Iranian Journal Of Health Sciences
علوم بهداشتی ایران
Iran J Health Sci
Medical Sciences
http://jhs.mazums.ac.ir
1
admin
2322-553X
2322-4797
10.29252/jhs
en
jalali
1392
6
1
gregorian
2013
9
1
1
2
online
1
fulltext
en
Intra Sector Policy Interventions for Improvement of Iranian Health Financing System
مديريت خدمات بهداشتي و درماني
Management of health care services
پژوهشي
Original Article
<p>Background and purpose: To determine an appropriate financial model for the health system of Iran, several studies have been conducted. But it seems that these studies were not comprehensive and further investigation is required. So to design a valid and enforceable mechanism, the study of policy interventions will be considered through consensus of all stakeholders. This investigation was done to determine the necessary policies and internal interventions for health care system financial improvement in Iran. Materials and methods: The present work was carried out through investigating all key stakeholders in the medical system and the related sectors in Iran, along with the analysis of internal and external communication by using SWOT and STEEP.V methods. Results: Strategic management of health-care costs, the development of a new financial system, clarity of costs, benefiting from health national accounts, the regulation of budget based on operations, preparing the credit of per capita from prepayment and risk accumulation, the development of referral systems and mechanisms, the establishment of public fund for services purchase, preventing the involvement of insurances in non-insurance cases, competing services with the private sector and increasing resources for the promotion of equality level have been determined as the key proposed interventions. Conclusion: It seems that the interventions based to the development of improving health financial system including the deployment of full accrual basis instead of cash basis, preparing and using services cost and operational budgeting and finally, cost management and productivity are the prerequisites of reforming health financial system.</p>
Financing, Health System, Intra-sector Interventions
1
9
http://jhs.mazums.ac.ir/browse.php?a_code=A-10-343-2&slc_lang=en&sid=1
Peivand
Bastani
peivandbastani@hotmail.com
10031947532846003727
10031947532846003727
No
Department of Health Services Management, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
Keyghobad
Taher Nejad
kta@yahoo.com
10031947532846003728
10031947532846003728
Yes
Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
Jamil
Zargan
10031947532846003729
10031947532846003729
No
Imam Hossein University of Medical Sciences, Tehran, Iran
Nasrin
Shaarbafchizadeh
10031947532846003730
10031947532846003730
No
Health Management and Economics Research Center, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
Razieh
Alishavandi
10031947532846003731
10031947532846003731
No
Ministry of Health and Medical Education