Effective factors and drivers of Iran's health care financing system

Maryam Ramezanian, Ali Akbar Haghdoost, Mohammad Hossein Mehrolhassani, Masoud Abolhallaje, Reza Dehnavieh, Atousa Poursheikhali
2020 Medical Journal of The Islamic Republic of Iran  
↑What is "already known" in this topic: Different factors affect Iran's health care financing system, and regardless of this impact, the future of this system will face fundamental challenges. In this environment a health system is successful if it is able to anticipate the effects of these factors in the future and preplan appropriate interventions. →What this article adds: The study showed the important variables affecting the financing system in Iran include the possibility of providing
more » ... y of providing distant services, administrative bureaucracy and anticorruption, successful advocacy, economic blockade, and oil sales. Abstract Background: Different factors affect Iran's health care financing system, and regardless of this impact, the future of this system will face fundamental challenges. In this environment, a health system is successful if it is able to anticipate the effects of these factors in the future of health care financing and preplan appropriate interventions towards health care financing system. The present study aims to identify these factors and trends. Methods: This study compiled a round view of the experts on the subject, with a future studies approach through a qualitative method. To collect data, a deep and semi-structured interview was performed. The results of the interviews were analyzed using content analysis method, and the primary and secondary themes were extracted using the Micmac software. Results: A total of 71 variables were identified in the form of 12 groups with titles of stewardship, service provision, resource gathering, purchasing and resource allocation, sociocultural, technological, environmental, economic, political, and managerial, and laws and values. Four variables, including distant-service provision, administrative bureaucracy, administrative focus and corruption, low-support decision-making, economic blockade, and sales of oil were among the influential factors and drivers. Conclusion: The findings showed Iran's financing system is relatively stable but fragile and 3 areas of technology, politics, and economics have the most impact on structuring Iran's financing system. *This work has been published under CC BY-NC-SA 1.0 license. Cite this article as: Ramezanian M , Haghdoost AA, Mehrolhassani MH, Abolhallaje M, Dehnavieh R, Poursheikhali A. Effective factors and drivers of Iran's health care financing system. Med J Islam Repub Iran. 2020 (24 Aug);34:104. https://doi.
doi:10.47176/mjiri.34.104 fatcat:6t2byh2grzdwxe5rbbwvtcv464