Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Dec 29:9:364.
doi: 10.4103/jehp.jehp_493_20. eCollection 2020.

A critical analysis of Iran health system reform plan

Fatemeh Kalroozi  1 , Nooredin Mohammadi  2 , Mansoureh Ashghali Farahani  3 , Behzad Haghighi Aski  4 , Ali Manafi Anari  4
Affiliations

A critical analysis of Iran health system reform plan

Fatemeh Kalroozi et al. J Educ Health Promot. .

Abstract

Introduction: Iran's Health System Reform Plan (HSRP) were initiated in public and hospitals affiliated to Medical Sciences Universities in June 2015. The purpose of the present paper is to provide a critical analyse of the HSRP and its outcomes.

Methods: The study was carried out as a review critical analyse in 2019. The pertinent articles were searched for in Science Direct, PubMed, Ovid, and Google Scholar using keywords "health sector," "reform plan," "health system reform," "health services," "health care system," and "Iran." Published articles in scientific national and international journals in Persian and English language, of which the full-texts were available, were entered into the study. Finally, from a total of 75 articles obtained, 45 studies were carefully reviewed.

Results: Several factors, which impact in the success of Iran's HSRP such as social-economic and political outlooks, lack of official information and a comprehensive management system, in addition to failure to extend continuous performance control, economic sanctions against Iran. Other factors are limitations on financial transactions between Iran and the rest of the world due to the sanctions, relying merely on a few instructions, and negligence of the required infrastructures. In terms of advantages of the plan, relative decrease in patient's share in medical expenses, improvement of emergency wards, and relative decrease in the rate of C-section operations are notable.

Conclusion: Better implementation of Iran's HSRP entails the provision of resources and facilities such as stable and adequate resources, proper management of available resources, payment mechanisms reform, attracting, and facilitating private sector's participation.

Keywords: Health care reform; Iran; health services; health system.

PubMed Disclaimer

Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Study selection flow chart
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. WHO. The World Health Report: Health System Financing the Path to Universal Coverage. Geneva: WHO Press; 2010.
    1. Bagheri Lankarani K, Joulaei H, Khankeh HR, Zarei N, Fararouei M, Saboori Z. Health equity as a challenging goal for policymakers: A systematic review. Global J Health Sci. 2017;9:144–59. doi: 10.5539/gjhs.v9n2p144.
    1. Esmailzadeh H, Rajabi F, Rostamigooran N, Majdzadeh R. Iran health system reform plan methodology. Iran J Public Health. 2013;42:13–7. - PMC - PubMed
    1. Ferdosi M, Kabiri S, Keyvanara M, Hosein M. Challenges of Iran health transformation plan about inpatients payment: Viewpoint of experts. Health Scope. 2017;6:e14388. doi: 10.5812/jhealthscope. 14388.
    1. Shohani M, Balavandi F, Valizadeh R, Tavan H. Threats and opportunities of the health reform plan from the nurses’ perspective in Ilam. Global J Health Sc. 2017;9:1–11. doi: 10.5539/gjhs.v9n5p85.