Identification of Public Policy Implementation Barriers (Health System Reform Plan)

Background & Aims of the Study: One of the main concerns of policymakers is the establishment of health equity and access to health services. Health system reform plan is one of the most important tools of policy makers in the health system. The health system, as any other plan has had some problems during implementation. Therefore, the purpose of this study is to identify the obstacles to the development of the health system from the perspective of the project implementers. Materials & Methods: This study is a Practical study using descriptive- correlational method. In this study, 52 people were selected by Convenience Sampling method. The data collection tool was a researcher-made questionnaire containing 33 items. Statistical analysis was performed using SPSS21 and LISREL8.8 software. To test the hypotheses, one-sample t-test and Friedman test were used. Results: The results showed that among the three barriers introduced (policymakers, executive organization, and implementers), the implementers and users with the average score of 4.12, had the highest priority, and the policymakers with an average of 3.08, had the lowest dedicated priority. In other words, respondents have selected administratorschr('39') barriers as the most important barrier to the failure to implement the health system reform plan. Conclusion: The results of the research indicate that the conceptual model of this research is compatible with the collected data and the barriers related to the policy makers, executive organization, and implementers, are related with health system reform plan. In other words, all of the research hypotheses have been approved.

Keywords:

Policy , Policy Implementation , Health system reform plan , Iran.