Rahmany Keivan, Barati Maryam, Ferdosi Masoud, Rakhshan Amir, Nemati Ali
Health Management and Economics Research center (HMERC), Isfahan University of Medical Sciences, Isfahan, Iran.
Student Research Committee, School of Management and Medical Informatics, Isfahan University of Medical Sciences, Isfahan, Iran.
Med J Islam Repub Iran. 2018 Oct 20;32:102. doi: 10.14196/mjiri.32.102. eCollection 2018.
Iranian health system underwent a series of reforms entitled Health Transformation Plan (HTP) in 2014. The plan started with packages that have imposed financial burden and increased expenditure in the health system. This study aimed to identify strategies and solutions to reduce expenditures in HTP in Iran. To conduct this qualitative study, the researchers held 15 semi-structured interviews with prominent experts in the research arena in 2018. Content analysis was used to analyze the data using MAXQDA 10 software. Data collection yielded 9 main topics, including purchase and provision medicine, prescription, purchase and use of equipment, diagnostic medical services, referral system, human resources, physical space, payment system, and modifying and increasing base salaries. In Iran's health system, some aspects of HTP wasted resources, eg, the waste of resources in the service delivery system; thus, policymakers should consider proper strategies to control the costs based on the nature of their implementation.
2014年，伊朗卫生系统进行了一系列名为“卫生转型计划”（HTP）的改革。该计划始于一些带来财政负担并增加卫生系统支出的套餐。本研究旨在确定降低伊朗卫生转型计划支出的策略和解决方案。为开展这项定性研究，研究人员于2018年对研究领域的知名专家进行了15次半结构化访谈。使用MAXQDA 10软件进行内容分析以分析数据。数据收集产生了9个主要主题，包括药品采购与供应、处方、设备采购与使用、诊断医疗服务、转诊系统、人力资源、物理空间、支付系统以及基本工资的调整与增加。在伊朗卫生系统中，卫生转型计划的某些方面存在资源浪费，例如服务提供系统中的资源浪费；因此，政策制定者应根据实施的性质考虑适当的成本控制策略。
