Abstract

<p><strong>BACKGROUND</strong><strong>: </strong>The Health Reform Plan is one of the greatest state services in Iran. However, this plan has its own weaknesses and strengths. This study was conducted with the purpose of determining strengths and weaknesses of the Health Reform Plan from nurses' perspective.</p><p><strong>METHODS: </strong>This is a cross-sectional study in which 100 nurses who work in clinical education centers on Ilam participated. The data collection tool was a questionnaire which consisted of 12 items regarding the strengths of the Health Reform Plan and 18 items about the plan's weaknesses on a six-option Lickert scale. Data analysis was carried out using SPSS V. 19 and applying descriptive and inferential statistics.</p><p><strong>RESULTS:</strong> The mean score for weaknesses was 79.94 and the mean score for strengths was 52.49. There was a significant statistical relationship between the variable of age and the strengths (P=0.015).</p><p><strong>CONCLUSION: </strong>If we manage to increase strengths and reduce weakness of the Health Reform Movement, we can be hopeful that this great plan will be administered more efficiently at a national level. It is suggested that future studies be conducted about individuals' perspectives in other occupations in the field of medical sciences working in different medical communities and hospitals in Iran and the results be compared.</p>

Highlights

  • Provision of national healthcare in Iran as a developing country, is an ultimate goal of the healthcare system, one of the most important principles in Iranian constitution and a clause in the healthcare policies issued by the Supreme Leader

  • If we manage to increase strengths and reduce weakness of the Health Reform Movement, we can be hopeful that this great plan will be administered more efficiently at a national level

  • In the National Visions Document, the prospects of providing satisfactory healthcare for Iranian citizens in accordance with the up-to-date universal standards were outlined (Pinelopi et al, 2012; Aldaqal et al, 2012). Part of these prospects turned into a first-stage Health Reform Plan in May 2014 which consisted of eight service-provision categories (reducing the amount of money that hospitalized patients have to pay, encouraging doctors to stay in underserved areas, presence of resident doctors in state hospitals with more than 64 beds, improving hoteling quality in state hospitals, improving examination services in state hospitals, promoting natural childbirth, providing financial support for patients who suffer from refractory or incurable diseases as well as the needy patients, establishing air emergency service (Boerma et al, 2014; Carrin et al.,2008)

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Summary

Introduction

Provision of national healthcare in Iran as a developing country, is an ultimate goal of the healthcare system, one of the most important principles in Iranian constitution and a clause in the healthcare policies issued by the Supreme Leader. In the National Visions Document, the prospects of providing satisfactory healthcare for Iranian citizens in accordance with the up-to-date universal standards were outlined (Pinelopi et al, 2012; Aldaqal et al, 2012) Part of these prospects turned into a first-stage Health Reform Plan in May 2014 which consisted of eight service-provision categories (reducing the amount of money that hospitalized patients have to pay, encouraging doctors to stay in underserved areas, presence of resident doctors in state hospitals with more than 64 beds, improving hoteling quality in state hospitals, improving examination services in state hospitals, promoting natural childbirth, providing financial support for patients who suffer from refractory or incurable diseases as well as the needy patients, establishing air emergency service (Boerma et al, 2014; Carrin et al.,2008). This study was conducted with the purpose of determining strengths and weaknesses of the Health Reform Plan from nurses' perspective

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