<p>An Evidence-Informed and Key Informants-Appraised Conceptual Framework for an Integrated Elderly Health Care Governance in Iran (IEHCG-IR)</p>

Abstract

Population ageing has been steadily rising in Iran and in the over 60-year-old population, the ratio increased from 5.4% in 1986 to 8.6% in 2016 which represents an increase of 4.3 million over the past three decades. The inevitable impacts of a growing elderly population on the demand-side of the health care provision (HCP) equilibrium call for an urgent revision of the current arrangements of the Iran's National health care system (INHS). The main aim of this study was to scrutinize the best available scientific evidence on the international integrated elderly health care governance (HCG) models to revamp health care practice and policy-making processes in Iran. Materials and Methods: This multiphasic study consists of a scoping review of existent HCP modalities for the elderly population worldwide, and the disposition of an optimal HCP scheme for the elderly population and its application for the detection of the gaps in Iran. The final stage includes a Delphi-based consultation and consensus process which was reciprocated in three rounds and the key subjects were requested to give their judgment on the eventuated HCP layout designed to serve the ageing Iranian population. Results: The yielded model (IEHCG-IR) included four dimensions consistent with the four levels of prevention along with social support services. The structure and feasibility of the preliminary framework were approved by 83.6% of the study participants. Conclusion: The study findings could have important implications for future policy making in the INHS and the suggested healthcare framework for the elderly Iranian population could be a preliminary model for health system re-engineering.

Development of an evidence-informed governance and stewardship framework for elderly healthcare in Iran: A qualitative study

“…According to Bastani et al (2022) developing the tools for knowledge translation can be a useful strategy for preparing customized actionable messages for policymakers especially when a rapid policy response is necessary [ 17 ]. Abbasian and Shaghaghi have also indicated the significance of an evidence-informed conceptual framework as a necessity of the elderly's health system re-engineering tool for Iranian policymakers [ 14 ].…”

“…Despite the dynamic changes in the demographic landscape, Iran faces systematic issues in addressing the healthcare needs of its elderly population. According to Abbasian and Shaghaghi (2020), establishing organizational commitment, adopting an evidence-informed policymaking approach, fostering intersectoral collaborations, and encouraging stakeholders’ participation are required as the fundamental elements of an appropriate elderly healthcare system [ 14 ]. These components are intricately linked to the stewardship challenges within the Iranian healthcare systems for the older population.…”

Developing a Conceptual Framework for an Age-Friendly Health System: A Scoping Review

“…It also emphasizes the establishment of a long-term care system in each country to build understanding and commitment to the development of long-term care systems through global, regional, and local policy dialogue to bring about the necessary changes. 21,23,43,53,57,131,[133][134][135][136][137][138][139][140][141][142][143][144][145][146][147][148][149][150][151] Thus, the services provided should encourage the elderly to pursue physical, social, and intellectual activities that can result in an active and satisfying life. 152 D and E: Outcome and Goals The outcomes of an age-friendly health system include better health outcomes for older adults, preventing healthcarerelated avoidable harms for older people, provision of best and highest satisfied care possible for older people, enhancing the quality of care for older adults, and enabling better selfcare.…”

Factors Affecting Health Policies for Older People in Iran

“…However, older people's share is expected to rise to 25% by 2051, making it the fastest-growing population demographic group [10]. Considering this possible shift in the demographic composition, Iran needs to adopt new policies to tackle possible challenges, create opportunities for the growing older population, and ensure adequate geriatric and gerontological capacity among the health and social care workforce [11].…”