Volume 12, Number 5 (Special Issue Vol.12, No.5, 2017)                   irje 2017, 12(5): 74-84 | Back to browse issues page


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Mehrolhassani M, Najafi B, Yazdi Feyzabadi V, Abolhallaje M, Ramezanian M, Dehnavieh R et al . A Review of the Health Financing Policies Towards Universal Health Coverage in Iran. irje. 2017; 12 (5) :74-84
URL: http://irje.tums.ac.ir/article-1-5642-en.html

1- دانشیار مدیریت خدمات بهداشتی و درمانی، مرکز تحقیقات انفورماتیک پزشکی، پژوهشکده آینده پژوهی در سلامت، دانشگاه علوم پزشکی کرمان، ایران
2- دکترای تخصصی اقتصاد بهداشت، دانشکده مدیریت و اقتصاد سلامت، دانشگاه علوم پزشکی و خدمات بهداشتی درمانی تهران، تهران، ایران
3- دکترای تخصصی سیاستگذاری سلامت، مرکز تحقیقات مولفه ‏های اجتماعی موثر بر سلامت، پژوهشکده آینده پژوهی در سلامت، دانشگاه علوم پزشکی کرمان، ایران
4- استادیار مدیریت خدمات بهداشتی درمانی، دفتر بودجه و پایش عملکرد، وزارت بهداشت، درمان و آموزش پزشکی، تهران، ایران
5- دانشجوی دکترای آینده پژوهی در سلامت، دفتر بودجه و پایش عملکرد، وزارت بهداشت، درمان و آموزش پزشکی، تهران، ایران
6- دانشیار مدیریت خدمات بهداشتی و درمانی، مرکز تحقیقات مدلسازی در سلامت، دانشگاه علوم پزشکی کرمان، کرمان، ایران
7- دانشجوی دکترای تخصصی پژوهشی علوم مدیریت (سیاستگذاری در سلامت)، مرکز تحقیقات مدیریت ارائه خدمات سلامت، پژوهشکده آینده پژوهی در سلامت، دانشگاه علوم پزشکی کرمان، ایران , emami.m@kmu.ac.ir
Abstract:   (2974 Views)

Background and Objectives: Timely access to required health services without any financial hardship is necessary to achieve public health. Therefore, the aim of present study was to review the policies and plans adopted in the health financing system.

Methods: The qualitative study with a policy research approach reviewed upstream laws, policies, and plans in Iranian health financing. Then, by holding seven focused group discussions with 28 participants who represented various stakeholders, financing policies and programs were identified. Using framework analysis, the data were coded and categorized.

Results: In response to health financial protection indexes improvement, policies and plans in this field were defined in 10 themes and 4 categories: resources collection, resources management and pooling, resources allocation, and strategic purchasing of health services. The most important policies and plans were integration of insurance funds, increasing sustainable financial resources and targeted allocation of subsidies, services priority setting, establishment and improvement of a performance-based payment system with emphasis on integration of the professional element in the public and private sectors.

Conclusion: There is no gap for documented laws and policies in the Iranian health financing system. The main barriers are the method of implementation and adequate commitment to laws that have created major difficulties in relation to financial protection. Resolving these barrierrs requires sufficient political support and a common understanding between stakeholders at different levels of policymaking and implementation and designing programs based on the infrastructures.

Full-Text [PDF 1652 kb]   (786 Downloads)    
Type of Study: Research | Subject: General
Received: 2017/02/22 | Accepted: 2017/02/22 | Published: 2017/02/22

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