Examination of the challenges in various sectors of the healthcare system and providing recommendations to the 14th administration to overcome the obstacles in the healthcare system
Abstract
Nowadays , health is regarded as a natural right for society from a social perspective and as a strategic issue for the government from an economic standpoint. The goal of extending healthcare services to everyone should be based on eliminating discrimination between different segments of society. In this context, the provision of healthcare services is considered not so much as a commercial market, but as a universal right, and the administration is committed to providing at least basic healthcare services to all individuals in society. States, by establishing and strengthening the healthcare system, are obligated to provide the health services required by the people.
In this article, you will also read about:
1.Health in the Seventh Development Plan
2.The challenges of the healthcare system, which include:
.Challenges of governance and the establishment and strengthening of regulatory frameworks
.Health insurance; Lack of adequate insurance coverage and instability in resource allocation
.The family doctor program which faced many obstacles and couldn’t be implemented
. Human resources which faced many challenges
.Increase in the price of drugs and medical equipment
.And the realignment of healthcare service tariffs
3. Suggestions for addressing the problems of the healthcare system, which include:
.With regard to governance; continuous publication and updating of the list of names and service locations of personnel with service commitments; and
conducting inter-provincial inspections
.With regard to Health insurance; determining and allocating the Ministry of Health’s share of resources obtained from taxes, establishing a mechanism for the payment of the administration subsidy share, clarifying the role of the Planning and Budget Organization
.Revising the family medicine program by Implementing the program as a trial in several provinces, making amendments, comprehensive coverage of the patient referral and treatment process, including level one
.Regarding to human resources, assigning individuals based on priorities like education or family location; setting activity limits for contract doctors and using part-time doctors to address staff shortages; conducting a study to compare the required number of doctors in cities with free practice licenses and contract doctors
. Organizing drugs and medical equipment
.With regard to healthcare service tariffs; establishing a comprehensive health rules database and implementing clinical guidelines, completing the electronic health records and connecting all relevant systems, and managing health resources solely through insurance companies.
This study was conducted at the Soraya Research Center by Ali Chehreghani in 2024.
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