A critical analysis of Iran health system reform plan

Fatemeh Kalroozi · Mansoureh Ashghali Farahani · Behzad Haghighi Aski · Ali Manafi Anari

16 citations0/0 files storedJournal of Education and Health Promotion

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Healthcare Systems and Reforms Health Services Management and Policy Healthcare Systems and Practices

Abstract

INTRODUCTION: Iran's Health System Reform Plan (HSRP) were initiated in public and hospitals affiliated to Medical Sciences Universities in June 2015. The purpose of the present paper is to provide a critical analyse of the HSRP and its outcomes. METHODS: The study was carried out as a review critical analyse in 2019. The pertinent articles were searched for in Science Direct, PubMed, Ovid, and Google Scholar using keywords "health sector," "reform plan," "health system reform," "health services," "health care system," and "Iran." Published articles in scientific national and international journals in Persian and English language, of which the full-texts were available, were entered into the study. Finally, from a total of 75 articles obtained, 45 studies were carefully reviewed. RESULTS: Several factors, which impact in the success of Iran's HSRP such as social-economic and political outlooks, lack of official information and a comprehensive management system, in addition to failure to extend continuous performance control, economic sanctions against Iran. Other factors are limitations on financial transactions between Iran and the rest of the world due to the sanctions, relying merely on a few instructions, and negligence of the required infrastructures. In terms of advantages of the plan, relative decrease in patient's share in medical expenses, improvement of emergency wards, and relative decrease in the rate of C-section operations are notable. CONCLUSION: Better implementation of Iran's HSRP entails the provision of resources and facilities such as stable and adequate resources, proper management of available resources, payment mechanisms reform, attracting, and facilitating private sector's participation.

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2009Borrowing And Selling To Pay For Health Care In Low- And Middle-Income Countries 2015Health Sector Evolution Plan in Iran; Equity and Sustainability Concerns 2012Inequality in household catastrophic health care expenditure in a low-income society of Iran 2009Understanding informal payments in health care: motivation of health workers in Tanzania 2013Health in the 5th 5-years Development Plan of Iran: Main Challenges, General Policies and Strategies.2017Out-of-Pocket and Informal Payment Before and After the Health Transformation Plan in Iran: Evidence from Hospitals Located in Kurdistan, Iran 2015The impact of international economic sanctions on Iranian cancer healthcare 2013Informal Payments in Healthcare: A Case Study of Kerman Province in Iran

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