Jafari Mehdi, Ghasemyani Shabnam, Khodayari-Zaranq Rahim, Raoofi Samira
Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Department of Health Policy and Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.
Med J Islam Repub Iran. 2021 Nov 13;35:151. doi: 10.47176/mjiri.35.151. eCollection 2021.
The Health Transformation Plan (HTP), the latest reform in Iran's health system to achieve the 3 main goals of financial protection, equity, and quality of health care, was started on May 5, 2014. This study aimed to review all available literature regarding the achievements and outcomes of this reform after 6 years of its implementation. The 5 English databases were examined by using appropriate keywords to find documents published on the HTP between June 5, 2014, and the end of April 2020. Out of 532 recovered articles, 137 were included in the study. The study's organization was based on the Arkesy and O'Malley framework and data analysis was done using the content analysis method. The findings of the study were divided into 11 sections. Studies on the plan's impact on financial protection (22.6%), performance indicators (14.5%), and natural delivery promotion (14.5%) were the most frequent, respectively. Regarding the impact of the HTP on patient satisfaction ,performance indicators, and efficiency, mostly positive results have been obtained. However, in terms of the impact of the HTP on financial protection and informal payments, the outcomes have been different, contradictory, and sometimes negative. Although the HTP has successfully achieved a number of its goals, in some of the goals, the results are not significant. Given the changing health conditions and funding constraints, it is better to consider measures to fundamentally review the HTP and executive packages.
《健康转型计划》（HTP）是伊朗卫生系统为实现财务保护、公平和医疗保健质量这三大主要目标而进行的最新改革，于2014年5月5日启动。本研究旨在回顾关于这项改革实施6年后的成果和成效的所有现有文献。通过使用适当的关键词对5个英文数据库进行检索，以查找2014年6月5日至2020年4月底期间发表的关于HTP的文献。在检索到的532篇文章中，有137篇被纳入本研究。本研究的组织架构基于阿基西和奥马利框架，数据分析采用内容分析法。研究结果分为11个部分。关于该计划对财务保护的影响（22.6%）、绩效指标（14.5%）和促进自然分娩（14.5%）的研究最为常见。关于HTP对患者满意度、绩效指标和效率的影响，大多取得了积极成果。然而，就HTP对财务保护和非正规支付的影响而言，结果各不相同、相互矛盾，有时甚至是负面的。尽管HTP已成功实现了其一些目标，但在某些目标上，结果并不显著。鉴于不断变化的健康状况和资金限制，最好考虑采取措施从根本上审查HTP及其执行方案。
