Mohammadkarim Bahadori1, Hamid Reza Khankeh2, Rouhollah Zaboli1, Ramin Ravangard3, Isa Malmir1. 1. 1Health Management Research Center,Baqiyatallah University of Medical Sciences,Tehran,Iran. 2. 2University of Social Welfare & Rehabilitation Sciences,Tehran,Iran. 3. 3Department of Health Services Management,School of Management and Medical Information Sciences,Shiraz University of Medical Sciences,Shiraz,Iran.
Abstract
OBJECTIVE: Coordination is a major challenge in the field of health in disasters, mostly because of the complex nature of health-related activities. METHODS: This was a qualitative study based on the grounded theory approach. A total of 22 experts in the field of health in disasters participated in the study. The data were collected through in-depth interviews and literature review. The collected data were then analyzed by use of MAXQDA 2010 software (VERBI Software GmbH). RESULTS: The lack of a strategic view in the field of health in disasters, a lack of coordination of necessities and infrastructures, insufficient enforcement, a higher priority given to an organizational approach rather than a national approach, and the field of disasters not being a priority in the health system were noted as barriers to inter-organizational coordination. The facilitators of inter-organizational coordination noted were the importance of public participation in the field of health in disasters, having a process and systematic view in the field of health in disasters, the necessity of understanding and managing resources and information in the field of health in disasters, and having a feedback and evaluation system in the health system after disasters. CONCLUSION: It is recommended that developing common beliefs and goals be given priority in making plans and policies in the field of health in disasters. (Disaster Med Public Health Preparedness. 2017;11:318-325).
OBJECTIVE: Coordination is a major challenge in the field of health in disasters, mostly because of the complex nature of health-related activities. METHODS: This was a qualitative study based on the grounded theory approach. A total of 22 experts in the field of health in disasters participated in the study. The data were collected through in-depth interviews and literature review. The collected data were then analyzed by use of MAXQDA 2010 software (VERBI Software GmbH). RESULTS: The lack of a strategic view in the field of health in disasters, a lack of coordination of necessities and infrastructures, insufficient enforcement, a higher priority given to an organizational approach rather than a national approach, and the field of disasters not being a priority in the health system were noted as barriers to inter-organizational coordination. The facilitators of inter-organizational coordination noted were the importance of public participation in the field of health in disasters, having a process and systematic view in the field of health in disasters, the necessity of understanding and managing resources and information in the field of health in disasters, and having a feedback and evaluation system in the health system after disasters. CONCLUSION: It is recommended that developing common beliefs and goals be given priority in making plans and policies in the field of health in disasters. (Disaster Med Public Health Preparedness. 2017;11:318-325).
Entities:
Keywords:
barriers; coordination; disasters; facilitators; grounded theory; health services