The Backgrounds, consequences, and future of the integration of Medical Education and Health Service Delivery System

作者：Turani Sogand; Haghdoost Ali Akbar; Maleki Mohammad Reza; Ravaghi Hamid; Tijang Reza Dehnavieh; Hekmat Somayeh Noon^*

来源：Healthmed, 2011, 5(6): 1847-1856.

• Integration
• Medical Education
• Medical Research
• Health Service
• Iran

Objective: In 1985 a huge revolution occurred in Iran's health system and the entire health-related education program was integrated into the Ministry of health, forming ministry of health and medical education (MOHME).
The current study was designed to explore the integration impact on the both medical education and health service delivery system after about 26 years.
Study design: This study was based on qualitative study methods criteria for participant selection were defined and purposeful sampling method was used and continued with snow ball sampling and. A total of 23 respondents participated in this study. Participants were selected according to their experience and effect on the integration. Data was obtained through semi-structured interviews. The interviews were conducted by the main researcher, audio-recorded, transcribed and analyzed one by one and together. Main themes were identified from the data and analyzed using Grounded theory approach by Atlas Ti 5.2 software.
Results: totally 5 major themes and 3 major barriers regarding the integration emerged. These themes were: Health human resource, Educational setting enlargement, Community Based Medical Education, Community-Oriented Research, Education quality; and barriers were: Management and Implementation Conditions of Integration.
Conclusion: Although integration has made a major revolution in Iranian medical research, education and health services systems', there is still room for improvement and while structural integration has been carried out powerfully, functional integration have not been implemented yet.

• 出版日期2011