ArticleBMC health services research2020
Health insurance benefit package in Iran: a qualitative policy process analysis.
Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Quality of Service and Cost of Managing an Episode of Major Depressive Disorder: A Cohort Study in Iran.Archives of Iranian medicine · 2026Article
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- Medical insurance-related professionals' identification of the benefits of the medical insurance system in Northeast China: a cross-sectional study.BMC health services research · 2025Article
- Impacts of economic sanctions on population health and health system: a study at national and sub-national levels from 2000 to 2020 in Iran.Globalization and health · 2024Article
- Identifying and prioritizing inefficiency causes in Iran's health system.Cost effectiveness and resource allocation : C/E · 2024Article
- Iran's health insurance ecosystem: challenges and strategies.BMC public health · 2024Article
- Challenges in institutionalizing evidence-informed priority setting for health service packages: a qualitative document and interview analysis from Iran.Health research policy and systems · 2024Article
- Healthcare priority-setting criteria and social values in Iran: an investigation of local evidence.International journal of technology assessment in health care · 2023Review
- Network analysis of Iranian's health insurance ecosystem before and after the introduction of Universal Health Insurance law.Global health research and policy · 2023Article
- Perceptions of the benefits of the basic medical insurance system among the insured: a mixed methods research of a northern city in China.Frontiers in public health · 2023Article
- Article
- The Use of Evidence-Informed Deliberative Processes for Health Insurance Benefit Package Revision in Iran.International journal of health policy and management · 2022Article
- Qualitative analysis of Iranian sixth five-year economic, social, and cultural development plan from universal health coverage perspective.BMC health services research · 2021Article
- Designing an Informal Payment Model for Patients Admitted in the Iran Health System: A qualitative Study.Ethiopian journal of health sciences · 2021Article
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Authors and funding
7 authors.
Funding
Abstract
backgroundInsufficient transparency in prioritization of health services, multiple health insurance organizations with various and not-aligned policies, plus limited resources to provide comprehensive health coverage are among the challenges to design appropriate Health Insurance Benefit Package (HIBP) in Iran. This study aims to analyze Policy Process of Health Insurance Benefit Package in Iran.
methodData were collected through semi-structured interviews with 25 experts, plus document analysis and observation, from February 2014 until October 2016. Using both deductive and inductive approaches, two independent researchers conducted data content analysis. We used MAXQDA.11 software for data management.
resultsWe identified 10 main themes, plus 81 sub-themes related to development and implementation of HIBP. These included: lack of transparent criteria for inclusion of services within HIBP, inadequate use of scientific evidence to determine the HIBP, lack of evaluation systems, and weak decision-making process. We propose 11 solutions and 25 policy options to improve the situation.
conclusionThe design and implementation of HIBP did not follow an evidence-based and logical algorithm in Iran. Rather, political and financial influences at the macro level determined the decisions. This is rooted in social, cultural, and economic norms in the country, whereby political and economic factors had the greatest impact on the implementation of HIBP. To define a cost-effective HIBP in Iran, it is pivotal to develop transparent and evidence-based guidelines about the processes and the stewardship of HIBP, which are in line with upstream policies and societal characteristics. In addition, the possible conflict of interests and its harms should be minimized in advance.
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