Display options
Cite
Kalroozi F, Mohammadi N, Farahani MA, et al. A critical analysis of Iran health system reform plan. J Educ Health Promot. 2020;9:364doi: 10.4103/jehp.jehp_493_20.
Kalroozi, F., Mohammadi, N., Farahani, M. A., Aski, B. H., & Anari, A. M. (2020). A critical analysis of Iran health system reform plan. Journal of education and health promotion, 9364. https://doi.org/10.4103/jehp.jehp_493_20
Kalroozi, Fatemeh, et al. "A critical analysis of Iran health system reform plan." Journal of education and health promotion vol. 9 (2020): 364. doi: https://doi.org/10.4103/jehp.jehp_493_20
Kalroozi F, Mohammadi N, Farahani MA, Aski BH, Anari AM. A critical analysis of Iran health system reform plan. J Educ Health Promot. 2020 Dec 29;9:364. doi: 10.4103/jehp.jehp_493_20. eCollection 2020. PMID: 33575400; PMCID: PMC7871970.
Copy Download .nbib Format: NLM
Share it on

J Educ Health Promot. 2020 Dec 29;9:364. doi: 10.4103/jehp.jehp_493_20. eCollection 2020.

A critical analysis of Iran health system reform plan.

Journal of education and health promotion

Fatemeh Kalroozi, Nooredin Mohammadi, Mansoureh Ashghali Farahani, Behzad Haghighi Aski, Ali Manafi Anari

Affiliations

  1. Ph.D. Student of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
  2. Nursing Care Research Center, Iran University of Medical Sciences, Iran, Law School, Flinders University, Australia.
  3. Professor, Nursing Care Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
  4. Assistant Professor of Pediatrics, Department of Pediatrics, Ali Asghar Children's Hospital, Iran University of Medical Sciences, Tehran, Iran.

PMID: 33575400 PMCID: PMC7871970 DOI: 10.4103/jehp.jehp_493_20

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.

Copyright: © 2020 Journal of Education and Health Promotion.

Keywords: Health care reform; Iran; health services; health system

Conflict of interest statement

There are no conflicts of interest.

References

  1. Eur J Public Health. 2005 Aug;15(4):355-60 - PubMed
  2. Iran J Public Health. 2013 Jan 01;42(Supple1):42-9 - PubMed
  3. Midwifery. 2014 Feb;30(2):227-33 - PubMed
  4. Health Policy. 2008 Jul;87(1):72-81 - PubMed
  5. Hum Resour Health. 2009 Jun 30;7:53 - PubMed
  6. Iran J Public Health. 2015 Jan;44(1):79-88 - PubMed
  7. Health Policy. 2015 Oct;119(10):1309-18 - PubMed
  8. Iran J Public Health. 2013 Jul 01;42(7):665-72 - PubMed
  9. Int J Reprod Biomed. 2018 Apr;16(4):221-234 - PubMed
  10. BJOG. 2016 Apr;123(5):667-70 - PubMed
  11. Iran J Public Health. 2018 Mar;47(3):390-396 - PubMed
  12. Epidemiol Health. 2017 Jul 18;39:e2017029 - PubMed
  13. Iran J Public Health. 2019 Jan;48(1):147-155 - PubMed
  14. Int J Ophthalmol. 2019 Jan 18;12(1):114-122 - PubMed
  15. Iran J Med Sci. 2012 Dec;37(4):253-9 - PubMed
  16. Int J Gynaecol Obstet. 2012 Feb;116(2):162-4 - PubMed
  17. Indian J Public Health. 2014 Oct-Dec;58(4):256-60 - PubMed
  18. Med J Islam Repub Iran. 2016 Jan 05;30:315 - PubMed
  19. Mater Sociomed. 2017 Sep;29(3):201-206 - PubMed
  20. Health Policy Plan. 2012 Oct;27(7):613-23 - PubMed
  21. Health Aff (Millwood). 2009 Jul-Aug;28(4):1056-66 - PubMed
  22. J Educ Health Promot. 2020 Mar 31;9:73 - PubMed
  23. Int J Health Policy Manag. 2017 Feb 11;6(10):573-586 - PubMed
  24. Int J Health Policy Manag. 2015 Aug 31;4(10):637-40 - PubMed
  25. Iran J Public Health. 2013 Jan 01;42(Supple1):13-7 - PubMed
  26. Health Res Policy Syst. 2019 Jan 9;17(1):3 - PubMed
  27. BMJ Open. 2018 May 17;8(5):e021107 - PubMed
  28. Int J Health Policy Manag. 2013 Jul 18;1(2):157-62 - PubMed
  29. Electron Physician. 2017 Apr 25;9(4):4131-4137 - PubMed
  30. Iran J Public Health. 2017 Mar;46(3):389-395 - PubMed
  31. J Educ Health Promot. 2018 Oct 29;7:126 - PubMed
  32. BMC Health Serv Res. 2011 Jul 05;11:159 - PubMed
  33. Iran J Public Health. 2013;42(2):197-205 - PubMed

Publication Types