A roadmap for implementing general policies of resistance economy in the Isfahan Universities of Medical Sciences

Abstract

CONTEXT AND AIMS: The country development can be promoted through applying policies of the resistance economy in the health system and universities. Therefore, this paper aimed to provide a scientific analysis of resistance economy policies and providing a roadmap for their implementation in the field of health care of Isfahan University of Medical Sciences. MATERIALS AND METHODS: This is a qualitative study. The basis, general purposes, and strategies of the resistance economy were extracted from the review of the policy of the resistance economy with a political research approach. Then, effective programs and indicators to achieve the goals of the resistance economy were proposed by holding 10 sessions of a centralized group discussion. Finally, the implementation of the resistance economy in the deputies of the University of Medical Sciences was approved by these programs and indicators along with other components and Delphi questionnaire to 30 experts. Framework analysis and descriptive statistics were used to analyze the data from the group discussion and the Delphi stage, respectively. RESULTS: Implementation of general policies of resistance economy in the field of health and treatment of Isfahan University of Medical Sciences with eight thematic bases, 39 goals, 54 strategies, and 98 programs and indicators were approved by experts. The eight areas of people-centered, economic growth, economic justice, support for internal services, economic flexibility, economic stability, economic influence, and economic health were identified as the thematic bases of communicative policies of the resistance economy in the field of health. CONCLUSION: The implementation of resistance economy policies entails planning in the long run, culture-building, appreciating the resistance economy in health issues, cooperation, and synergy among different institutions, restructuring the education system at different levels of the health system, and entrepreneurship training.

Identifying Economic Resistance Components in COVID-19 Pandemic: The Case of Iranian Health System

“…Economic resistance policies such as improving the macroeconomic status, achieving the first rank of a knowledge-based economy in the region, improving the share of health, export, and knowledge-based services, and increasing productivity in the health economy, lie at the economic growth axis. Evaluation of health services, referral system, allencompassing social security, establishing a knowledgebased company, activating the innovation system, and strengthening and empowering factors in health tourism development have been proposed as programs to increase economic growth in the health system (5). Rose considered an economic resistance model to deal with abnormal conditions, a component of which was economic growth (23).…”

“…Another study emphasized justice in offering service packages provided by insurance funds to people, paying subsidies to the health sector, and targeted health subsidies aiming at providing justice and promoting health, particularly in deprived areas, and special assistance to the needy and lowincome groups as the principles of social justice in economic resistance (30). Ferdosi et al considered the promotion of social justice indicators in the health sector to be necessary to achieve the goals of economic resistance (5).…”

“…Achievement of proper economic stability and boosting the health system against the positive and negative effects of economic shocks are among the priorities of governors in the health system. Familiarity with the needs of health economics, stabilization of health economics, proper use of the real capabilities of the health sector, saving public expenditure, and reforming the government's revenue system can be utilized in this context (5). Briguglio et al considered economic stability, microeconomic market efficiency, good governance, and social development as the four main indicators of boosting economic resistance in their study on the concepts and criteria of economic resistance and economic vulnerability (32).…”

“…In Iran, the general policies of economic resistance with a flexible, making opportunity, and endogenous approach were imparted in 24 paragraphs by the government in 2014 -18, aiming at dynamic growth, improving the indicators of the economic resistance, and achieving the 20-year goals of the vision policy (5). The economic resistance policies, as a documented system, are supported both legally and theoretically (6).…”

“…The health system, as one of the dominant infrastructures of the country, is an economically high-risk context due to its functional, structural, physical, and technological complexity (8). Therefore, health care structures must cope with high-risk situations through increasing flexibil-ity, which means the same goals of economic resistance (5). The implementation of economic resistance policies in the health system can promote the general development of the country, improve the efficiency and effectiveness of the health system, and influence the efficiency of economic management in other sectors of the country (9).…”