Volume 16, Issue 1 (Vol.16, No.1 2020)                   irje 2020, 16(1): 4-19 | Back to browse issues page

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Etemadi M, Olyaeemanseh A, Tadayon M, Rostami E, Shiri M, Fazaeli A, et al . Psychometric Analysis of Health System Resilience Scale and Assessing it in the Face of Covid-19 Crisis in Iran. irje. 2020; 16 (1) :4-19
URL: http://irje.tums.ac.ir/article-1-6515-en.html
1- PhD of Health Policy, Iran Health Insurance Organization, Tehran, Iran
2- Associate Professor, National Institute of Health Research and Health Equity Research Center (HERC), Tehran University of Medical Sciences, Tehran, Iran , استادیار پزشکی اجتماعی، دبیرخانه شورای عالی سلامت و ام
3- MD, Researcher at the National Centre for Health Insurance Researches, Iran Health Insurance Organization, Tehran, Iran
4- MSc, in Biostatistics, School of Public Health, Tehran University of Medical Science, Tehran, Iran
5- PhD of Demography, Statistical Research and Training Center, Iran
6- PhD, Head of health Economics Department, Social Security Organization, Iran
7- Associate Professor, Head of the Health Management and Social Development Research Center, Golestan University of Medical Sciences, Gorgān, Iran
8- PhD Candidate in Health Policy, Department of Health Management & Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
9- Assistant Professor, Society and Health Policy Group, Secretariat for Supreme Council of Health and Food Security, Ministry of Health and Medical Education, Tehran, Iran
Abstract:   (1578 Views)
Background and Objectives: The study aimed to analysis the psychometric properties of the health system resilience scale, assessing it and to introduce a conceptual model for qualitative analysis of Iran health system in the face of the civid-19 crisis.
Methods: In this Mixed-method study, the determination of face and content validity was performed using 8 experts. The structure validity was investigated in a cross-sectional study through an electronic survey of 178 actors in the Iran health system. Resilience has been assessed in five dimensions using 5point Likert scale.
Results: The percentage mean score of the Iranian health system resilience in the face of the Covid19 crisis was 41/08 and in the moderate level. The percentage mean score (standard deviation) for 5 dimension include awareness 39/2 (21), diversity 38/7 (21), self-regulation 36 (20/6), integration 39/9 (21/5) and adaptation 41/2 (21/8). Confirmatory factor analysis indicated the appropriate fit of the information with the five-component structure.
Conclusion: The maximum score of resilience dimension belongs to adaptation and the lowest to the self-regulation indicating that it requires interventions to involve the private sector, and to design a new delivery system for crisis situations. The questionnaire can be used as a standard instrument for assessing the health system resilience.
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Type of Study: Research | Subject: Epidemiology
Received: 2020/06/23 | Accepted: 2020/06/23 | Published: 2020/06/23

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