Article type
Year
Abstract
Background: A rapid-learning(RL) health system makes optimal use of information technology and electronic health record capabilities. This system is a new concept in many countries especially in law and middle income countries. In such countries here is much more work to be done to build a RL health system, generate useful knowledge to improve health decisions and translate new evidence into better health for millions of people.
Primary healthcare (PHC) is an approach to designing and delivering front line health services that lays a foundation for achieving universal health coverage (UHC). PHC in Iran is publicly funded and provided by a network of services more comprehensive in rural areas. In 5 May 2015, Iran’s MoHME launched a major new reform, called Health Transformation Plan(HTP) in Iranian health system. It included main interventions to: increase basic health insurance coverage of the total population, increase quality of health care in public hospitals affiliated to MoHME, reduce out-of-pocket (OOP) payments, expanding primary health care(PHC) networks , revise medical tariffs services. However, the information process through the new plan needs to be enhanced. This study aimed to develop a framework to create a Rapid Learning Primary Healthcare System in Iran.
Objectives:
-Providing a set of characteristics for a RL system in Iran’s PHC
-Identification of assets and gaps exist in Iran’s PHC that can be leveraged or addressed, respectively, in creating a RL system
-Capitalizing on or creating ‘windows of opportunity’ to stimulate the development and consolidation of a RL-PHC system in Iran
-Identification and adapt PHC plans or projects to RL system characteristics
Methods:
Step1: Review of tools and mechanisms to establish and to support RL in health systems
Objective1: Describe tools and mechanisms to improve RL system
-Engaged patients/citizen
-Digital capture, linkage and timely sharing of relevant data
-Timely production of research evidence
-Aligned governance, financial and delivery arrangements
-Appropriate decision supports
-Competencies for RL and Improvement
-Culture of RL and improvement
Objective2: Develop a tool/framework to improve RL in health systems
-expert opinion/ qualitative study
-Consensus study
-Pilot/case studies
Step2: Choosing one of the plans and projects of PHC system in Iran
Objective1: Narrowing the focus of a subject
Objective2: Use of the results of this step for all PHC system.
Step3:implementation of RL in Iran’s PHC system
Objective1: identifying and defining components of RL health system approach in Iran’s PHC system
•Assessment of Iran’s health system characteristic
•Identifying barriers and required interventions
Objective2: defining well-suited intervention package to improve RL in Iran’s PHC system
Objective3: identifying and engaging key decision makers to secure implement
Patient or healthcare consumer involvement: PHC policy makers are involved in the project via participation in qualitative data/expert opinion and in arriving at consensus.
Primary healthcare (PHC) is an approach to designing and delivering front line health services that lays a foundation for achieving universal health coverage (UHC). PHC in Iran is publicly funded and provided by a network of services more comprehensive in rural areas. In 5 May 2015, Iran’s MoHME launched a major new reform, called Health Transformation Plan(HTP) in Iranian health system. It included main interventions to: increase basic health insurance coverage of the total population, increase quality of health care in public hospitals affiliated to MoHME, reduce out-of-pocket (OOP) payments, expanding primary health care(PHC) networks , revise medical tariffs services. However, the information process through the new plan needs to be enhanced. This study aimed to develop a framework to create a Rapid Learning Primary Healthcare System in Iran.
Objectives:
-Providing a set of characteristics for a RL system in Iran’s PHC
-Identification of assets and gaps exist in Iran’s PHC that can be leveraged or addressed, respectively, in creating a RL system
-Capitalizing on or creating ‘windows of opportunity’ to stimulate the development and consolidation of a RL-PHC system in Iran
-Identification and adapt PHC plans or projects to RL system characteristics
Methods:
Step1: Review of tools and mechanisms to establish and to support RL in health systems
Objective1: Describe tools and mechanisms to improve RL system
-Engaged patients/citizen
-Digital capture, linkage and timely sharing of relevant data
-Timely production of research evidence
-Aligned governance, financial and delivery arrangements
-Appropriate decision supports
-Competencies for RL and Improvement
-Culture of RL and improvement
Objective2: Develop a tool/framework to improve RL in health systems
-expert opinion/ qualitative study
-Consensus study
-Pilot/case studies
Step2: Choosing one of the plans and projects of PHC system in Iran
Objective1: Narrowing the focus of a subject
Objective2: Use of the results of this step for all PHC system.
Step3:implementation of RL in Iran’s PHC system
Objective1: identifying and defining components of RL health system approach in Iran’s PHC system
•Assessment of Iran’s health system characteristic
•Identifying barriers and required interventions
Objective2: defining well-suited intervention package to improve RL in Iran’s PHC system
Objective3: identifying and engaging key decision makers to secure implement
Patient or healthcare consumer involvement: PHC policy makers are involved in the project via participation in qualitative data/expert opinion and in arriving at consensus.