A Review on Pathology of the Integration of Medical Education System with Health Services at Iran's Ministry of Health and Medical Education

Document Type : Systematic review/Meta analysis

Authors

1 PhD Student, Department of Educational Administration, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran

2 Department of Educational Administration, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran

3 Department of Educational Administration, Faculty of Education and Psychology, Shahid Chamran University of Ahvaz, Ahvaz, Iran

4 Department of Health Services Management, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

Abstract

Background: By expressing strengths and weaknesses and their classification, the pathology helps managers in preventing them to provide superficial and simple solutions. Therefore, this research as a review deals with the pathology of the project of integrating the medical education system with health services in the Ministry of Health and Medical Education.
Methods: The data collection for this review has been carried out considering the statements of the former and current ministers of health in Iran, as well as through the search of published articles on Iranian and international valid sites (SID, MAGIRAN, Iranmedex, GoogleScholar, Embase, PubMed, Scupus, Science Direct) and with searching the words “Integration of the medical education system with health services”, without limitation of language and since the beginning of 1985 (since the start of this integration). Finally, 9 relevant researches were studied.
Results: There are a lot of controversies about the advantages and disadvantages of this project. But most reports indicate that the integration of medical education with health areas has led to the development of specialized human resources and the improvement of health indices, on the one hand. On the other hand, it has reduced the quality of medical education and the provision of health services in educational hospitals. However, the results of some researches showed that the lowering of the quality of medical education, that some believe it has occurred in this period, may be due to other factors and not related to the integration itself.
Conclusion: Considering the adaptation of this project to Iran's superior documents, the high cost of reintegrating medical education into the Ministry of Sciences, Researches and Technology, its positive impact on the improvement of some health indices and the praising of the World Federation of Medical Education for the project, It seems that there is currently no possibility of differentiating the two parts of medical education and health services; the management of this integration is only reasonable way for the medical education and treatment system.

