[Home ] [Archive]    
:: Volume 17, Issue 1 (4-2014) ::
Hakim Health Sys Res 2014, 17(1): 1-14 Back to browse issues page
A Comparative Study of Oral Health Care Systems and Insurance Models in Selected Countries for Development of Suitable Iranian Model
Bayat F , Ebnahmady A , Samadzadeh H , Khoshnevisan MH
, khoshmh@gmail.com، mh.khoshnevisan@sbmu.ac.ir
Abstract:   (6308 Views)

    

  Bayat F1 ( PhD ), Ebnahmady A1,2 ( PhD ), Samadzadeh H3 ( DDS ), Khoshnevisan MH1,2,3 * ( PhD )

 

  1 Preventive Dentistry Research Center, Institute of Dental Research, Shaheed Beheshti Medical University, Tehran, Iran

  2 Department of Community Oral Health, Dental School, Shaheed Beheshti Medical University, Tehran, Iran

  3 Oral Health Department, Ministry of Health, Tehran, Iran

 

  Received: 24 Apr 2013, Accepted: 13 Jan 2014

 

 

  Abstract

 

  Introduction: This study aimed to determine and compare health care systems' components and national health insurance in selected countries and to present a suitable model for providing primary oral health care in Iran.

  Methods: It was a two-staged qualitative, comparative, cross-sectional study. Finland, UK, France, Canada, and Japan were selected as sample countries. The first phase, a review study to compare dental health systems of the countries, resulted in drawing tables including five characteristics: financing methods, setting, types of services, practitioners and reimbursement methods, and recipients of services. The tables determined the framework of the proposed model. In the second phase, to develop consensuses for the framework suitable for health care system in Iran, the Delphi consensus technique was used. Each Delphi round comprised a questionnaire, analysis, and a feedback report. A total of 25 senior oral and health experts agreed to participate and completed all questionnaires.

  Results: With considering dental treatment needs among Iranians, a basic package of services including primary care with emphasis on preventive services should be defined. To affordability of the services, the mentioned package should be covered by public health insurance for all Iranians. To accessibility and availability of the service at the first contact with dental hygienist or dentist, who provide regular check-ups and preventive services, defined clinics should be established. Reimbursement to practitioner could be arranged via capitation. If patients need more services, clinics will be responsible for the referral affairs to the private practitioners, through a fee-for-service contract with insurance companies. Tax and premium is the best way to financing the system. To continue health benefits, obligatory regular check-ups are required.

  Conclusion: Attempting to universal health insurance coverage preparing a targeted dental service package with focus on preventive care encouraging private practitioners to participate in public health insurance plan financing services through government revenues, premium, and health taxes are essential components to establish a suitable model on oral health care delivery system in Iran.

 

  Keywords: o ral health, insurance, Iran

  

 


  Please cite this article as follows:

  Bayat F, Ebnahmady A, Samadzadeh H, Khoshnevisan MH. A Comparative Study of Oral Health Care Systems and Insurance Models in Selected Countries for Development of Suitable Iranian Model.
Hakim Health Sys Res 2014 17(1): 1- 14.

 



  * Corresponding Author: Shaheed Beheshti Dental School, Tehran, Iran., Tel: +98- 912- 5442841, Fax: +98- 21- 22421813,
E-mail: mh.khoshnevisan@sbmu.ac.ir

Full-Text [PDF 479 kb]   (1093 Downloads)    

Received: 2014/03/12 | Accepted: 2014/03/12 | Published: 2014/03/12
Send email to the article author

Add your comments about this article
Your username or Email:

CAPTCHA code


XML   Persian Abstract   Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Bayat F, Ebnahmady A, Samadzadeh H, Khoshnevisan MH. A Comparative Study of Oral Health Care Systems and Insurance Models in Selected Countries for Development of Suitable Iranian Model . Hakim Health Sys Res . 2014; 17 (1) :1-14
URL: http://hakim.hbi.ir/article-1-1240-en.html


Volume 17, Issue 1 (4-2014) Back to browse issues page
فصلنامه پژوهش حکیم Hakim Research Journal
Persian site map - English site map - Created in 0.13 seconds with 29 queries by YEKTAWEB 3862