Universal health coverage in Iran

Mousavi, Seyyed Meysam; Sadeghifar, Jamil

doi:10.1016/s2214-109x(16)00068-1

Cited by 38 publications

(27 citation statements)

References 6 publications

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“…The benefit package is generous. However, about the cost-sharing, the burdens of costs are imposed to healthcare users through out-of-pocket( 23 , 26 ).…”

Section: Discussionmentioning

confidence: 99%

The barriers to achieve financial protection in Iranian health system: a qualitative study in a developing country

Naghdi

Moradi

Tavangar

et al. 2017

Ethiop J Health Sci

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BACKGROUND:The move to universal health coverage and consequently health promotion is influenced by political, socioeconomic and other contextual factors in a country. Iran, as a developing country with an upper-middle national income, has developed policies to achieve universal health coverage through financial protection. This study aims to investigate barriers to develop financial protection as a requirement to achieve universal health coverage. MATERIALS AND METHODS: This qualitative study was conducted using 20 in-depth interviews with experts in social welfare, health insurance and financing. The framework analysis method was used to analyze the data. RESULTS: The results have been categorized in three major themes that were extracted from ten sub-themes. The major themes included the political, social and economic context of the country, the context and structure of healthcare system and dimensions of UHC. CONCLUSION:Achieving financial protection as a long-term objective should be considered as a priority among Iranian policy makers that requires an inter-sectoral collaboration with a defined in-charge body. Health policy makers in Iran should develop a more comprehensive benefits package for diseases and health conditions with catastrophic consequences. They also should develop a plan to cover the poor people.

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“…The benefit package is generous. However, about the cost-sharing, the burdens of costs are imposed to healthcare users through out-of-pocket( 23 , 26 ).…”

Section: Discussionmentioning

confidence: 99%

The barriers to achieve financial protection in Iranian health system: a qualitative study in a developing country

Naghdi

Moradi

Tavangar

et al. 2017

Ethiop J Health Sci

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“…However, NU visits to EDs are still unresolved matter worldwide and greatly burden the quality of provided health services 14. This seems to be more serious in low and middle-income countries (LMICs) which suffer from resource constraints, meanwhile attempting to achieve the universal health coverage of their population 15. Thus, special attention should be paid to efficiency mechanisms and cost-containment strategies.…”

Section: Introductionmentioning

confidence: 99%

Emergency department visits for non-urgent conditions in Iran: a cross-sectional study

et al. 2019

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ObjectivesTo determine the percentage of non-urgent (NU) visits in an Iranian emergency department (ED), to explore why patients with NU conditions refer to EDs and also to assess the association between patients’ characteristics and their visits.DesignA cross sectional study based on face to face survey.SettingA territorial, teaching and military hospital in Tehran province, Iran.Participants and data collectionAll patients who visited the ED during the 2-week period were recruited. Data were collected using a validated questionnaire.ResultsOf 1884 patients who visited the ED, 1217 (64.6%) patients were triaged as NU while 667 (35.4%) were urgent and semiurgent visits cases. The most important reasons for NU visits were seeking prompt (36.6%) and less costly care (35.9%). We found that NU visits have increased with younger patients, during weekends and night shifts, and with patients suffering from recurrent symptoms lasting in 1 week or less.ConclusionsEDs are a common source of care for NU problems in Iran. The most invaluable solution is building up special clinics for providing healthcare services to NU patients during the weekends and, in the busy and night shifts. Receiving higher fees from NU patients could also be adopted with caution. Promoting awareness and knowledge of both healthcare providers and patients about the main role of EDs will contribute in improving their performance. As a long-term solution, adopting the family physician programme and ameliorating the referral system are recommended.

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“…Iran has undertaken a number of important initiatives, particularly during the recent health sector reform (Health Transformation Plan) that began in 2014, to achieve healthcare for everyone by expanding universal health coverage (UHC) by 2025 [1][2][3][4]. As a result, the country has witnessed remarkable improvements in access to and coverage of healthcare services for all social classes, especially for the poor [5].…”

Section: Introductionmentioning

confidence: 99%

A roadmap for strengthening evidence-informed health policy-making in Iran: protocol for a research programme

Sajadi

Majdzadeh

Yazdizadeh

et al. 2019

Health Res Policy Sys

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Background: Many initiatives have been taken in the Islamic Republic of Iran to promote evidence-informed health policy-making (EIHP). However, these initiatives are not systematic. Since the implementation of EIHP is not consistent and the interventions in this regard are complex, a comprehensive plan could be a useful tool for employing initiatives to achieve and promote EIHP. Hence, this study aims to develop a roadmap for strengthening EIHP over a 3-year period in Iran. Methods: Nine projects will be conducted to define the roadmap for strengthening EIHP. These projects include two reviews and a stakeholder analysis to identify the factors that facilitate or hinder achieving EIHP. The next study will be a qualitative study to prioritise the challenges and outline the main causes. The following steps will be a review of reviews to extract global experiences on interventions used for strengthening EIHP and two qualitative studies to examine the adoption of these interventions and develop an operational plan for strengthening EIHP in Iran. The research will be completed through conducting two qualitative-quantitative studies to design a tool for measuring EIHP and assessing EIHP in Iran at baseline. Discussion: This national EIHP roadmap will surely be able to identify the gaps and bumps that might exist in the implementation plan for establishing EIHP and eliminate them as needed in the future. This roadmap can be a step in moving towards transparency and accountability in the health system and as thus towards good governance and improvement of the health system's performance. Although the plan can be a good model for developing countries and may promote the use of evidence in health policy-making, we should assume that there are some critical contextual factors that could potentially hinder the complete and successful implementation of EIHP. Thus, to enhance EIHP in these countries with a policy-making context that does not fully support the use of evidence, it is crucial to think about not only those interventions that directly address the EIHP barriers, but also some longterm strategies to make required changes in the context, both beyond and within the health system.

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Universal health coverage in Iran

Cited by 38 publications

References 6 publications

The barriers to achieve financial protection in Iranian health system: a qualitative study in a developing country

The barriers to achieve financial protection in Iranian health system: a qualitative study in a developing country

Emergency department visits for non-urgent conditions in Iran: a cross-sectional study

A roadmap for strengthening evidence-informed health policy-making in Iran: protocol for a research programme

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