The Study of Barriers and facilitators of providing services in Participatory and Public Health Facilities Covered by Tehran University of Medical Sciences: A Qualitative Study
Message:
Abstract:
Background
This study is a qualitative study that was conducted at Tehran University of Medical Sciences with the aim of identifying obstacles and facilitators of providing services at participatory sites covered by Tehran University of Medical Sciences.
Methods
Experts were interviewed, the implementation was carried out, and the indexing process was performed on all interviews. All coding subjects and topics as well as the charts table were completed. Then, based on the conceptual structure form, indexing and data analysis were done.
Results
The process was positive toward the experience. The most important facilitators were the private sector, job creation, transparent guidelines, specific credits for payments, and experiences from other countries. Some of the main obstacles were inadequate physical space, shortage of manpower, lack of physician placement, weariness of equipment, delayed payments to founders, insufficient salaries for staff, strict supervision of staff oversight and attention to quantity rather than service quality, insurance and taxes.
Conclusions
The policy of small government, the privatization of services to the private sector, and supervision by the state system has led to a positive attitude of managers towards participatory bases. In addition, the ineffectiveness of government personnel from other countries has led to the creation of participatory bases successfully. The financial and administrative constraints in purchasing, constructing, and repairing state civil-engineering units and reducing employment capacity are also due to the transfer of participatory bases. Furthermore, bases were dissatisfied with low job security and low salaries.
Article Type:
Research/Original Article
Language:
Persian
Published:
Hakim Health Systems research journal, Volume:21 Issue: 2, 2018
Pages:
89 - 99
magiran.com/p1929186  
برخی از خدمات از جمله دانلود متن مقالات تنها به مشترکان مگیران ارایه می‌گردد. شما می‌توانید به یکی از روش‌های زیر مشترک شوید:
اشتراک شخصی
در سایت عضو شوید و هزینه اشتراک یک‌ساله سایت به مبلغ 400,000ريال را پرداخت کنید. همزمان با برقراری دوره اشتراک بسته دانلود 100 مطلب نیز برای شما فعال خواهد شد!
پرداخت با کارتهای اعتباری بین المللی از طریق PayPal امکانپذیر است.
اشتراک سازمانی
به کتابخانه دانشگاه یا محل کار خود پیشنهاد کنید تا اشتراک سازمانی این پایگاه را برای دسترسی همه کاربران به متن مطالب خریداری نمایند!
توجه!
  • دسترسی به متن مقالات این پایگاه در قالب ارایه خدمات کتابخانه دیجیتال و با دریافت حق عضویت صورت می‌گیرد و مگیران بهایی برای هر مقاله تعیین نکرده و وجهی بابت آن دریافت نمی‌کند.
  • حق عضویت دریافتی صرف حمایت از نشریات عضو و نگهداری، تکمیل و توسعه مگیران می‌شود.
  • پرداخت حق اشتراک و دانلود مقالات اجازه بازنشر آن در سایر رسانه‌های چاپی و دیجیتال را به کاربر نمی‌دهد.