Iranian Health Reform Advantages in Health Care System: A Qualitative Study

Abstract

Background: Iranian Health Reform Plan in health care systems launched in 2014. The aim of this program was to expand equity in the field of health, improve quality, increase accessibility to health services, and increase people's satisfaction. Objectives: This study designed to explore Iranian health reform advantages in health care systems on the perspective of health managers, health care providers, and clients. Methods: In this content analysis study, participants included 22 health managers, 118 health care providers, and 15 clients affiliated with the health deputy of the Qom University of Medical Sciences. Sampling was conducted in the purposeful method. Individual semi-structured interviews were used for data gathering and data was analyzed by the conventional approach. Similar codes were merged and categorized and the extracted subcategories were named based on their essence. MAXQDA software was used to manage qualitative data. Results: 328 codes, 19 subcategories and 7 main categories were extracted. On the perspective of participants, Iranian health reform advantages in health care system, categorized in 7 main categories included; improvement of general health, improvement of equity in the health system, improvement of health literacy, providing comprehensive health services, providing personalized health services, increased general satisfaction, and providing electronic health records. Conclusions: Health managers, health care providers, and clients expressed their satisfaction from Health Reform Plans and pointed to different aspects of it. On these findings, Iranian Health Reform Plans can facilitate promoting health care services and in sequence, public health.

Iran's Health Transformation Plan; Main Issues and Opportuni-ties for Improvement: A Systematic Review

“…Achievements: Increasing the number of people under coverage and insurance services (24), reducing out-of-pocket payments (19,25,26) and catastrophic health expenditure, paying attention to the low-income population (25) and incurable patients, and providing comprehensive health services (29) are among the achievements. Challenges: Also, the perspective of treatment orientation in the MOHME policy makers (6,29) and incompatibility benefit packages for the patients' needs (30) are some of the challenges.…”

Ottawa charter framework as a guide for type 2 diabetes prevention and control in Iran

“…The findings of a qualitative study conducted by Abbasi et al revealed that the Health Reform Plan has led to improvement of general health. This result is because of the fact that issues such as screening, risk assessment, early diagnosis and treatment of chronic and noncontagious diseases (cardiovascular diseases, diabetes, and hypertension), promotion of healthy lifestyle, prioritizing health prevention and promotion, and strengthening primary healthcare have been regarded in this plan [60].…”