Shared decision making: How can it be helpful in reducing medical overuse due to medical misinformation mess?

Arab‐Zozani, Morteza; Moynihan, Ray; Pezeshki, Mohammad Zakaria

doi:10.1111/jep.13358

Cited by 7 publications

(8 citation statements)

References 17 publications

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“…Establishing a Family Physician Plan and referral system and the use of clinical practice guidelines is a way to avoid unnecessary utilization of health care services [43]. Training of executives, especially hospital managers and presidents, should have begun earlier and done more effectively [44].…”

Section: Discussionmentioning

confidence: 99%

Future Development through the Past: Pathology of the Financing Dimension of Iran’s Health Transformation Plan

Doshmangir

Najafi

Modtafavi

et al. 2020

Preprint

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Introduction: In Iran, during the years, the budgeting model used for healthcare funding is affected by factors such as global oil prices and fluctuation in the exchange rates, so developing or continuing to implement a plan in the health system depends on the current and future global and local economic trends. This study aimed to analyze the future of the recent significant reform called Health Transformation Plan (HTP), started on 15 Jun 2014 in light of potential financial barriers and challenges.Methods: Face to face interviews were conducted with health policymakers at different levels of the health system, health researchers, health insurance officers, and faculty members. Also, published and unpublished documents about HTP in the country and worldwide were reviewed. Data analysis was done using a qualitative inductive content analysis approach and assisted by qualitative data management software.Findings: Instability of financial resources and allocation of Gross Domestic Product (GDP) to the HTP in the traditional way is a challenge in continuing this policy reform. Also, the bureaucratic procedures in allocation and distribution of funds, discrepancy between health insurance funds and affiliated units of Ministry of Health and Medical Education (MoHME) especially Medical Sciences Universities (MSU), the lack of purchaser–provider split, inappropriate payments and compensation mechanisms, and dependence of MSU on especial revenues are the main challenges that threaten the future of HTP in Iran.Conclusion: Given the current situation, where the country's funding resources are often unpredictable, it seems that such funding challenges will lead to poor HTP results. Therefore, the continuance of such high cost-based plan requires the strategies and policies to ensure raising additional funds through various types of innovative financing to overcome challenges.

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Section: Discussionmentioning

confidence: 99%

Future Development through the Past: Pathology of the Financing Dimension of Iran’s Health Transformation Plan

Doshmangir

Najafi

Modtafavi

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…44 Training of executives, especially hospital managers and presidents, should have begun earlier and be done more effectively. 45 Like other plans, HTP has weaknesses along with its benefits, which must be addressed with proper measures.…”

Section: Discussionmentioning

confidence: 99%

<p>Future Development Through the Past: Pathology of the Financing Dimension of Iran’s Health Transformation Plan</p>

Doshmangir¹,

Najafi²,

Mostafavi³

et al. 2020

CEOR

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Background In Iran, during the years, the budgeting model used for healthcare funding is affected by factors such as global oil prices and fluctuation in the exchange rates. So, developing or continuing to implement a plan in the health system depends on the current and future global and local economic trends. Objective To analyze the future of the recent significant reform called Health Transformation Plan (HTP), started on June 15, 2014, in the light of potential financial barriers and challenges. Methods Face-to-face interviews were conducted with health policymakers at different levels of the health system, health researchers, health insurance officers, and faculty members. Also, published and unpublished documents about HTP in the country and worldwide were reviewed. Data analysis was done using a qualitative inductive content analysis approach and assisted by qualitative data management software. Results Instability of financial resources and allocation of gross domestic product (GDP) to the HTP in the traditional way is a challenge in continuing this policy reform. Also, the bureaucratic procedures in allocation and distribution of funds, the discrepancy between health insurance funds and affiliated units of Ministry of Health and Medical Education (MoHME) especially Medical Sciences Universities (MSU), the lack of purchaser–provider split, inappropriate payments and compensation mechanisms, and dependence of MSU on especial revenues are the main challenges that threaten the future of HTP in Iran. Conclusion Given the current situation, where the country’s funding resources are often unpredictable, it seems that such funding challenges will lead to poor HTP results. Therefore, the continuance of such a high cost-based plan requires the strategies and policies to ensure raising additional funds through various types of innovative financing to overcome challenges.

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“…Studying the cost of disease by comparing the financial burden can show which intervention reduces the cost and thus leads to a change in the distribution of investments. The government can estimate the financial impact of the disease on the public budget for optimal resource allocation, and pharmaceutical companies can invest in research and development of the disease (12)(13)(14). Also knowing the costs of a disease can help policymakers decide which disease should be considered as the first disease by prevention with health care policies.…”

mentioning

confidence: 99%

Economic Burden of Epidermolysis Bullosa Disease in Iran

Forghani

Jahangiri

Ghasemi

et al. 2021

Med. J. Islam. Republ. Iran

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Shared decision making: How can it be helpful in reducing medical overuse due to medical misinformation mess?

Cited by 7 publications

References 17 publications

Future Development through the Past: Pathology of the Financing Dimension of Iran’s Health Transformation Plan

Future Development through the Past: Pathology of the Financing Dimension of Iran’s Health Transformation Plan

<p>Future Development Through the Past: Pathology of the Financing Dimension of Iran’s Health Transformation Plan</p>

Economic Burden of Epidermolysis Bullosa Disease in Iran

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