title: Framework for assessing stewardship of the oral health system in Islamic Republic of Iran.
abstract: This study designed a framework for assessing the stewardship function of the oral health system in Islamic Republic of Iran. The modified RAND Corporation/University of California Los Angeles (RAND-UCLA) Appropriateness Method was used in a 2-step process that combined literature evidence and the collective judgement of experts. After a comprehensive literature review, policy instruments related to stewardship components were extracted as candidate standards and categorized according to the 6 sub-functions of stewardship (accountability; defining strategic direction; alignment of policy objectives and organizational structure; regulation; intersectoral leadership; and generation of intelligence). Five key informants then rated the appropriateness of the 85 standards on a 5-point Likert scale. The 38 highest ranked standards, including at least 2 standards in each of the 6 sub-functions, formed a set of proposed standards for evaluating the current stewardship of oral health system. Piloting of the instrument will be reported separately.
authors.affiliation: Department of Community Oral Health, School of Dentistry, Shahid Beheshti University of Medical Science, Tehran, Islamic Republic of Iran.
authors.forename: B
authors.initials: B
authors.lastname: Tahani
authors.affiliation: Educational Development Centre, Shahid Beheshti University of Medical Science, Tehran, Islamic Republic of Iran.
authors.forename: S
authors.initials: S
authors.lastname: Yazdani
authors.affiliation: Department of Community Oral Health, School of Dentistry, Preventive Dentistry Research Centre, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Science, Tehran, Islamic Republic of Iran.
authors.forename: M H
authors.initials: MH
authors.lastname: Khoshnevisan
authors.affiliation: Centre for Health Stewardship, Australian National University, Canberra, Australia.
authors.forename: P
authors.initials: P
authors.lastname: Dugdale
authors.affiliation: Information Evidence and Research, World Health Organization Regional Office for the Eastern Mediterranean, Cairo, Egypt.
authors.forename: S
authors.initials: S
authors.lastname: Siddiqi
authors.affiliation: Department of Community Oral Health, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran.
authors.forename: A Ebn
authors.initials: AE
authors.lastname: Ahmady
mesh_terms: D003752:Dental Health Services / Q000458:organization & administration / Q000592:standards*; D055094:Evidence-Based Dentistry; D006291:Health Policy; D006801:Humans; D007492:Iran; D009909:Oral Health / Q000592:standards*; D011785:Quality Assurance, Health Care / Q000379:methods / Q000592:standards*