Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1399
10
1
gregorian
2021
1
1
35
1
online
1
fulltext
en
Health Transformation Plan Achievements and Outcomes in Iran (2014-2020): A Scoping Review
Public Administration & Health management and economics
Public Administration & Health management and economics
Review Article
Review Article
<strong>Background: </strong>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.<br>
<strong>Methods:</strong> 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.<br>
<strong>Results:</strong> 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.<br>
<strong>Conclusion:</strong> 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.
Heath Transformation Plan, Health Reform, Health System, Iran
1126
1128
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-5584-1&slc_lang=en&sid=1
Mehdi
Jafari
mjafari@iums.ac.ir
200319475328460069667
200319475328460069667
No
Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
Shabnam
Ghasemyani
Ghasemiyani.sh@tak.iums.ac.ir
200319475328460069668
200319475328460069668
Yes
Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
Rahim
Khodayari-Zarnaq
rahimzarnagh@gmail.com
200319475328460069669
200319475328460069669
No
Department of Health Policy and Management, School of Management and Medical Informatics, & Tabriz Health Services Management Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran
Samira
Raoofi
samira.raoofi@gmail.com
200319475328460069670
200319475328460069670
No
Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran