of electronic prescribing by physicians) and 11 categories (inconsistency of some codes, duplicate codes, differences in the type of registration of a drug, absence of some codes for some drugs, lack of coordination between insurers, factors related to insurance organizations, inconsistency of patient information) and 21 subcategories.

Physicians face numerous challenges due to various reasons, such as inconsistencies in insurance systems in drug coding, the use of different prescriptions by insurance organizations, the lack of integration between insurance and pharmacy systems, frequent internet outages, lack of coordination between pharmacies and physicians, excessive or incorrect drug dispensing by some pharmacies. Addressing these challenges can pave the way for the success of the electronic prescribing program in Ahvaz.

Professional ethics is based on human values, tasks, rights and responsibilities and affects the professional and organizational conditions of nurses. In this regard, the aim of this study was identifying framework of the dimensions of nurses' professional ethics from the point of view their and physicians. This study was done with qualitative method, using semi-structured interview, with the participation of 26 physicians medical ethics specialist, clinical specialist, clinical assistant and intern and 20 nurses based on theoretical saturation with the purposeful sampling method and after obtaining informed consent from them. Content analysis method was used for data analysis, which was done in MAXQDA version 18 software. Findings showed professional ethics was based on a four-dimensional framework; The professional ethics of nurses in relation to the patient (six sub-components), in relation to colleagues in different job categories (four sub-components), in relation to the profession (three sub-components) and in relation to the hospital and medical organizations (two sub-components). The reliability of the coding of the components was obtained based on the Kappa index equal to 0.88. Therefore, it can be said. Framework of the dimensions professional ethics of the point of view of nurses found meaning in relation to themselves and others (patients, colleagues, organization and profession). The nurses, knowing and observing the details and nature of these communications, as well as the individual rights of these people from their own point of view; they can properly implement the principles of professional ethics in advancing the goals of the organization and increasing the quality of service provision and the satisfaction of others and raising the status of the profession.

Designing a payment system for healthcare workers- doctors and nurses, in particular- in the hospitals is more intricate than that for other organizations. Beyond the legal compliance, the unique features of the medical professions and nursing work environment should be considered. Due to the lack of adequate researches on payment methods for doctors and nurses in Iran, especially regarding the recent changes in “fee for services” (FFS) payment, the present study aimed to investigate the payment challenges faced by the doctors and nurses in Iranian public hospitals.

Challenges were identified by interviews, and prioritized by adopting the MARCOS method. The study population included the hospital managers, healthcare payment method experts, and doctors and nurses in the public hospitals. Targeted sampling and semi-structured interviews were conducted to collect the data. In the MARCOS method, criteria determination, weighting, and scoring of the challenges were performed by five experts in the field of healthcare payment. Criteria included decreased motivation (25%), reduced productivity (15%), correction cost (40%), and implementation difficulty of the correction (20%). Calculations were performed using Excel software and determining the relevant priorities.

A total of 16 interviews were conducted in this study, with 10 interviews about the academic faculty and hospital managers in Isfahan University of Medical Sciences, three about the nursing experts in Tehran, and three about the Ministry of Health experts. According to MARCOS method calculations, the top 4 challenges in compensating doctors were identified as: low FFS ceiling, lack of job difficulty incentives, the inadequate impact of full-time work, and the progressive taxing. Additionally, the 2 primary challenges in compensating nurses were: irregular payment of FFS, and collective payment of FFS instead of individual payment.

At the time of this study, Iranian public hospitals provided the doctors with individual rights, benefits, and allowances, while it provided the nurses with collective rights, benefits, and overtime pay. Although these compensation methods often posed different challenges, most of the issues were associated with the allowance payments. By prioritizing key challenges, authorities may have developed the necessary solutions for addressing the challenges as well as enhancing the satisfaction of doctors and nurses in Iranian public hospitals.

