health system reform plan
Health is one of the main axes of sustainable development and improvement of quality of life in all countries. Preserving health in a country is the bedrock of any other measures in the area of economic-social planning. In this regard, the World Health Organization (WHO) maintains that access to the highest health standards is the right of everyone. According to WHO, countries are required to codify, plan, and implement their health program as per the international and regional indices to minimize social, economic and health injustices (Bagheri Lankarani et al., 2017). Health in the society is guaranteed through realization of social development condition and provision of public health and hygiene services (Esmailzadeh et al., 2013). Attempts to alleviate injustice in access to health services are common in most of countries (Ferdosi et al., 2017).
The Health System Reform Plan (HSRP) has been implemented in 21 countries (e.g. Turkey, the UAE, Chili, Kosovo, India, Ghana, Kenia, Indonesia, Mali, Nigeria, Rwanda, South Africa, China, Philippine, Mexico, Vietnam, and Iran) over the past 15 years. All these countries have tried to improve their public health coverage level especially in less developed districts. Along with China, Philippine, and Turkey, Iran is one of the successful cases of implementation of HSRP (Bagheri Lankarani et al., 2017). The main objective of HSRP is to provide preventive services, improve and upgrade quality of therapeutic-care services, empower health and treatment system, improve health condition, respond to the needs of the public and society (Shohani et al., 2017), solve financial problems of health services provider and insurance companies, and improve management structures (Moradi et al., 2017). Health injustice means inequality in the provision of facilities and access to health services for different social groups. In addition, ensuring the future of health and hygiene in the public depends on the capability of health service system to create and maintain such equality and justice (Coulter and Jenkinson, 2005).
The program for reforming health-treatment system in Iran was prepared before the 1978’s revolution and it was implemented by health officials afterwards (Rajabi et al., 2013). However, Iran’s position in terms of some of health indices has not been satisfactory comparing countries in the Middle East and Asia. For instance, response rate in Iran health system was 67% for out-going services and 73% for hospitalized services, which were less than Brazil and 14 European countries (above 81%) (Piroozi et al., 2016). In addition, 70% of medical costs were paid by the patient and on average and the heavy load of medical costs would take7% of Iranian population under the poverty threshold each year .