A critical analysis of Iran health system reform plan

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.

Untitled

“…This can reduce the production of bulky stools, making it easier to pass through the gut. However, if this does not work, surgery may be needed to repair or replace the damaged part of the bowel [4]. Complete obstruction is a medical emergency.…”

“…Several therapeutic strategies have been tested to reduce POI. Sham feeding, for example gummy candy has been reported to decrease POI [4][5][6].…”

Untitled

“…Using one-way analysis of variance and meta-analysis were analyzed. The subjects included 1,775 patients with coronary artery disease, including 206 deaths from Jinni Nathan Hospital in Wuhan, as well as 113 and 285 other patients with the disease from Renin Hospital in Wuhan University and Shenzhen Hospital, respectively [16][17][18]. The results showed that the distribution of blood groups in Wuhan is as follows: 31% had blood type A, 24% had blood type B, 9% had blood type AB, and 34% had blood type O.…”

Untitled

“…Based on a comparison of the world aging distribution map in 2015 and 2050, we have found that Iran will change from a young country to a definitive aging country in just the next 30 years [1][2][3]. In other words, while in 2020, the elderly over 60 years old constituted only 10% of the population of Iran, but as a result of the rapid phenomenon of population aging, in 2050 about 33% of the total population of the country will be elderly [4].…”