Volume 26, Issue 9 (12-2019)                   RJMS 2019, 26(9): 10-28 | Back to browse issues page

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Mosadeghrad A M, Rahimi-Tabar P. Health system governance in Iran: A comparative study. RJMS 2019; 26 (9) :10-28
URL: http://rjms.iums.ac.ir/article-1-5261-en.html
Tehran University of Medical Sciences, Tehran, Iran , p-rahimitabar@alumnus.tums.ac.ir
Abstract:   (11184 Views)

Background: Governance has a critical impact on health systems’ performance and achieving sustainable health goals. This research aimed to compare the health system governance of countries with good health system performance and propose a model for health system governance of Iran.
Methods: This comparative study was conducted using scoping review in 2016. The health sector governance of 11 countries (i.e. Australia, Germany, USA, England, Iran, Turkey, Japan, Singapore, Sweden, Canada and Cuba) was examined in 7 dimensions including structure, communication, regulation, policy making and planning, stewardship, evaluation and accreditation, and customer protection.
Results: The current health system governance produces challenges in achieving health system goals. Developing an integrated health system model comprising health system enablers (building blocks) and results, reducing the number of directorates in ministry of health, developing communications with other external organizations, using evidences in policy making and planning, enhancing leadership, management and stewardship and developing comprehensive standards for evaluation and accreditation of healthcare organizations are recommended to enhance the health system governance of Iran. Indicators such as transparency, democracy, and corruption control, rule of law, ethics, accountability, effectiveness, efficiency, equity, sustainability and resiliency can be used for evaluation of Iran health system governance.
Conclusion: The health system governance of Iran faces numerous challenges. Benchmarking good performing countries’ experience help to reduce the challenges and achieve health system goals.
 

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Type of Study: review article | Subject: Educational Health

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