Volume 15, Issue 46 (2022)                   JMED 2022, 15(46): 8-21 | Back to browse issues page

Ethics code: IR.NASRME.REC.1400.422


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Ashrafizadeh H, Rokhafroz R, Beiranvand S. Policy analysis of education transformation plan in Iran’s health system using Walt Gilson model. JMED 2022; 15 (46) :8-21
URL: http://edujournal.zums.ac.ir/article-1-1581-en.html
1- Assistant professor of nursing, Student Research Committee, Faculty of Nursing, Dezful University of Medical Sciences, Dezful, Iran.
2- Nursing Care Research Center in Chronic Diseases, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
3- Nursing Care Research Center in Chronic Diseases, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. , beiranvandsamira@yahoo.com
Abstract:   (3386 Views)
Background & Objective: Meeting the health needs of the community is the main mission of the field of medical education. Accordingly, the program of transformation and innovation in medical education has been developed as a strategic policy in the field of education in the form of 11 operational packages. Therefore, this aimed at policy analysis of the education transformation plan in the Iranian health system.
Materials & Methods: This directed qualitative study was conducted using the Walt and Gilson model. Data were collected using three stages: literature review, analysis of relevant policy documents, and semi-structured interviews. All sources and texts of the interviews were coded and analyzed in the form of categories related to the dimensions of the policy model framework.
Results: A total of 15 articles and 73 documents met the inclusion criteria and were included in the analysis in the present study. According to the analysis, 248 concepts were extracted, which resulted in 73 subclasses, 11 main subclasses, and 3 main classes after merging common concepts. The main categories included requirements of implementation, legislation, policymaking, and infrastructure management.
Conclusion: The implementation of the transformation and innovation program in the field of health system education requires paying attention to the political, legal, economic, social, and international factors as well as the existing problems. In addition, the proper implementation of this program requires the participation of internal and external stakeholders in the stages of policy-making, implementation, and evaluation.



 
Full-Text [PDF 1396 kb]   (1837 Downloads) |   |   Full-Text (HTML)  (1139 Views)  
Article Type : Review | Subject: Medical Education
Received: 2022/04/25 | Accepted: 2022/08/31 | Published: 2022/09/16

References
1. Smith R. Strategic planning for public relations. Routledge. Edition t, editor. New York; 2020. p. 658. [DOI:10.4324/9781003024071]
2. Biglar M, Bastani P. The Challenges Of Stewardship In Medical Education System: A Qualitative Approach. Payavard Salamat. 2013;7(4):299 - 311. (Persian)
3. Karimian Z, Farokhi M. Eight Steps In The Development Of Virtual Education In Educational Innovation Plan In Medical Sciences Universitie, A Review Of An Experience. Journal Medicine Culture. 2018; 27(2): 101-112. (Persian)
4. Pourabbasi A, Haghdoost A, Akbari H, Kheiry Z, Dehnavieh R, Noorihekmat S, et al. Packages for reform and innovation in medical education in Islamic Republic of Iran; a conceptual framework. Journal of Medicine and Cultivation. 2017;26(1):45-50. (Persian)
5. Ahmadi F, Shafizadeh H, Mosavi S. Investigation change plans realize measare in the administration system with emphasize on index strategic management. Strategic Management Researches. 2014; 20(54): 117-134. (Persian)
6. Kotter J, Schlesinger L. Choosing strategies for change. Readings in strategic management. 1989;1(1):294-306. [DOI:10.1007/978-1-349-20317-8_21]
7. Schneider B, Brief A, Guzzo R. Creating a climate and culture for sustainable organizational change. Organizational dynamics. 1996;24(4):7-19. [DOI:10.1016/S0090-2616(96)90010-8]
8. Iran Mohamei. Action reprt of medical sciences universities in Innovation and Reform for Packages of Field. 2016; (Persian) . Available from:
9. Walt G, Gilson L. Reforming the health sector in developing countries: the central role of policy analysis. Health policy and planning. 1994;9(4):353-370. [DOI:10.1093/heapol/9.4.353]
10. Abbasi M, Akrami F. Assessment of the Current Status and Presentation of the Ideal Status by which to Render Healthcare Services Based on Islamic Principles and Values. Iranian journal of culture and health promotion 2018; 2(1):76-90. (Persian) .
