Health System Reform Plan and Performance of Hospitals: an Iranian Case Study

Yusefzadeh, Hassan; Parviz, Salem Safi; Nabilou, Bahram

doi:10.5455/msm.2017.29.201-206

Cited by 14 publications

(11 citation statements)

References 11 publications

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“…This information informs the program managers and policymakers and would provide the grounds for monitoring the national goals and assessing relevant policies. Timely monitoring and evaluation of reforms can provide evidence to guide the more proper implementation of reforms (23,24).…”

Section: Introductionmentioning

confidence: 99%

The Effects of Health Transformation Plan Implementation on the Performance Indicators of Public Hospitals

et al. 2018

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Section: Introductionmentioning

confidence: 99%

The Effects of Health Transformation Plan Implementation on the Performance Indicators of Public Hospitals

et al. 2018

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“…[ 17 ] Studies in Iranian cities Uromieh, Kurdistan, and Yazd showed that this aspect of HSRP (less out-of-pocket payment) was the main cause of satisfaction in the public so that the respondents were satisfied with the expenses of medical services. [ 9 18 19 ] However, the plan was later faced with challenges mostly due to heavy financial load on the government, changes in insurance contracts, and hospital expenses. [ 15 16 ] According to the Islamic Republic of Iran National Research Institute, after 2 years since the commencement of plan, direct payment by Iranian households for health services was 5.34%, while based on the WHO computation method, payment capacity by households should be 7% at most.…”

Section: Resultsmentioning

confidence: 99%

“…[ 29 ] Patients thronging public health facilities while these facilities are not equipped to support the increasing demand was one of the main causes of dissatisfaction of nurses with their salary. [ 18 24 28 ] Limitations on recruiting new personnel and nurses, which are still in place, added to the complexity. [ 6 ] Given the excessive increase in the workload, nurses demand a higher salary and welfare, along with just and equal organizational promotion.…”

Section: Resultsmentioning

confidence: 99%

A critical analysis of Iran health system reform plan

Kalroozi

Mohammadi

Farahani

et al. 2020

J Edu Health Promot

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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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“…Thus, the health system reform plan started to operate to expand healthcare justice, improve healthcare quality, and increase the satisfaction of patients (5). Based on this plan, 11 service packages are provided to the people via healthcare centers and urban health posts: Self-caring services in worshiping, living, working, educating, and entertaining areas, early diagnostic services for diseases and risk factors, evaluation and diagnostic services for chronic and seasonal diseases, caring services for pregnant and nursing mothers, children and teenagers, middle-aged people and elderlies, psychological consultation services for cov-ered population, consultation services for healthy nutrition and physical activities, services for social caring consultation, services for improving the management system of contagious diseases, dental health services, working area healthcare services, and healthcare services for disasters (6).…”

Section: Introductionmentioning

confidence: 99%

Timing of Motherhood and Reproductive Health Care Services in Suburban and Urban Texture Comprehensive Health Centers of Qom City

et al. 2019

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Background: The cost of working staffs covers almost one-third of all the expenses spent in women and motherhood healthcare services. Objectives: The present study aimed at comparing the timing of motherhood and prenatal care healthcare services in comprehensive health centers after the implementation of health system reform plan. Methods: Following an analytical cross-sectional research, 264 occurrences of motherhood health cares were studied, including 88 preconception cares, 88 prenatal cares, 88 postpartum cares, and 92 reproductive health care (356 person-services in total) in two urban texture and two suburban health posts in Qom city, during year 2018. Two chronometers were used to measure the timing of each of the healthcare components and healthcare services from the time the patient arrived to the end of the service. The timings were then enlisted in checklists. Descriptive statistics and independent samples t-test were used to analyze the data. Results: The general timings of preconception care, prenatal care, and postpartum care were 23 ± 6, 35 ± 9, and 20 ± 4, respectively. The timing of reproductive health care was 7.3 ± 3. There was a significance difference between the timing of preconception cares (27.4 ± 4 and 18 ± 3 minutes, P = 0.005) and prenatal cares (28 ± 7 and 39 ± 8 minutes, P = 0.005) in the urban texture and the suburbs of the city. However, there was not a significant difference between these two areas in terms of the timing of postpartum cares (18 ± 3 and 21.5 ± 6 minutes, P = 0.156) and reproductive health care (6.8 ± 2.7 and 7.7 ± 3 minutes, P = 0.139). Conclusions: The timing of preconception care and prenatal care was different in suburban and urban texture of the city. Therefore, it is suggested that the required personnel in healthcare centers should be distributed based on the service timing and workload rather than based on the relevant population of the city so that an optimal management of the working staffs is acquired and both the personnel and patients are satisfied.

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Health System Reform Plan and Performance of Hospitals: an Iranian Case Study

Cited by 14 publications

References 11 publications

The Effects of Health Transformation Plan Implementation on the Performance Indicators of Public Hospitals

The Effects of Health Transformation Plan Implementation on the Performance Indicators of Public Hospitals

A critical analysis of Iran health system reform plan

Timing of Motherhood and Reproductive Health Care Services in Suburban and Urban Texture Comprehensive Health Centers of Qom City

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