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OPINION
Year : 2020  |  Volume : 11  |  Issue : 1  |  Page : 121

How health transformation plan was designed and implemented in the Islamic Republic of Iran?


1 Cancer Research Centre of Cancer Institute, Tehran University of Medical Sciences, Tehran, Iran
2 Department of Cardiology, School of Medicine, Prevention of Cardiovascular Disease Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3 Department of Pediatric Gastroenterology, School of Medicine, Pediatric Gastroenterology, Hepatology and Nutrition Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4 Nanotechnology Research Centre, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran
5 Knowledge Utilization Research Center, University Research and Development Center, Tehran University of Medical Sciences, Tehran, Iran
6 Research Group of Health Stewardship, National Institute for Health Research, Tehran University of Medical Sciences, Tehran, Iran
7 Secretariat on Health Observatory, National Institute for Health Research, Tehran University of Medical Sciences, Tehran, Iran
8 Research Group of Health Economic, National Institute for Health Research, Health Equity Research Center, Tehran University of Medical Sciences, Tehran, Iran
9 Knowledge Utilization Research Center, Community Based Participatory Research Center, Department of Epidemiology and Biostatistics, Tehran University of Medical Sciences, Tehran, Iran

Correspondence Address:
Haniye Sadat Sajadi
University Research and Development Center, Tehran University of Medical Sciences, Tehran
Iran
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijpvm.IJPVM_430_19

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Following his inauguration in late 2013, President Rouhani aimed to boost quality and equity in the health care delivery system. To fulfill this aim, a set of interventions, called Health Transformation Plan (HTP), were implemented. So far, it has been a heated debate whether HTP breathes a spirit of a new reform. HTP has targeted long-standing historical deficits of the Iranian health system as well as urgent problems, both of which have been, to some extent, resolved. To decrease Out-Of-Pocket (OOP) health expenditures, HTP has presented new financing mechanisms to expand a safety net to Iranian citizens fundamentally. HTP also encompassed interventions to overcome problems in the provision of health care by recruitment of health workforces, establishing new health facilities, and expanding primary health care to urban and peri-urban areas. Furthermore, performance indicators including access, quality, and patient satisfaction have been affected. Given these changes, HTP is entitled to be a health system reform. However, a new agenda within HTP is required so that the Iranian health system can obtain better value for money that is to be spending on it.


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