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:   (856 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

References
1. 1. Mosadeghrad AM. Essentials of healthcare organization and management, Tehran: Dibagran Tehran; 2015. [Persian]
2. 2. WHO. The World health report 2000: Health systems: improving performance. Geneva, Switzerland: World Health Organization; 2000.
3. 3. WHO. Everybody’s business: strengthening health systems to improve health outcomes: WHO’s framework for action. Geneva, Switzerland: World Health Organization; 2007:1-56.
4. 4. Davies CAP, Artigas L, Holloway J, McConway K, EA Newman J. Links between governance, incentives and outcomes: a review of the literature.London: National Coordinating Centre for NHS Service Delivery and Organisation; 2005.
5. 5. Mosadeghrad AM, Akbari-sari A, Yousefinezhadi T. Evaluation of hospital accreditation method. Tehran Univ Med J; 2017. 75(4):288-29.8. [Persian]
6. 6. World Bank. 1989. From Crisis to Sustainable Growth - Sub Saharan Africa: A Long-term Perspective Study. Washington, DC: World Bank. http://docu ments.worldbank.org/curated/en/1989/ 11/439705/crisis-sustainable-growth-sub-saharan-
7. africa-long-term-perspective-study
8. 7. Kaufmann D, Kraay A, Zoido-Lobaton P. Governance matters. Washington, DC: The World Bank; 1999.
9. 8. Kickbusch I, Gleicher D. Governance for health in the 21st century. World Health Organization, 2012.
10. 9. Lankarani KB, Alavian SM, Peymani P. Health in the Islamic Republic of Iran, challenges and progresses. Med J Islam Repub Iran; 2013.27(1):42.
11. 10. Moghaddam AV, Damari B, Alikhani S, Salarianzedeh MH, Rostamigooran N, Delavari A, Larijani B. Health in the 5th 5-years Development Plan of Iran: main challenges, general policies and strategies. Iran J Public Health; 2013.42(Supple1):42.
12. 11. Babones SJ. Methods for Quantitative Macro-Comparative Research. SAGE Publications, 2013.
13. 12. Levac D, Colquhoun H, O'Brien KK. Scoping studies: advancing the methodology. Implement Sci; 2010.5(1):69.
14. 13. Arksey H, O'Malley L. Scoping studies: towards a methodological framework. Int J Soc Res Method; 2005.8(1):19-32.
15. 14. WHO. World health statistics 2016: Monitoring health for sustainable development goals. Geneva, Switzerland: World Health Organization; 2016.
16. 15. Smith PC, Anell A, Busse R, Crivelli L, Lindahl AK, Westert G, et al. Leadership and governance in seven developed health systems. Health Policy, 2012; 106: 37–49.
17. 16. Glenngård AH. International Profiles of Health Care Systems: The Swedish Health Care System, The Commonwealth Fund. 2017.
18. 17. Thorlby R, Arora S. International Profiles of Health Care Systems: The English Health Care System, The Commonwealth Fund. 2017.
19. 18. The Commonwealth Fund. International Profiles of Health Care Systems: The U.S. Health Care System, The Commonwealth Fund. 2017.
20. 19. Allin S, Rudoler D. International Profiles of Health Care Systems: The Canadian Health Care System, The Commonwealth Fund. 2017.
21. 20. Mosadeghrad AM. Health Transformation Plan in Iran. in J. Braithwaite, W. James, & K. Ludlow (Eds.) Health Systems Improvement across the Globe: Success Stories from 70 Countries, Taylor & Francis. 2017.
22. 21. Atun R. Transforming Turkey's health system: lessons for universal coverage. New England J Med; 2015.373(14):1285-9.
23. 22. Matsuda R. International Profiles of Health Care Systems: The Japanese Health Care System, The Commonwealth Fund. 2017.
24. 23. Liu Ch, Haseltine W. International Profiles of Health Care Systems: The Singaporean Health Care System, The Commonwealth Fund. 2017.
25. 24. Mossialos E, Djordjevic A, Osborn R, Sarnak D. International Profiles of Health Care Systems, The Commonwealth Fund. 2017.
26. 25. Tatar M, Mollahalilog˘lu S, Sahin B, Aydin S, Maresso A, Hernández-Quevedo C. Health Systems in Transition: Turkey, Health system review, 2011. Euopean Observatoty on Health systems and policies. 2011.
27. 26. Laurell AC. Universal health coverage in Latin America? Soc Med; 2016 Jan 1.9(2):54-5.
28. 27. Rhodes M. Southern European welfare states: Between crisis and reform. Routledge; 2014 Feb 4.
29. 28. Glover L. International Profiles of Health Care Systems: The Australian health care system, The Commonwealth Fund. 2017.
30. 29. Blümel M, Busse R. International Profiles of Health Care Systems: The German health care system, The Commonwealth Fund. 2017.
31. 30. Tatara K, Okamoto E. Japan health system review. Health in Transition(HiT). European observatory on health systems and policies. 2009; 11 (5). Available at: http://www.euro.who.int/en/about-us/partners/observatory/publications/health-system-reviews-hits
32. 31. Veillard JHM, Brown AD, Baris E, Permanand G, Klazinga NS. Health system stewardship of National Health Ministries in the WHO European region: Concepts, functions and assessment framework. Health Policy; 2011.103:191–199.
33. 32. Hauge S. Primary care in Cuba. The Einstein J Bio Med; 2007.23:37-42.
34. 33. Zuckerman RB, Sheingold SH, Orav EJ. Readmissions, Observation, and the Hospital Readmissions Reduction Program. New Eng J Med; 2016.374(16):1543–51.
35. 34. Barbazza E, Tello JE. A review of health governance: Definitions, dimensions and tools to govern. Health Policy; 2014.116:1–11.
36. 35. Mosadeghrad AM. Handbook of hospital professional organisation and management (1), Tehran: Dibagran Tehran, Iran, 2004. [in Persian]
37. 36. Yousefinezhadi T, Mosadeghrad AM, Arab M, Ramezani M, Akbari-sari A. An Analysis of Hospital Accreditation Policy in Iran. Iran J Public Health; 2017.46(10):1347-1358.
38. 37. Mosadeghrad AM, Akbari-sari A, Yousefinezhadi T. Evaluation of hospital accreditation standards. Razi J Med Sci; 2017.23 (153):50-61. [Persian]
39. 38. Mosadeghrad AM, Akbari-sari A, Yousefinezhadi T. Evaluation of hospital accreditation implementation in Iran. Payesh; 2019.18(1):23-35. [Persian]
40. 39. Mosadeghrad AM, Akbari Sari A, Yousefinezhadi T. Evaluation of accreditation effects in hospitals. Tehran Univ Med J. 2019.76(12):804-812. [Persian]
41. 40. Mosadeghrad A, Shakibaei E. Hospital Accreditation Implementation Prerequisites. JHOSP; 2017.16 (3):43-56.

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