Davari M, Haycox A, Walley T
Health Management & Economics Research Centre, Isfahan University of Medical Sciences, Isfahan, Iran.
Iran J Public Health. 2012;41(7):14-23. Epub 2012 Jul 31.
This paper considers a range of issues related to the financing of health care system and relevant government policies in Iran.
This study used mixed methods. A systematic literature review was undertaken to identify relevant publications. This was supplemented by hand searching in books and journals, including government publications. The issues and uncertainties identified in the literature were explored in detail through semi-structured interviews with key informants. These were triangulated with empirical evidence in the form of the literature, government statistics and independent expert opinions to validate the views expressed in the interviews.
The systematic review of published literature showed that no previous publication has addressed issues relating to the financing of healthcare services in Iran. However, a range of opinion pieces outlined issues to be explored further in the interviews. Such issues summarised into four main categories.
The health care market in Iran has faced a period in which financial issues have enhanced managerial complexity. Privatization of health care services would appear to be a step too far in assisting the system to confront its challenges at the current time. The most important step toward solving such challenges is to focus on a feasible, relevant and comprehensive policy, which optimises the use of health care resources in Iran.
本文探讨了一系列与伊朗医疗保健系统融资及相关政府政策有关的问题。
本研究采用混合方法。进行了系统的文献综述以识别相关出版物,并通过手工检索书籍和期刊(包括政府出版物)加以补充。通过与关键信息提供者进行半结构化访谈,详细探讨了文献中确定的问题和不确定性。这些访谈结果与文献、政府统计数据和独立专家意见等形式的实证证据相互印证,以验证访谈中表达的观点。
对已发表文献的系统综述表明,此前没有出版物涉及伊朗医疗保健服务融资相关问题。然而,一系列观点文章概述了在访谈中需进一步探讨的问题。此类问题归纳为四大类。
伊朗的医疗保健市场经历了一段财务问题加剧管理复杂性的时期。目前,医疗保健服务私有化在协助该系统应对挑战方面似乎走得太远。解决此类挑战的最重要一步是专注于一项可行、相关且全面的政策,以优化伊朗医疗保健资源的利用。