نوع مقاله : پژوهشی : طرح یا پروزه تحقیقاتی (با ذکر نام وزارتخانه، سازمان یا مؤسسه طرف قرارداد)
نویسنده
دانشیار جامعهشناسی دانشگاه خوارزمی
چکیده
کلیدواژهها
موضوعات
عنوان مقاله [English]
نویسنده [English]
Considering the importance and necessity of public participation in the health system in order to increase the desirability of access, effectiveness and fairness of its policies, the present study analyzes the performance of public health centers in the health system of Tehran.
This research was conducted using a qualitative method and interviews with 35 health officials and public health centers in Tehran Municipality.
The findings showed that although the centers were formed based on the two requirements of public participation in health system policymaking and strengthening social capital in neighborhoods, they are still part of the bureaucratic apparatus of Tehran Municipality and the characteristics of being public and local are less observed in them. In terms of performance, the narrative of the centers' performance is a narrative of their failure to meet expectations and the assigned mission. On the other hand, their performance was better at the beginning of their formation during the period of the municipal administration, when the idea was raised with the aim of transforming the municipality into a social institution, but in the following periods, this performance began to weaken, and finally, since the beginning of their activities, the centers have faced five categories of issues and problems: economic and financial, social and cultural, managerial and executive, physical and equipment, and legal and statutory.
Based on theoretical readings and empirical background, the research findings indicate not to being people-centred, risk of unsustainability, inefficiency, and minimal participation in relation to the situation and performance of health centers, which has prevented the realization of the idea of health centers as a means of socializing the health system at the local level.
کلیدواژهها [English]
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