Qualitative analysis of Iranian sixth five-year economic, social, and cultural development plan from universal health coverage perspective

Mahdavi, Mahdi; Sajadi, Haniye Sadat

doi:10.1186/s12913-021-06985-1

Cited by 6 publications

(4 citation statements)

References 26 publications

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“…Even though it is emphasized in the Sixth Five-Year Development Plan that all foreigners living in Iran should be covered by health insurance [ 33 ], UIs still lack insurance coverage [ 34 ]. Therefore, they are forced to pay all costs OOP when receiving health care services, which can lead to significant financial hardships for them, and in many cases, they refuse to request needed services and follow their treatment.…”

Section: Discussionmentioning

confidence: 99%

Financing of health services for undocumented immigrants in Iran: common challenges and potential solutions

et al. 2023

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Introduction Iran is host to one of the largest urban refugee populations worldwide, about two million of whom are undocumented immigrants (UIs). UIs are not eligible to enroll in the Iranian health insurance scheme and have to pay out-of-pocket to access most health services. This increases the likelihood that they will delay or defer seeking care, or incur substantial costs if they do seek care, resulting in worse health outcomes. This study aims to improve understanding of the financial barriers that UIs face in utilizing health services and provide policy options to ensure financial protection to enhance progress towards UHC in Iran. Methods This qualitative study was conducted in 2022. A triangulation approach, including interviews with key informants and comparing them with other informative sources to find out the complementary findings, was applied to increase data confirmability. Both purposive and snowball sampling approaches were used to select seventeen participants. The data analysis process was done based on the thematic content analysis approach. Results The findings were explained under two main themes: the financial challenges in accessing health services and the policy solutions to remove these financial barriers, with 12 subthemes. High out-of-pocket payments, high service prices for UIs, fragmented financial support, limited funding capacity, not freeing all PHC services, fear of deportation, and delayed referral are some of the barriers that UIs face in accessing health care. UIs can get insurance coverage by using innovative ways to get money, like peer financing and regional health insurance, and by using tools that make it easier, like monthly premiums without policies that cover the whole family. Conclusion The formation of a health insurance program for UIs in the current Iranian health insurance mechanism can significantly reduce management costs and, at the same time, facilitate risk pooling. Strengthening the governance of health care financing for UIs in the form of network governance may accelerate the inclusion of UIs in the UHC agenda in Iran. Specifically, it is necessary to enhance the role of developed and rich regional and international countries in financing health services for UIs.

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Section: Discussionmentioning

confidence: 99%

Financing of health services for undocumented immigrants in Iran: common challenges and potential solutions

et al. 2023

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“…The quality of the health service at the point of care in 5YPFDs also did not persist. [ 73 74 75 ] This issue could be a sign of political unwillingness because it occasionally addresses the quality of the health service at the point of care depending on the prevailing opinion of experts. The results of a study showed that whenever senior management within the health system of Iran changes, different strategies are then established and followed.…”

Section: Discussionmentioning

confidence: 99%

Reviewing the National Health Services Quality Policies and Strategies of the Iranian Health System: A Document Analysis

Fallah,

Maleki,

Aryankhesal

et al. 2023

International Journal of Preventive Medicine

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Background: High-quality health care is an important component of efforts to reach Universal Health Coverage (UHC). Given this pivotal fact, poor quality of care is a significant bottleneck in the endeavors of Iran to UHC. This study was part of a broader qualitative study and aimed to provide supplementary data about the documents related to the National Quality Policies and Strategies (NQPS) health services in the health system of Iran to determine the degree of alignment with the World Health Organization (WHO) approach for NQPS, and to track change and development over time. Methods: This document analysis was performed following the READ approach for systematic document analysis in health policy research. Furthermore, qualitative content analysis following parallel forms of the mixed analysis in which the textual material proceeded with different inductive and deductive content-analytical procedures simultaneously, applying the WHO practical approach for NQPS, was selected. Results: The 15 included records that met the inclusion criteria were released in the post-Islamic Revolution period. The Ministry of Health was found as the most responsible authority for publishing the NQPS among the other authorities. Furthermore, 67% of NQPS was aligned with the goals and priorities of a broader national plan or policy. Contradictions, variations, and ambiguities were also found in the literature circumstances of the NQPS. There was no NQPS concentrated on the entire pathway of care in the Iranian health system, which developed according to the WHO approach for NQPS. Conclusions: Qualitative analysis of the current NQPSs based on the eight inter-dependent elements and critical supplements, the technical perspective of broad stakeholders, community engagement, and steady commitment of policymakers are our recommendations for future efforts towards having NQPS.

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“…In this way, the estimations can show how much the fuel prices should potentially change to manage the fossil fuel demand for achieving the UN targets (according to the price elasticities). Following this analysis, the effects of implementing the hypothetical price policy on the environment, economy and health are then estimated as a measure of sustainability (Mahdavi and Sajadi, 2021; Nasrollahi et al , 2020; Parsa et al , 2019). More details of the methodology are in the Appendix (Section A.1).…”

Section: Methodology and Datamentioning

confidence: 99%

Fossil fuel price policy and sustainability: energy, environment, health and economy

Taghvaee

Nodehi

Arani

et al. 2022

IJESM

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Purpose This study aims to develop a price policy for fossil fuel consumption, as it is an effective instrument to manage the demand-side of energy economics. Design/methodology/approach This research estimates the demand elasticities of diesel, gasoline, fuel oil and kerosene by using static, dynamic and error-correction models in log-linear form. Findings The findings show that fossil fuel demand responds to price changes less than income changes, as fuel price is inelastic, but income is elastic. In that respect, the impact of price change decreases constantly with increasing energy price, followed by subsidy reform. Subsidy removal and price policy reformation is the UN recommendation for subsidizing countries, including Iran, to reduce fossil fuel consumption, whose intensity depends on the price elasticities. Practical implications As a result of this price policy, diesel, gasoline and liquefied petroleum gas prices should increase at least 1.8%–7.3%, 4.4%–6.4% and 7%–8.6%, respectively, and gradually within 2018–2030. The price policy improves all the pillars of sustainable development, including economy, environment and social (health). Overall, such a target can potentially save 3%–29% of diesel, 34%–56% of gasoline and 15%–20% of liquefied petroleum gas, as well as reduce 15%–40% of CO2 emissions annually, and can save potentially more than 510,000 lives annually. Thus, the energy price policy can fundamentally improve sustainability. Originality/value The estimated elasticities outline the required prices to decrease the fossil fuels, according to the UN mitigation targets, as price policy recommendation. Graphical abstract

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Qualitative analysis of Iranian sixth five-year economic, social, and cultural development plan from universal health coverage perspective

Cited by 6 publications

References 26 publications

Financing of health services for undocumented immigrants in Iran: common challenges and potential solutions

Financing of health services for undocumented immigrants in Iran: common challenges and potential solutions

Reviewing the National Health Services Quality Policies and Strategies of the Iranian Health System: A Document Analysis

Fossil fuel price policy and sustainability: energy, environment, health and economy

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