|The Policy Analysis of Iran’s Health Transformation Plan in Therapeutic Services
Haniyeh Sadat Sajadi 1, Masoumeh Hosseini 2*, Arezo Dehghani 3, Rahim Khodayari 4, Hamed Zandiyan 5,
Seyede Sana Hosseini 3
1 Iran National Institute for Health Research, Tehran University of Medical Sciences, Tehran, Iran
2 Social Affairs Deputy, Iran Ministry of Health and Medical Education, Tehran, Iran
3 Health in Emergencies and Disaster, School of Public Health and Safety,
Shahid Beheshti University of Medical Sciences, Tehran, Iran
4 School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
5 School of Management and Medical Informatics, Ardebil University of Medical Sciences, Ardebil, Iran
Background: Health Transformation Plan (HTP) is the most important effort done in Iran to achieve Universal Health Coverage. This study aimed to conduct a policy analysis of HTP in therapeutic services in Iran.
Methods: To qualitative analysis of HTP, Walt and Gilson’s Policy triangle and Kingdon’s multiple streams were employed. Data was collected through key informant interviews with stakeholders as well as a review of relevant documents and was analyzed using framework analysis. MAXQDA software was used.
Results: Legal, political, socioeconomic, international factors, and health system problems were the main factors triggering HTP. Challenges of therapeutic services implementing the second phase of the subsidy program and change of the government opened the political window of opportunity. The main strengths in HTP policy making process were using evidence, aligning with upstream documents, analyzing the situation, attracting the views of senior political leaders, planning simultaneously in different areas of the health service delivery, and prioritizing the urgent problems. Using a “top-down” approach in planning, ignoring some stakeholders, and the lack of coordination between the two areas of health service delivery were identified as weaknesses. The main objective of the HTP interventions was increasing the financial risk protection.
Conclusions: Developing a master plan based on health priorities, the efficient way of resource use and constructive collaboration with relevant stakeholders is needed to make sustainable and purposeful change in next steps of HTP. The implementation of this plan undoubtedly will require sustained financing and on-time resource allocation.
Keywords: Health Reform; Health System; Policy Analysis; Therapeutic Services; Health Policy Making
Please cite this article as follows:
Sajadi HS, Hosseini M, Dehghani A, Khodayari R, Zandiyan H, Hosseini SS. The Policy Analysis of Iran’s Health Transformation Plan in Therapeutic Services. Hakim Health Sys Res 2018; 21(2): 71- 88.
*Corresponding Author: Ph.D., Social Affairs Deputy, Iran Ministry of Health and Medical Education, Shahrak Ghods, Simaye Iran St., Ministry of Health and Medical Education, Building C, Floor 14, Social Determinant of Health office, Tehran, Iran. Tel: +98-9125265873, Email: firstname.lastname@example.org