\received DD MMMM YYYY \acceptedDD MMMM YYYY The Future of Home Health Care in Iran: A Multi-Method Approach

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Abstract

Background: In response to the aging population, increasing prevalence of chronic diseases, rising healthcare costs, and lifestyle changes in Iran, the importance of home health care (HHC) has grown significantly. This study aims to explore alternative scenarios for the development of HHC services in Iran’s health system by 2030 to address these emerging challenges effectively. Methods: : This study employed a multi-method approach to scenario planning with a qualitative design, which was conducted in 3 phases from 2018 to 2020. In the first phase, a list of driving forces was extracted using qualitative views, two focus group discussions, and literature review. In the second phase, all factors identified in the previous phase were examined in terms of degree of uncertainty and cross- impact analysis, and three critical uncertainties were extracted. In the third phase, based on three critical uncertainties, four future scenarios of HHC were formulated, validated and scenario strategies were presented. Results: : The results indicate three critical uncertainties, including “governance of HHC in the health system”, “economic conditions” and “spread and penetration rate of technology in society” based on which, three scenarios with the names “For Politics, for Power”, “For politics, for people” and “For people, for prosperity” were compiled. Conclusion: The development of HHC in Iran faces significant ambiguities and complexities. Therefore, it is essential to focus developmental efforts on three key areas: governance of HHC within the health system, the spread and penetration of technology in society, and economic conditions.
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\received DD MMMM YYYY \acceptedDD MMMM YYYY The Future of Home Health Care in Iran: A Multi-Method Approach | Authorea try { document.documentElement.classList.add('js'); } catch (e) { } var _gaq = _gaq || []; _gaq.push(['_setAccount', 'G-8VDV14Y67G']); _gaq.push(['_trackPageview']); (function() { var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js'; var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(ga, s); })(); Skip to main content Preprints Collections Wiley Open Research IET Open Research Ecological Society of Japan All Collections About About Authorea FAQs Contact Us Quick Search anywhere Search for preprint articles, keywords, etc. Search Search ADVANCED SEARCH SCROLL This is a preprint and has not been peer reviewed. Data may be preliminary. 28 January 2025 V1 Latest version Share on \received DD MMMM YYYY \acceptedDD MMMM YYYY The Future of Home Health Care in Iran: A Multi-Method Approach Authors : Toktam Kianian , Fateme Eshghi 0000-0003-1478-745X , Mojgan Lotfi , Saman Saber , and Ahad Rezayan [email protected] Authors Info & Affiliations https://doi.org/10.22541/au.173809091.13822102/v1 213 views 118 downloads Contents Abstract Supplementary Material Information & Authors Metrics & Citations View Options References Figures Tables Media Share Abstract Background: In response to the aging population, increasing prevalence of chronic diseases, rising healthcare costs, and lifestyle changes in Iran, the importance of home health care (HHC) has grown significantly. This study aims to explore alternative scenarios for the development of HHC services in Iran’s health system by 2030 to address these emerging challenges effectively. Methods: This study employed a multi-method approach to scenario planning with a qualitative design, which was conducted in 3 phases from 2018 to 2020. In the first phase, a list of driving forces was extracted using qualitative views, two focus group discussions, and literature review. In the second phase, all factors identified in the previous phase were examined in terms of degree of uncertainty and cross- impact analysis, and three critical uncertainties were extracted. In the third phase, based on three critical uncertainties, four future scenarios of HHC were formulated, validated and scenario strategies were presented. Results: The results indicate three critical uncertainties, including “governance of HHC in the health system”, “economic conditions” and “spread and penetration rate of technology in society” based on which, three scenarios with the names “For Politics, for Power”, “For politics, for people” and “For people, for prosperity” were compiled. Conclusion: The development of HHC in Iran faces significant ambiguities and complexities. Therefore, it is essential to focus developmental efforts on three key areas: governance of HHC within the health system, the spread and penetration of technology in society, and economic conditions. Supplementary Material File (figure legends.docx) Download 401.70 KB File (main manuscript.docx) Download 65.53 KB File (tables.docx) Download 21.79 KB Information & Authors Information Version history V1 Version 1 28 January 2025 Copyright This work is licensed under a Non Exclusive No Reuse License. Keywords future home health care services scenario thinking uncertainty Authors Affiliations Toktam Kianian Iran University of Medical Sciences Nursing Care Research Center View all articles by this author Fateme Eshghi 0000-0003-1478-745X Shiraz University of Medical Sciences School of Nursing and Midwifery View all articles by this author Mojgan Lotfi Tabriz University of Medical Sciences View all articles by this author Saman Saber Shahid Beheshti University of Medical Sciences View all articles by this author Ahad Rezayan [email protected] University of Tehran View all articles by this author Metrics & Citations Metrics Article Usage 213 views 118 downloads .FvxKWukQNSOunydq8rnd { width: 100px; } Citations Download citation Toktam Kianian, Fateme Eshghi, Mojgan Lotfi, et al. \received DD MMMM YYYY \acceptedDD MMMM YYYY The Future of Home Health Care in Iran: A Multi-Method Approach. Authorea . 28 January 2025. 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