Toward good governance for the prosthetics and orthotics sector in Iran: Evidence from a qualitative study

Shahabi, Saeed, Pardhan, Shahina, Shabaninejad, Hosein, Teymourlouy, Ahmad A., Tabrizi, Reza and Lankarani, Kamran B. (2022) Toward good governance for the prosthetics and orthotics sector in Iran: Evidence from a qualitative study. Prosthetics & Orthotics International. ISSN 1746-1553

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Official URL: https://doi.org/10.1097/PXR.0000000000000102

Abstract

Background: Prosthetics and orthotics (P&O) services are essential health services whose desired provision is considered as prerequisite to achieving universal health coverage. However, the P&O sector is sometimes not audited and governed, leading to groups that receive and offer the services to face challenges for benefits in Iran. Objectives: To identify common challenges of governance for the P&O sector and provide some potential policy recommendations to strengthen it. Study design: Qualitative study. Methods: This study was conducted using semistructured in-depth interviews with prosthetists and orthotists (n = 13), P&O academicians (n = 6), and healthcare policy-makers (n = 8). The interview guide was also established based on 10 dimensions of the Framework for Governance of Healthcare System. Results: Challenges identified included no legislation on P&O services, insufficient government support, uninformed policy-makers, and lack of interest by powerful stakeholders. In addition, nontransparent policy-making, inadequate distribution of workforce across the country, and lack of insurance coverage for P&O services were also raised as other challenges. The respondents identified the need for clear legislation to inform policy-makers and to seek advocacy from the government. Conclusions: The governance of the P&O sector in Iran has faced with a number of challenges that have made it unable to respond to existing demands desirably. Hence, it is important and necessary to adopt effective and comprehensive policies to reduce current challenges and barriers and improve the governance for P&O services.

Item Type: Journal Article
Keywords: governance, stewardship, prosthetics, orthotics, rehabilitation, qualitative study
Faculty: Faculty of Health, Education, Medicine & Social Care
Depositing User: Lisa Blanshard
Date Deposited: 01 Jul 2022 13:23
Last Modified: 01 Jul 2022 13:23
URI: https://arro.anglia.ac.uk/id/eprint/707730

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