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New Financial Management System for Iran Public Health Sector: A Qualitative Study Publisher



Abolhallaj M1 ; Jafari M1, 2 ; Seyedin H3 ; Salehi M4 ; Pourtaleb A1 ; Rahmani K5 ; Hosseini SE6
Authors
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Authors Affiliations
  1. 1. Health Managers Development Institute, Ministry of Health and Medical Education, Tehran, Iran
  2. 2. Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, No. 6, Rashid Yasemi St., Vali-e-asr Ave, Tehran, 1995614111, Iran
  3. 3. Department of Health in Disaster and Emergencies, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
  4. 4. Department of Biostatistics, School of Public Health, Iran University of Medical Sciences, Tehran, Iran
  5. 5. Health Management and Economics Research Center, Faculty of Management and Medical Informatics, Isfahan University of Medical Sciences, Isfahan, Iran
  6. 6. Student Research Committee, School of Health Management and Information Sciences, Isfahan University of Medical Sciences, Isfahan, Iran

Source: Journal of Education and Health Promotion Published:2021


Abstract

BACKGROUND: Financial management system acts as a driving force and the first important principle of health sector reform. This study aimed to prepare a framework for new financial management system in Iran health sector. MATERIALS AND METHODS: This qualitative study was conducted by content analysis approach and 15 key informant participants selected through purposive sampling consisted of three minsters of Ministry of Health and Medical Education (MOHME), three vice-chancellors in the Center of Resource Development and Management, Two members of the Health Assembly of the Islamic Consultative, four Medical Sciences university's presidents, and three managers in Budgeting and performance Monitoring Center of MOHME in 2017. Data were collected through semi-structured interviews and they were analyzed using Atlas T 6 software. RESULTS: Six main themes were emerged as follow: 'legal reform,' 'removing barriers to set up accrual accounting,' 'cost price calculation,' 'operational planning and budgeting,' 'human resources' organization, recruitment, and moderation,' and 'financial system output utilization (management accounting techniques) as the base for evidence-based policymaking and decision-making practices.' CONCLUSION: Any efforts for improving the current situation and reducing of mentioned limitations could be useful in providing required space for future phases of reforms and calculation of unit cost, operational budgeting, and management of cost and productivity. This can be achieved through an integrated system of recording and producing standard and accrual financial information. Furthermore, changing the accounting process and the financial system that complies with one single encoding in the country is a key issue. © 2021 Wolters Kluwer Medknow Publications. All rights reserved.
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