. Mozhgan Letafatnejad; . Mohammadreza Maleki; . Parvin Ebrahimi
Volume 10, Issue 4 , April 2020, , Pages 1-10
Abstract
INTRODUCTION: It is less than a decade in Iran that integrated health kiosks have been limitedlyprovided to public by private sector. Considering the significant benefits of them, this ...
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INTRODUCTION: It is less than a decade in Iran that integrated health kiosks have been limitedlyprovided to public by private sector. Considering the significant benefits of them, this study aimedto identify the barriers and facilitators for deploying kiosks in Iran’s formal health system in threephases, “design and construct, implement, and use.”MATERIALS AND METHODS: This was a qualitative study in Iran, and the data were collectedthrough 20 semi‑structured interviews with experts in 2019. Participants were selected by purposefulmethod with the most diversity in terms of background and work experience; the interview texts werecoded in MAXQDA10 software and analyzed through framework analysis. Participants’ viewpointwas used to verify the data and observers’ review to confirm them.RESULTS: The barriers for designing and constructing kiosks were identified in the form of two mainthemes: the overall structure of the country and the structure of the health system; the obstacles forimplementing were categorized in one main theme, lack of sources; and the barriers to use were alsofall into four themes related to people, policymakers, service providers, and designers of kiosks. Thefacilitators at construction and implementation phases included the overall structure of the countryand the structure of health system. At the use stage, the facilitators related to people, health andinsurance policymakers, and owners and constructers were identified.CONCLUSION: It is possible to deploy health kiosks in the Iranian formal health system, althoughthere are some time‑consuming and costly barriers which can be overcome by the strengths andopportunities of the system.