11. Fadlallah R, El-Jardali F, Nomier M, Hemadi N, Arif K, Langlois E, et al. Using narratives to impact health policy-making: a systematic review. Health research policy and systems. 2019;17(26):1-22. [DOI:10.1186/s12961-019-0423-4]
12. Krippendorff K. Content analysis: An introduction to its methodology. Sage publications. 2018;1(5-10). [DOI:10.4135/9781071878781]
13. Kitawi Alfred K. Community capacity development in universities: Empowering communities through education management programmes in Strathmore University (a pilot study). Contemporary Issues in Education Research (CIER). 2014; 7(2): 75-94. [DOI:10.19030/cier.v7i2.8477]
14. Elo S, Kyngäs H. The qualitative content analysis process. Journal of advanced nursing. 2008; 62(1): 107-115. [DOI:10.1111/j.1365-2648.2007.04569.x]
15. GubaEgon G, Lincoln Yvonna S. Effective evaluation: Improving the usefulness of evaluation results through responsive and naturalistic approaches. Jossey-Bass; 1981.
16. Kanwal F, Rehman M. Factors affecting e-learning adoption in developing countries-empirical evidence from Pakistan's higher education sector. IEEE Access. 2018;9(5):10968-10978. [DOI:10.1109/ACCESS.2017.2714379]
17. Faghihi A, Hoseini Moghadam M, Yamani N. Analysis of the Key Factors Affecting the Future of Medical Education Discipline in 2025 Based on STEPV Model: A Qualitative Study. Advances in Medical Education and Practice. 2020;11:191-201. [DOI:10.2147/AMEP.S241747]
18. Al-Sawai A, Al-Shishtawy Moeness M. Health Workforce Planning: An overview and suggested approach in Oman. Sultan Qaboos University Medical Journal. 2015; 15(1): e27-e33.
19. Walter O. Preparing the engineering technology graduate for the global marketplace. The Technology Interface Journal. 2010;10(3):1-6.
20. Hou J, Michaud C, Li Z, Dong Z, Sun B, Zhang J, et al. Transformation of the education of health professionals in China: progress and challenges. The Lancet. 2014;384(9945):819-827. [DOI:10.1016/S0140-6736(14)61307-6]
21. Johnson K. Doctoral Dissertations. Journal of Real Estate Literature. 2020;13(1):83-88. [DOI:10.1080/10835547.2005.12090152]
22. Reich MR, Harris J, Ikegami N, Maeda A, Cashin C, Araujo E, et al. Moving towards universal health coverage: lessons from 11 country studies. The Lancet. 2016;387(10020):811-816. [DOI:10.1016/S0140-6736(15)60002-2]
23. Do N, Oh J, Lee J-S. Moving toward universal coverage of health insurance in Vietnam: barriers, facilitating factors, and lessons from Korea. Journal of Korean medical science. 2014;29(7):919-925. [DOI:10.3346/jkms.2014.29.7.919]
24. Vincent-Lancrin S. Building future scenarios for universities and higher education. Policy Futures in Education. 2004;2(2):245-263. [DOI:10.2304/pfie.2004.2.2.3]
25. Zamani A, Pouratashi M. An Analysis on the Trend of Social Demand for Studying in "Higher Education" Academic Major. . Quarterly of Social Studies and Research in Iran. 2020;9(2):343-371. (Persian) .
26. Canada AoFoMo. The Future of Medical Education in Canada (FMEC): a collective vision for MD education 2010-2015: Ottawa, Ontario: Association of Faculties of Medicine of Canada; 2015.
