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:: Volume 6, Issue 2 (summer 2022) ::
Iran J Cult Health Promot 2022, 6(2): 292-301 Back to browse issues page
Equity in Iran's Health System
Azam Kamali , Khalil Ali Mohammad Zadeh , Seyed Shahabedin Sadr , Ahmad Fayaz Bakhsh , Shahram Tofighi , Alireza Olyaee Manesh , Abolghasem Pourreza , Narges Tabrizchi
Health Services Management Department, Islamic Azad University North Tehran Branch, Health Economics Policy Research Center Tehran Islamic Azad university of Medical Sciences, Tehran, Iran
Abstract:   (5250 Views)
Background: One of the important goals in health policy is to ensure equity in health. Equity in health means absence of systematic and potentially remediable differences in one or more aspects of health in a population and economic, social, demographic and geographic subgroups.
Methods: This study was conducted by reviewing available scientific literature and texts and examining articles, theses, reports and resources available in internal and external databases and the conference held by the Academy of Medical Sciences by using relevant keywords. A time frame of the last 10 years was considered for queries.
Results:  Analysis of the studies showed that the progress of the index of the policies of the health sector has not been able to create a significant change in the direction of improving equity. Discrimination in service coverage, gender discrimination, access to services in remote areas and lack of health services in low-income groups still exist despite the 40-year achievements of the revolution and emphasis on this issue in the first to fifth development programs. Although the transformation plan was able to reduce costs of inpatient services, the costs of justice in financial participation and the index of health costs of the poor is high.
Conclusion: Recurring budget deficit in the health sector shows the instability of the financial resources of this sector. The inconsistencies between the Ministry of Health and Medical Education and the Ministry of Economy and Welfare are effective in not achieving justice in health.
One of the approaches to improve indicators and control costs in all societies, whether rich or poor, is management of limited health resources. According to the law of the fifth development plan, full implementation of the family physician program, the referral system, and expansion of insurance coverage can help improve equity in health and reduce costs for the public.
Keywords: Health Equity, Health Equity Standards, Iran Health System
Full-Text [PDF 320 kb]   (2797 Downloads)    
Letter: Review Article | Subject: Special
Received: 2022/06/14 | Accepted: 2022/07/13 | ePublished ahead of print: 2022/09/11 | Published: 2022/09/22
References
1. 1. Marandi A, Damari B, Zeinaloo A, Motlagh E, Shadpour K. Review of the thirty years experience of the Islamic Republic of Iran on Social Determinants of Health and Health Equity The future course: roles and orientations of the Islamic Consultative Assembly, Journal of Medical Council of Iran 2012; 30(3): 225. [In Persian]
2. 2. Ghoroubi N. An analysis of instrument measures for evaluation on health equity in Iran. A thesis submitted to the Graduate Studies Office in partial fulfillment of the requirements for the degree of Master of Arts in Sociology; 2017.
3. 3. Mirhadi tafreshi M,Yosefi B. A thesis submitted to the Graduate Studies Office in partial fulfillment of the requirements for the degree of Master of Arts in Sociology. Journal of Pizhūhish dar dīn va salāmat 2021; 7(1): 150-163. [In Persian]
4. 4. Mohagheghi MA, Sadr Sh, AliMohammadzadeh Kh, OuliaiMenesh A, PourReza A, Fayazbakhsh A. Justice in Health Conference, Academy of Medical Sciences of the Islamic Republic of Iran ; 2022.
5. 5. Barati O, Keshtkaran A, Ahmadi B, Hatam N, Khammarnia M, Siavashi E. Equity in the Health System: An Overview on National Development Plans. Sadra Med Sci J 2014; 3(1): 77-88.
6. 6. Alami A. Equity in health from social determinants of health ’s point of view. Journal of Research & Health 2011; 1:7-9. [In Persian]
7. 7. Hssanzadeh A. Theoretical foundations of equity in health, the study of equity in health in Iran. Social Security Quarterly 2011; 9(28). [In Persian]
8. 8. Mojdehkar R, Hajinabi K, Jahangiri K, Riahi L. Prioritizing influential financial indicators in equitable health financing based on the fairness benchmarking framework. Feyz 2020; 23(6): 698-705. [In Persian]
9. 9. Rashidian A, Soofi M. Methodology of the Assessment of Financial Protection Against Health Costs. Iranian Journal of Epidemiology 2015; 11(1): 82-93.