The role of information in improving the health of society and reducing healthcare costs is undeniable. However, in practice, there exists insufficient and incomplete information among healthcare providers. This lack of comprehensive information among market players leads to inefficiencies and failure in market performance. The main goal of the current research was to investigate health information asymmetry and inadequacy within the health information market.

This article is a narrative and unsystematic review. Studies were retrieved from the Scopus, PubMed, Web of Knowledge, Magiran, Sid and Google Scholar databases by using the keywords of information inadequacy, Asymmetry of health information done in the fields of article title, abstract and keywords. Subsequently, according to the purpose of the study, the researchers selected relevant resources and summarized their findings.

18 paper were selected for this research. In this research, we specifically address health information inadequacies across three key sections: patients, doctors, and insurance. At the end of each section, ways to solve these deficiencies were mentioned. Results Showed patients faced with the phenomenon of injustice in accessing health information, and the continuation of this injustice leads to the poverty of health information, and due to the lack of proper access to health information, the asymmetry of information between the doctor and the patient was created. Doctors, on the other hand, faced challenges in accessing up-to-date and evidence-based information for patient care. Asymmetric information could be exploited, resulting in induced demand. Insurances face the problems of inappropriate selection, moral hazard and demand induction by the supplier or consumer.

Information asymmetry has seriously penetrated the health field and there is a high level of unconfident and uncertainty in it. One of the ways to overcome the health information asymmetry and insufficiency of the health information market is the access of all stakeholders to the information.

Considering the importance of wisdom in medical centers, this study aims to explain the main roles (managers, doctors, nurses, and patients) in hospitals based on the basics of wisdom. This research reviewed articles in Google Scholar, SID, Magiran, Scopus, and PubMed databases from 2000 to 2021. Searched Persian keywords included wisdom, foundation wisdom, management, hospital, nurse, patient, and their English equivalent in MeSH. The findings showed that wisdom refers to human and social dimensions such as creativity, emotions, and spirituality. In service organizations such as hospitals, these dimensions have double importance because the output of the health service delivery system prioritizes the preservation of human life, but it does not consider illness a catastrophe that requires adaptation and care but an event in a person's life that a person and the service delivery system will face wisely, resulting in improvement and excellence in spirit of patient and staff. In these organizations, the managers’ management style and how health workers deal with patients play a fundamental role in improving patients' health. Also, the feeling of security and peace induced by the organization management style can make employees satisfied with their work and help them do it with enthusiasm.  It seems that organizations with wise management and ways to transfer and facilitate wisdom can help solve the basic problems of organizations in this field.

Drugged driving is a growing traffic safety issue in many countries. Adequate knowledge of physicians concerning the effects of different medicines on driving can help them prescribe safer medications. This study aimed to assess the knowledge and attitudes of family physicians regarding the effect of medicines on driving.

This cross-sectional study was conducted on 91 family physicians in East Azerbaijan Province. A researcher-made questionnaire was used for data collection. This study considered knowledge and attitude as dependent variables and demographic characteristics as independent variables. To investigate the relationship between independent and dependent variables, independent t-test, one-way analysis of variance (ANOVA), chi-square, and multiple linear regression were used. Data were analyzed using Stata version 17.

According to the results, almost 65 (71.43%) of the participants were women and 26 (28.57%) were men with an average age of 31.54 years. The average score of physicians’ attitude about the effect of medicines on driving was 71.70 ± 14.94, and the average score of their knowledge was 37.52 ± 10.23. Therefore, 44 (48.35%) of the physicians had a good level of attitude, whereas 46 (52.87%) of them had a low level of knowledge regarding medications and driving. Receiving education regarding medications and driving was significantly correlated with the level of knowledge and the attitude of physicians (P<0.05). However, no significant relationship was observed between the attitude and knowledge of physicians and other demographic variables.

Considering physicians’ inadequate knowledge regarding the effect of medicines on driving, it is essential to hold training and retraining courses in the field of medicines and driving for physicians and develop a classification system for the drugs affecting driving in Iran.

The findings of this study can be presented to the policy-makers of the Ministry of Health in order to provide an opportunity to boost the knowledge and attitude of physicians regarding medicines and driving with the support of universities of medical sciences. As a result, an important step can be taken to reduce traffic accidents caused by prescription medicines.

Considering the critical role of the country’s legal medicine organization in realizing justice on the one hand as well as the difficulty of working in this organization on the other hand, identifying the influencing factors on the decision of physicians and medical students to enter to legal medicine centers in less developed regions is essential for managers. Therefore, this study was carried out to identify these components, the interaction effects between them, and the demographic variables of the target population.

The present study was conducted on 222 physicians and medical students in 2023 with the discrete choice experiment method. The data was collected through a questionnaire that was designed using the D-Optimal method by SAS software. A conditional logit regression model with STATA 17 software was used to analyze the data.

The existence of institutional housing, close proximity to the workplace, gaining scores for holding managerial positions in the future, lower workload, and increasing the amount of net monthly income, respectively, increase the desire to enter to legal medicine centers in less developed regions. On the other hand, there is a mutual relationship between the three components of net monthly income, the distance between the workplace compared to the birthplace, workload, and demographic variables.

Despite the importance of financial incentives, other non-financial incentives can also be very effective in the decision of physicians and medical students; therefore, it is suggested that the managers of the organization take serious action based on evidence-based management to reduce the existing obstacles and problems while reviewing the effective incentive policies.

Medicine and medical education has constantly been of crucial importance in the Islamic civilization, with many discussions in ancient medical and historical texts dedicated to this issue. One of the most important topics discussed in ancient sources is the characteristics of professors and medical students. In advance to studying medicine, the student should have learned basic sciences and religious and moral books. In medical books and among physicians, there have been discussions about educational works and books, theoretical and practical medicine books, and also places and institutions of medical education, including medical circles, medical assemblies, and schools of theoretical and practical medicine. Muslim physicians invented novel ways of teaching. They wrote books and textbooks that specifically addressed medical education. Moreover, special schools and hospitals were established to teach theoretical and practical medicine by the medical scholars. Considering this issue, this article endeavors to explain this issue using a library method.

 Medical ethics is one of the important subjects in medical knowledge and profession, which plays an important role in systematization and scientific improvement of this profession and consequently in the lives of people in the society. In the Abbasid era (132-656 AH), at the same time as the scientific progress in the field of Islamic civilization, great efforts were made to realize the principles of medical ethics and structure it by sages and rulers. Paying attention to the status and importance of doctors in this era had prepared the ground for the increase of fraudsters in this profession who were endangering the health and lives of patients. Therefore, the institution of the Abbasid caliphate dealt with the delinquent people entering this profession by providing several measures and measures and provided a platform for the improvement of ethics in the medical profession.

 The present research is a descriptive-analytical study. In order to collect information, first-hand sources in the Abbasid period have been examined. In this regard, first the books of general history and chronicles have been examined, then the medical sources of this era have been studied. New sources have also been used to complete the information.

Ethical Considerations: 

Throughout the present study, scientific integrity and fidelity have been fully observed.

 The results of the research showed that paying attention to medical ethics training, expanding medical service centers, paying attention to the importance and status of doctors' science and knowledge, and strengthening the social position of those whose knowledge was proven, testing and monitoring their work through devices Competent supervision was one of the functions of the caliphate institution of the Abbasid era, which provided the ground for the moral education of doctors.

 In the Abbasid era, in addition to the attention of the caliphate to realize ethics in the medical profession, trained doctors also tried to treat all patients ethically without considering the apparent differences. They were not indifferent even to the patients who were in a more sensitive situation in terms of mental and social conditions and they tried to treat them decently like other patients and take measures to reduce pain and Do their pains.

This study aimed to investigate the role of clinical decision support systems in reducing medical errors from the perspective of physicians and nurses in the teaching and therapeutic hospitals.