Keywords

Main Subjects


  1. Farzaneh M, Sohrabi B, Raeesivanayee I. Evaluation of the roles of organizational structure on facilitating the agility in the software development companies: A case study of an Iranian Software Company. Organizational resources management researches 2011; 1(3): 135-67. [In Persian].
  2. Anderibom AS, Obute CO. The effects of mergers and acquisitions on the performance of commercial banks in Nigeria: Evidenced from United Bank for Africa (UBA) plc. Int J Educ Res 2015; 3(4): 93-112.
  3. Mehralizadeh Y, Moghadaspour E, Joudzadeh N. Management and strategic planning. Tehran. Rahemoaser; 2013. [In Persian].
  4. Cefi E, Marsili O. Crossing the innovation threshold through mergers and acquisitions. Res Policy 2015; 44(3): 698-710.
  5. Tienari J, Vaara E. Identity construction in mergers and acquisitions: a discursive sense making perspective. In: Pratt M, Schultz M, Ashforth BE, Ravasi D. (editors). The Oxford Handbook of Organizational Identity. Oxford: Oxford University; 2016
  6. Appelbaum SH, Gandell J, Yortis H, Proper S, Jobin F. Anatomy of a merger: behavior of organizational factors and processes throughout the pre-during-post-stages (part 1). Management decision 2000; 38(9): 649-62.
  7. Lebudi TJ. Change management problems in multi-organizations merger. Pretoria: University of South Africa; 2010.
  8. Pietroburgo J, Wernet SP. Bowling together: Anatomy of a successful association merger. Center for Nonprofit Strategy and Management Working Paper Series; 2008.
  9. Ebrahim Nia M, Farzaneh A, Ahmadizadeh M J, Ebadi A, Amerioon A, Tofighi S. Diagnosis of medical education system integration with higher staff in a health organization; a qualitative study. Health research journal 2017; 2(2): 133-42. [In Persian].
  10. Gilavand A. Quality assessment of staff in-service training from viewpoints of employees Ahvaz Jundishapur University of Medical Sciences.  Future of medical education journal 2016; 6(2): 42-6.
  11. Gilavand A, Fatahiasl J, Mohamadi Majd R. Evaluating the quality of educational services from the viewpoints of radiology students of Ahvaz Jundishapur University of Medical Sciences, in southwest of Iran. World Fam Med 2017; 15(9): 181-6.
  12. Aghamolaei T, Fazel I. Medical students' perceptions of the educational environment at an Iranian Medical Sciences University. BMC Med Educ 2010; 10: 87.
  13. Norouzinia R, Mohammadi R, Sharifi A. Gap analysis of educational services quality based on SERVQUAL model from Iranian medical students’ viewpoint in 2014. Educ Res Med Sci 2016; 5(2): 87-96. 
  14. Shams L, Mahmoudi S, Maleki M, Ameli E, Mousavi S. Educational service quality of Tehran University of Medical Sciences: the students’ perspective. Razi journal of medical sciences2014; 21: 37-46.  [In Persian]. 
  15. Gilavand A. Ahvaz Jundishapur University of Medical Sciences over years; the history of AJUMS. Jentashapir journal of health research 2016; 7(5): e42677.
  16. Gilavand A.  A study of the growth and flourish of Ahvaz Jundishapur University of Medical Sciences; A cultural history. Int J Med Res Health Sci 2016; 5(11): 83-6.           
  17. Azizi F. Medical education in the Islamic Republic of Iran: Three decades of success. Iran J Public Health 2009; 38: 19-26.
  18. Marandi SA. The integration of medical education and health care services in the I.R. of Iran and its health impacts. Iran J Public Health 2009; 38: 4-12.
  19. Majdzadeh R, Nedjat S, Denis JL, Yazdizadeh B, Gholami J. Linking research to action in Iran: two decades after integration of the Health Ministry and the medical universities. Public Health J 2010; 124(7): 404-11.
  20. Gilavand A. Evaluating the process of recruiting faculty members in universities and higher education and research institutes affiliated to Ministry of Health and Medical Education in Iran. World Fam Med 2017; 15(8): 155-9.
  21. Mehralizadeh Y, Gilavand A, Sheykhi Alizadeh M, Hajizadeh K.  Evaluation of the health system reform plan in Iranian universities of medical sciences in terms of community empowerment: A review If there are images in this attachment, they will not be displayed.   Download the original attachment. Indo Am J Pharmaceut Sci 2017; 4(12): 4566-79.
  22. Jokar F, Yamani N, Movahedian Atar A. Innovative medical education reform at the University of Medical Sciences: readout experience. Iranian journal of medical education 2017; 17: 143-6. [In Persian].
  23. Rajabpour M. An overview of the integration of medical education into health services. Hospital journal 2004; 3(1-2): 43-50. [In Persian].
  24. Impressions of medical education in IR. Iran. Available from: http://www.sbmu.ac.ir/uploads/2IMPRESSIONS_OF_MEDICAL_EDUCATION_IN_IR_IRAN1.pdf
  25.  Shakebaei D, Karamimatin B, Amolaee K, Rezaie M, Abdolmaleki P, Reshadat S, et al. Achieving the goals of integration of medical education and health service delivery systems from the viewpoint of the faculty members of Kermanshah University of Medical Sciences. Scientific Journal of Kurdistan University of Medical Sciences 2011; 16(1): 81-91. [In Persian].
  26. Azizi F. Challenges and perspectives of medical education in Iran. Research in medicine 2015; 39(1): 1-3. [In Persian].
  27. Abbasi Moghaddam MA, Razavi SM, Nooraei SM. Attitude of key academic persons about integration of medical education into health services. Medical journal of Tehran University 2004; 62(1): 80-88. [In Persian].
  28. Rahnavard F. Factors influencing merger of Iranian public sector organizations. Journal of public administration 2018; 9(4): 569-90. [In Persian].
  29. Mirmoghtadaie ZS, Rokhafrouz D, Salarizadeh MH. A review of the challenges of the integration of medical education with the system of providing services in Iran from the perspective of human capital. Journal of healthcare management 2015; 6(2): 7-15. [In Persian].
  30. Shamsi Gooshki E, Pourabbasi A, Akbari H, Rezaei N, Arab Kheradmand A, Kheiry Z, et al. Internationalization of medical education in Iran: A way towards implementation of the plans of development and innovation in medical education. J Adv Med Educ Prof 2018; 6(1): 43-8.
  31. Yazdani S, Khoshgoftar Z, Ahmady S, Rastegarpour H, Foroutan SA. Medical education in cyberspace: Critical considerations in the health system. J Adv Med Educ Prof 2017; 5(1): 11-20.