10. 10. Zafarian R, Abedi G, Mahmoudi G. Level of Development with Approach to Health Equity in Mazandaran Province. Mazandaran Univ Med Sci 2016; 26 (144): 336-340. [In Persian]
11. 11. Karimi S, Bahman Ziari N. Equity in Financial Indicators of the Health in Iran during the Third and Fourth Development Programs. Health Inf Manage 2013; 9(7): 1113-22. [In Persian]
12. 12. Peseshkian M .Equity in Healthcare after the Islamic Revolution now 40 years Onward. Journal of Culture and Health Promotion 2018; 2(4): 493-501. [In Persian]
13. 13. Gharani M. Government and health policy in Iran.. Social Science Quarterly; 2013.
14. 14. Malekafzali H, Malekafzali B. Indicators of Equity in Health and its Social Determinants. Journal of Culture and Health Promotion 2021; 4(2): 141-154. [In Persian]
15. 15. Emamgholipour Sefiddashti S, Zamandi M. Analysis of Health System Decentralization Outcomes on Governance and Justice in Health: Updating Regular Review Studies. Health Research Journal 2018; 3(4): 211-224. [In Persian]
16. 16. Hajimahmoodi H, Zahedi F. Justice in the healthcare system: payment and reimbursement policies in Iran. Journal of Culture and Health Promotion 2014; 6(3): 1-16. [In Persian]
17. 17. Nazari H. Assessment of effects of operational budget of health sector on health equity development. A thesis submitted in partial fulfillment of the requirements for the degree of Master of Health Economics; 2016.
18. 18. Rashidian A, Arab M, Mostafavi H. Freedom and equity in Iranian health system: a qualitative study. Payesh 2017; 16(6): 747-757. [In Persian]
19. 19. Ghiasvand H, Mohamadi E, Olyaeemanesh A, Kiani M M, Armoon B, Takian A. Health equity in Iran: A systematic review. Med J Islam Repub Iran 2021; 35(1): 394-408. [In Persian]
20. 20. Jamshidi L, Ramezani M, Razavi SS, Ghalichi L. Equity in the quality of hospital services in Iran . Med J Islam Repub Iran 2017; 31(1): 735-739. [In Persian]
21. 21. Mostafavi F, B Piroozi B, Paola Mosquera, Majdzadeh R and Moradi G, Assessing horizontal equity in health care utilization in Iran: a decomposition analysis. BMC public Health 2020; 20: 914.
22. 22. Ravaghi H, Goshtaei M, Olyaee Manesh A, Abolhassani N, Arabloo J. Stakeholders' perspective on health equity and its indicators in Iran. Med J Islam Repub Iran 2015; 29(1): 713-723. [In Persian]
23. 23. Beheshtian M, Olyaee Manesh O, Bonakdar SH, Malek Afzali H , et al. Intersectoral Collaboration to Develop Health Equity Indicators in Iran. Iranian J Publ Health 2013, 42(1): 31-35. [In Persian]
24. 24. Kazemian M, Tajbakhsh E. Vertical EVertical Equity of Healthcare Utilization Services in Health Insurance Program of Iran. Jha 2016; 18(62): 31-41. [In Persian]
25. 25. Vaez mahdavi M. Justice in health and barriers to access. Vista News Hub.
26. 26. Safari Shalie R. Justice Discourse in the Field of Health in the Aftermath of the Islamic Revolution in Iran. Strategic Studies Quarterly 2017; 19(74): 89-114. [In Persian]
27. 27. Damari B, Minaee F, Sahand Riazi-Isfahani S. Challenges and requirements for achieving equity in health in Islamic Republic of Iran. Hakim Health Sys Res 2019; 21(4): 266- 273. [In Persian]
28. 28. World Health Organization. Public Health Agency of Canada. Health Equity Through Intersectoral Action: An Analysis of 18 Country Case Studies. WHO/PHAC; 2008.
29. 29. Thrift AG, Sturm JW, Paul SL, Gilligan AK, Srikanth VK, Macdonell RA, et al. Greater incidence of both fatal and nonfatal strokes in disadvantage areas. Stroke 2006; 37: 877-82.
30. 30. Wehrmeister FC, da Silva IC, Barros AJ, Victora CG. Is governance, gross domestic product, inequality, population size or country surface area associated with coverage and equity of health interventions? Ecological analyses of cross-sectional surveys from 80 countries. BMJ global health 2017; 2(4): e000437.
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kamali A, Ali Mohammad Zadeh K, Sadr S S, Fayaz Bakhsh A, Tofighi S, Olyaee Manesh A, et al . Equity in Iran's Health System. Iran J Cult Health Promot 2022; 6 (2) :292-301
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Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 6, Issue 2 (summer 2022) Back to browse issues page
نشريه فرهنگ و ارتقاء سلامت Iranian Journal of Culture and Health Promotion
Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
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