Health system regionalization’s infrastructural dimensions: A scoping review

Regionalized health systems provide a coordinated chain of services for a specific population. The development of regionalized systems not only means the establishment of regionalized centers providing health services, but also consideration of several structural dimensions. The present study aimed...

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Main Authors: Ahmadreza Raeisi, Mohamad Eskandarian, Masoud Ferdosi, Mojtaba Golzari
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-04-01
Series:Journal of Education and Health Promotion
Subjects:
Online Access:https://journals.lww.com/10.4103/jehp.jehp_1858_23
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author Ahmadreza Raeisi
Mohamad Eskandarian
Masoud Ferdosi
Mojtaba Golzari
author_facet Ahmadreza Raeisi
Mohamad Eskandarian
Masoud Ferdosi
Mojtaba Golzari
author_sort Ahmadreza Raeisi
collection DOAJ
description Regionalized health systems provide a coordinated chain of services for a specific population. The development of regionalized systems not only means the establishment of regionalized centers providing health services, but also consideration of several structural dimensions. The present study aimed to identify the dimensions of developing a regionalized health system. The study employed a scoping review method using Joanna Briggs Institute’s (2015) protocol in 2022. A total of 2128 related articles were identified from ISI Web of Science, PubMed, Scopus, and Google Scholar databases from 2002 to 2022. Finally, 26 articles and documents met the study criteria to enter the review process for thematic content analysis, and extracted the structural dimensions for developing health system regionalization. The results of the analysis revealed health system regionalization’s structural dimensions categorized into seven main themes including contextual, financial/economic, managerial, organizational, legal and procedural, service provision, capacities and strategies in the health system; as well as 85 subthemes. Development and implementation of health system regionalization require several essential structural dimensions to be taken into consideration to enhance and facilitate system regionalization process.
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spelling doaj-art-28fc0cbc1bb347cb8a203e30ecf1a5592025-08-20T03:10:54ZengWolters Kluwer Medknow PublicationsJournal of Education and Health Promotion2277-95312319-64402025-04-0114116116110.4103/jehp.jehp_1858_23Health system regionalization’s infrastructural dimensions: A scoping reviewAhmadreza RaeisiMohamad EskandarianMasoud FerdosiMojtaba GolzariRegionalized health systems provide a coordinated chain of services for a specific population. The development of regionalized systems not only means the establishment of regionalized centers providing health services, but also consideration of several structural dimensions. The present study aimed to identify the dimensions of developing a regionalized health system. The study employed a scoping review method using Joanna Briggs Institute’s (2015) protocol in 2022. A total of 2128 related articles were identified from ISI Web of Science, PubMed, Scopus, and Google Scholar databases from 2002 to 2022. Finally, 26 articles and documents met the study criteria to enter the review process for thematic content analysis, and extracted the structural dimensions for developing health system regionalization. The results of the analysis revealed health system regionalization’s structural dimensions categorized into seven main themes including contextual, financial/economic, managerial, organizational, legal and procedural, service provision, capacities and strategies in the health system; as well as 85 subthemes. Development and implementation of health system regionalization require several essential structural dimensions to be taken into consideration to enhance and facilitate system regionalization process.https://journals.lww.com/10.4103/jehp.jehp_1858_23health-care system reformhealth system reformhealth system regionalizationregionalizationregionalization dimensions
spellingShingle Ahmadreza Raeisi
Mohamad Eskandarian
Masoud Ferdosi
Mojtaba Golzari
Health system regionalization’s infrastructural dimensions: A scoping review
Journal of Education and Health Promotion
health-care system reform
health system reform
health system regionalization
regionalization
regionalization dimensions
title Health system regionalization’s infrastructural dimensions: A scoping review
title_full Health system regionalization’s infrastructural dimensions: A scoping review
title_fullStr Health system regionalization’s infrastructural dimensions: A scoping review
title_full_unstemmed Health system regionalization’s infrastructural dimensions: A scoping review
title_short Health system regionalization’s infrastructural dimensions: A scoping review
title_sort health system regionalization s infrastructural dimensions a scoping review
topic health-care system reform
health system reform
health system regionalization
regionalization
regionalization dimensions
url https://journals.lww.com/10.4103/jehp.jehp_1858_23
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AT masoudferdosi healthsystemregionalizationsinfrastructuraldimensionsascopingreview
AT mojtabagolzari healthsystemregionalizationsinfrastructuraldimensionsascopingreview