This descriptive cross-sectional study was conducted in 2021-2022 in two teaching and therapeutic hospitals in Ferdows City, Iran. Physicians and nurses have participated in the research. In this study, the census method was used, and the research community was considered the research sample. The questionnaire of Ariyai et al. was used as a data collection tool. After collecting the questionnaires, the data were analyzed using descriptive statistics methods.

42 medical staff were included in the study. From a physician’s point of view, decision support systems can be helpful by reducing the risk of severe allergic reactions and drug interactions (60%), quick access to patient records (50%), and computerized order registries (30%). From nurses' point of view, eliminating problems related to doctors' handwriting (25%), avoiding  disremember of repeating tests or imaging (18.8%), quick access to updated information during work (12.5%), and reducing the risk of embolism (9.4%) are the advantages of clinical decision support systems.

due to the importance of developing a decision support system in hospitals and measuring the readiness of medical staff to adopt it, it is suggested that the necessary trainings be provided.

The prevalence of COVID-19 significantly affected different aspects of the quality of life (QoL) in people, especially the medical staff, who are at the forefront of battle against the disease. This study aims to investigate the QoL of medical residents of hospitals affiliated to Kashan University of Medical Sciences (KUMS) during the COVID-19 pandemic.

This cross-sectional study was conducted on 140 medical residents of hospitals affiliated to KUMS in 2021. Their QoL was assessed using World Health Organization quality of life (WHOQOL). The collected data were analyzed in SPSS software, version 22 using Chi-square, Mann-Whitney U test, t-test, one-way analysis of variance, Kolmogorov-Smirnov test, Pearson and Spearman correlation tests.

The physical health dimension had a statistically significant relationship with age, marital status, underlying disease, sports/arts activities, and year of residency (P<0.001). The psychological health dimension had a statistically significant relationship with marital status, underlying disease, sports/arts activities, and year of residency (P<0.001). The social relationships dimension had a statistically significant relationship with marital status, underlying disease, and year of residency. The environmental health dimension had a statistically significant relationship with sex, marital status, underlying disease, and year of residence (P<0.05).

Female residents had lower QoL. The residents in pathology, neurology and infectious diseases had higher QoL, while those in psychiatry had higher scores in the psychological health dimension.

Effective monitoring and evaluation of human resources in countries require an agreed set of indicators and measurement tools. Due to the existence of different payment mechanisms, this study aimed to identify performance evaluation indicators in hospitals affiliated with the Tehran University of Medical Sciences.

A qualitative phenomenological study was conducted in 2022. Data were collected using semi-structured interviews, purposive sampling, and participation of 23 members of the Senior executives and financial team of hospitals affiliated to Tehran University of Medical Sciences and analyzed by content analysis method using MAXQDA-10 software.

Twenty-three experts participated in this research, 78.2% were men and 21.7% were women, and a total of 526 final codes were identified and according to the balanced scorecard management tool in 4 main themes of finance, customers, internal processes, and growth and Development. Also 8 sub-themes of resource efficiency with 86%, medical tourism with 52%, professional ethics with 65%, satisfaction with 78%, accreditation with 48%, diagnosis and treatment with 78%, education with 56% and The research was categorized with 78%.

The provision of optimal medical services requires managers to be aware of the performance of subordinate personnel, which makes it possible to choose the appropriate criteria, develop performance evaluation systems and conduct correct evaluation, informing Doctors regarding the indicators considered for more accurate evaluation are among the suggestions that can be a solution to the existing problems. Another important point considering the limited available resources is the role of doctors in the field of health tourism to which attention will lead to an increase in financial resources.

The use of herbal medicine is one of the most widely used methods of complementary medicine around the world. Studies have shown that the elderly use a variety of herbal medicines and believe that these products are harmless due to being natural. This study aims to evaluate the amount of herbal medicines prescribed by physicians for the elderly in Iran.
Methods & Materials: This is a secondary analysis study with a cross-sectional design. The study population consist of the paper prescriptions for all older adults in Tehran, Iran in 2020. Of these, 1591 paper prescriptions for older people aged >60 years referred to pharmacies in Tehran were selected by a cluster random sampling method. The data were analyzed using descriptive statistics (Mean, No. [%]) and inferential statistics (Chi-square test, independent t-test) in SPSS software, version 24.