27. Brown P, Scase R. Higher education and corporate realities: Class, culture and the decline of graduate careers. Routledge; 2005. p. 286; [DOI:10.4324/9780203980262]
28. Altbach P. Perspectives on Internationalizing Higher Education. International Higher Education. 2015;1(27):6-9. [DOI:10.6017/ihe.2015.79.5837]
29. Morphew C, Hartley M. Mission statements: A thematic analysis of rhetoric across institutional type. The Journal of Higher Education. 2006;77(3):456-471. [DOI:10.1353/jhe.2006.0025]
30. Yonezawa A, Shimmi Y. Transformation of university governance through internationalization: Challenges for top universities and government policies in Japan. Matching visibility and performance: Brill; 2016. p. 101-118. [DOI:10.1007/978-94-6300-773-3_6]
31. Ofori-Atta A, Read U, Lund C. A situation analysis of mental health services and legislation in Ghana: challenges for transformation. African Journal of Psychiatry. 2010;13(2):99-108. [DOI:10.4314/ajpsy.v13i2.54353]
32. Onoka CA, Hanson K, Hanefeld J. Towards universal coverage: a policy analysis of the development of the National Health Insurance Scheme in Nigeria. Health policy and planning. 2015;30(9):1105-1117. [DOI:10.1093/heapol/czu116]
33. Zheng D. Research on the evaluation model of educational management theory based on data mining from the perspective of neural network. Wireless Communications and Mobile Computing. 2021;2021(Special Issue (ID 7260806)):1-10. [DOI:10.1155/2021/7260806]
34. Mohammadi Y, Khazaei L. Investigating the Role of University Structural and Management Factors in Increasing Education-Oriented Research Projects from Faculty Members Point of View. Development Strategies in Medical Education. 2016;3(2):75-83. (Persian) .
35. Talebi B, Seyed Nazari N, Soodi H. Presentation perceptional policy making model of education in Iran. Rahyaft. 2017;27(65):113-129. (Persian) .
36. Levchenko O, Levchenko A, Horpynchenko O, Tsarenko I. The impact of higher education on national economic and social development: comparative analysis. Journal of Applied Economic Sciences. 2017; 3(49): 850-862.
37. Moercke AM, Eika B. What are the clinical skills levels of newly graduated physicians? Self‐assessment study of an intended curriculum identified by a Delphi process. Medical education. 2002;36(5):472-478. [DOI:10.1046/j.1365-2923.2002.01208.x]
38. Chin MH, Clarke AR, Nocon RS, Casey AA, Goddu AP, Keesecker NM, et al. A roadmap and best practices for organizations to reduce racial and ethnic disparities in health care. Journal of general internal medicine. 2012;27(8):992-1000. [DOI:10.1007/s11606-012-2082-9]
39. Wagstaff A, Cotlear D, Eozenou P, Buisman L. Measuring progress towards universal health coverage. Oxford Review of Economic Policy. 2016;32(1):147-189. [DOI:10.1093/oxrep/grv019]
40. Pourabbasi A, Haghdoost A, Fasihi Harandi M, Dehghani M, Halavati I, Akbari H, et al. Monitoring and Evaluation of Packages for Reform and Innovation in Medical Education; Methodology and preliminary results. Journal of Medicine and Cultivation. 2018;27(1):1-8. (Persian) .
41. Hussin S, Asimiran S. University governance and developmental autonomy. Proceeding of International Conference on Islam and Higher Education; 2010.
42. Samari E, Yamandooi sorkhabi M, Salehi Omran E, Geraienejad G. Investigation and identification of effective factors in the process of "university development" in Iranian public universities. Bi-Quarterly Journal of Educational Planning Studies. 2014;2(4):67-100.
43. DeGrauwe A. Without capacity, there is no development. UNESCO, International Institute for Educational Planning Paris; 2009. p. 154;
44. Dabbagh R, Javaherian L. Productivity of educational units in Iran's comprehensive public universities. Quarterly journal of research and planning in higher education 2016;22(2):99-123. (Persian) .
45. Hammond C. Dynamics of higher education research collaboration and regional integration in Northeast Asia: a study of the A3 Foresight Program. Higher Education. 2019;78(4):653-658. [DOI:10.1007/s10734-019-00363-x]
46. Chaskin Robert J. Building community capacity: A definitional framework and case studies from a comprehensive community initiative. Urban affairs review. 2001; 36(3): 291-323. [DOI:10.1177/10780870122184876]
47. Naal H, El Koussa M, El Hamouch M, Hneiny L, Saleh S. A systematic review of global health capacity building initiatives in low-to middle-income countries in the Middle East and North Africa region. Globalization and health. 2020;16(1):1-16. [DOI:10.1186/s12992-020-00585-0]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.