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Assessment of research systems in universal health coverage-related organizations

Background: Universal health coverage (UHC) is the desired goal of achieving universal access to health services without having to endure pain and financial difficulties. Multiple factors can help steer countries toward UHC. One of the most important factors is the production of valid quality eviden...

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Autores principales: Yazdizadeh, Bahareh, Mohtasham, Farideh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Iran University of Medical Sciences 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6108238/
https://www.ncbi.nlm.nih.gov/pubmed/30159266
http://dx.doi.org/10.18869/mjiri.32.15
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author Yazdizadeh, Bahareh
Mohtasham, Farideh
author_facet Yazdizadeh, Bahareh
Mohtasham, Farideh
author_sort Yazdizadeh, Bahareh
collection PubMed
description Background: Universal health coverage (UHC) is the desired goal of achieving universal access to health services without having to endure pain and financial difficulties. Multiple factors can help steer countries toward UHC. One of the most important factors is the production of valid quality evidence that can be achieved through research. The present study aimed at outlining the status of research systems in UHC–related organizations and identifying the barriers faced by research. Methods: The key individuals and organizations that could provide rich, relevant, and diverse data in response to the research question were purposively selected for the interviews. Thematic analysis was used to analyze the interviews. Categories and subcategories were deductively extracted from the text based on research system performance as follows: resource provision, production and utilization of knowledge, existing resources, and stewardship. Then, the themes were inductively extracted from the interviews. Results: Many barriers existed for performing research in UHC–related organizations. The stewardship barrier seemed to play a key role such that structural changes in organizations affected the production & utilization of evidence. Limited financial and human resources were evident in most of the organizations. Research questions were not comprehensively identified. The conducted studies either were not designed to answer the relevant questions and/or were not appropriately reported to policy makers. As a result, their implementation in decision- making did not reach the ideal status. Conclusion: Research utilization aimed at achieving UHC will come to realize only when and if research is conducted to produce evidence required for decision–making and implementation. Therefore, in addition to the interventions recommended by the World Health Organization, we should design and implement interventions tailored to the local barriers and needs of UHC–related organizations.
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spelling pubmed-61082382018-08-29 Assessment of research systems in universal health coverage-related organizations Yazdizadeh, Bahareh Mohtasham, Farideh Med J Islam Repub Iran Original Article Background: Universal health coverage (UHC) is the desired goal of achieving universal access to health services without having to endure pain and financial difficulties. Multiple factors can help steer countries toward UHC. One of the most important factors is the production of valid quality evidence that can be achieved through research. The present study aimed at outlining the status of research systems in UHC–related organizations and identifying the barriers faced by research. Methods: The key individuals and organizations that could provide rich, relevant, and diverse data in response to the research question were purposively selected for the interviews. Thematic analysis was used to analyze the interviews. Categories and subcategories were deductively extracted from the text based on research system performance as follows: resource provision, production and utilization of knowledge, existing resources, and stewardship. Then, the themes were inductively extracted from the interviews. Results: Many barriers existed for performing research in UHC–related organizations. The stewardship barrier seemed to play a key role such that structural changes in organizations affected the production & utilization of evidence. Limited financial and human resources were evident in most of the organizations. Research questions were not comprehensively identified. The conducted studies either were not designed to answer the relevant questions and/or were not appropriately reported to policy makers. As a result, their implementation in decision- making did not reach the ideal status. Conclusion: Research utilization aimed at achieving UHC will come to realize only when and if research is conducted to produce evidence required for decision–making and implementation. Therefore, in addition to the interventions recommended by the World Health Organization, we should design and implement interventions tailored to the local barriers and needs of UHC–related organizations. Iran University of Medical Sciences 2018-02-25 /pmc/articles/PMC6108238/ /pubmed/30159266 http://dx.doi.org/10.18869/mjiri.32.15 Text en © 2018 Iran University of Medical Sciences http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution NonCommercial 3.0 License (CC BY-NC 3.0), which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.
spellingShingle Original Article
Yazdizadeh, Bahareh
Mohtasham, Farideh
Assessment of research systems in universal health coverage-related organizations
title Assessment of research systems in universal health coverage-related organizations
title_full Assessment of research systems in universal health coverage-related organizations
title_fullStr Assessment of research systems in universal health coverage-related organizations
title_full_unstemmed Assessment of research systems in universal health coverage-related organizations
title_short Assessment of research systems in universal health coverage-related organizations
title_sort assessment of research systems in universal health coverage-related organizations
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6108238/
https://www.ncbi.nlm.nih.gov/pubmed/30159266
http://dx.doi.org/10.18869/mjiri.32.15
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