a central problem in designing effective models of provider governance in health systems has been to ensure an appropriate balance between the concerns of public sector and/or government decision-makers, on the one hand, and of non-governmental health services actors in civil society and private life, on the other. in tax-funded european health systems up to the 1980s, the state and other publi...

health reform is the outcome of dispersed policy initiatives in different sectors, at different levels and across time. policy work which can drive coherent health reform needs to operate across the governance structures as well as the institutions that comprise healthcare systems. building policy capacity to support health reform calls for clarity regarding the nature of such policy work and t...

in 2014, a series of reforms, called as the health sector evolution plan (hsep), was launched in the health system of iran in a stepwise process. hsep was mainly based on the fifth 5-year health development national strategies (2011-2016). it included different interventions to: increase population coverage of basic health insurance, increase quality of care in the ministry of health and medica...

0

it is difficult to disagree with the general argument that successful health reform requires a significant degree of policy capacity or that all players in the policy game need to move beyond self-interested advocacy. however, an overly broad definition of policy capacity is a problem. more important perhaps, health reform inevitably requires not just policy capacity but political leadership an...

background: today health care system is considered as a important organization to achieve equity and improve the performance so it is necessary for policy makers and decision makers improve performance of health care system. this study was performed to evaluate the health care reform program with emphasis to decrease catastrophic payment of patients hospitalized in public hospitals. methods: th...

background: the objective of the health system reform plan is to review individuals’ satisfaction in the field of health and to reduce their concerns and medical expenses. the disregarding of some workers in this plan seems to have resulted in their dissatisfaction, which can in turn cause problems such as neglecting of patients and patients' dissatisfaction. therefore, the identification ...

recognizing the advantages of primary care as a means of improving the entire health system, this text comments on reforms of publicly funded primary health centers, and the rapid development of private forprofit providers in sweden. many goals and expectations are connected to such reforms, which equally require critical analyses of scarce resources, professional trust/motivation and business ...

background in 2004, the health system in iran initiated an organizational reform aiming to increase the autonomy of teaching hospitals and make them more decentralized. the policy led to the formation of a board of trustees in each hospital and significant modifications in hospitals’ financing. since the reform aimed to improve its predecessor policy (implementation of hospital autonomy began i...

conclusions with regard to the current challenges in iran’s health system, using risk-adjusted capitation as a primary healthcare payment system can lead to useful changes in the health system’s features. however, future research should focus on the development of the risk-adjusted capitation model. background when a country’s health system is faced with fundamental flaws that require the redes...