 Out of 1591 prescriptions, 79(5%) contained herbal medicines. Laxatives, ginkgo, and ginseng were the most prescribed medicines. Chi-square test results showed the statistically significant relationship of the educational level of the elderly (P=0.018), having insurance (P=0.004) and polypharmacy (P=0.000) with the prescription of herbal medicines, but the gender and marital status of the elderly and the gender, age and work experience of the physicians had no significant relationship with the prescription of herbal medicines. The rate of herbal medicine prescription by general practitioners was 5.7% and by specialized physicians was 4.7%, but no significant relationship was found between them. Among the specialized physicians, infectious disease specialists prescribed the most herbal medicines (14%) followed by physical medicine specialists (12%) and orthopedics (9.2%). Chi-square test results showed a significant relationship between the expertise of physicians and prescription of herbal medicines (P=0.042).

 The rate of herbal medicine prescription in Tehran city is low, but due to the interest of the elderly in herbal medicines, producing various herbal medicines with suitable forms and dosages and increasing the knowledge of physicians about these medicines can help increase the prescription of herbal medicines.

Hospitals, as the most important units providing health services, have always allocated a major part of the country's healthcare resources and budget.

The present study was conducted using a qualitative method with a phenomenological approach, which is the study of Peymaniyeh Hospital in Jahrom. The statistical population of the research is insurance experts, social security and health insurance experts, hospital managers, hospital presidents, and hospital finance officers. Data collection was done by semi-structured interview method with open questions, which reached the saturation point with the participation of 8 people, and the 7-step Claysey method was used for data analysis.

Based on the opinions and experiences of the participants in the study, two main themes and seven sub-themes were mentioned for the causes of insurance deductions (manpower errors and weaknesses and errors caused by the structure of the hospital) and for suggested solutions for prevention and Reduction of insurance deductions, four main topics and ten sub-themes were extracted, which are providing human resources, improving the level of awareness of doctors, employees, supervisors and managers, organizing the system and paying attention to the matter of supervision and inspection as the main topics of the class

Since the reduction of insurance deductions has a significant contribution in increasing the hospital's income and consequently the timely payment of salaries and finally the satisfaction of doctors and medical staff; It can ensure the provision of higher quality services with more motivation.

The concentration of physicians in urban areas and the lack of specialist physicians in deprived ‎areas is a global challenge. It is necessary to adopt specific, scientific and evidence-based policies ‎to increase the health sector’s resources and reduce inequality in the distribution and allocation of ‎these resources in different regions of the‏ ‏country. The Ministry of Health and Medical ‎Education, as the most important custodian of planning and policy-making for distribution of ‎specialized manpower in Iran, has designed policies.

This study aimed to analyze the incentive ‎policies for the retaining physicians in deprived areas of the country. This study has a qualitative ‎‎– retrospective design to analyze the most effective policies using the Walt and Gilson policy ‎model. Various methods were used to analyze the policies, including reviewing texts and ‎documents.

Findings of the study were classified based on the policy context, policy content, ‎policy-making process and role makers in the four law (policies or plan) of service of physicians ‎and paramedics, family physician plan, health transformation plan, and instructions on how to ‎distribute the Specialized medical graduates. Five legal, political-economic, socio-cultural, ‎international and structural factors were identified as policy making factors‏. ‏‎ In addition, ‎attention to upstream documents and the use of evidence in policy-making were identified as ‎strong points, and stakeholder ignorance and a top-down approach to planning were identified as ‎common weak points of policies.

Considering the priority of needs, provision of resources and ‎requirements, constructive interaction of planners, and continuous evaluation of programs are ‎required to formulate and implement policies and interventions.