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Strategies for Reducing Expenditures in Iran's Health Transformation Plan: A Qualitative Study Publisher



Rahmany K1 ; Barati M2 ; Ferdosi M1 ; Rakhshan A3 ; Nemati A4
Authors
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Authors Affiliations
  1. 1. Health Management and Economics Research center (HMERC), Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Student Research Committee, School of Management and Medical Informatics, Isfahan University of Medical Sciences, Isfahan, Iran
  3. 3. Department of Foreign Languages, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran

Source: Medical Journal of the Islamic Republic of Iran Published:2018


Abstract

Background: 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. Methods: 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. Results: 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. Conclusion: 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. © 2018 Iran University of Medical Sciences.
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