دوره 9، شماره 2 - ( 2-1404 )
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Salarikheh E, Vahdat S, Hesam S. Key Factors Influencing Health System Governance in Iran: A Scoping Review. EBHPME 2025; 9 (2)
URL: http://jebhpme.ssu.ac.ir/article-1-533-fa.html
URL: http://jebhpme.ssu.ac.ir/article-1-533-fa.html
Key Factors Influencing Health System Governance in Iran: A Scoping Review. 1. 1404; 9 (2)
چکیده: (19 مشاهده)
Background: Governance is one of the important functions of health system management. Good health system governance leads to better health system performance and ultimately, better health outcomes for the people. However, the concept of governance in the health system is ambiguous and complex. Therefore, this study aims to explain the key factors affecting health system governance.
Methods: This research was conducted using a conceptual review method. For this purpose, all articles related to health system governance were searched and collected from the databases Google Scholar, Science Direct, PubMed, EMBASE, ProQuest, and Scopus. Search keywords included "health governance," "Iran health system," and "health challenges." After initial screening, 80 relevant articles were selected and meticulously analyzed using content analysis method.
Results: Analysis of the 80 selected studies showed that the key factors affecting health system governance in Iran fall into five main categories: Economic-financial factors: International sanctions (40% reduction in imports of specific drugs), high out-of-pocket payments (38-42%), and inefficient budget allocation. Structural challenges: Severe centralization (87% of decisions made in Tehran), parallel work by institutions, and policy changes with government shifts. Information technology weakness: Lack of integrated electronic health records and absence of a performance monitoring system. Socio-cultural factors: Regional inequalities and rising public expectations. International environment: Dependence on imports of medical equipment.
Methods: This research was conducted using a conceptual review method. For this purpose, all articles related to health system governance were searched and collected from the databases Google Scholar, Science Direct, PubMed, EMBASE, ProQuest, and Scopus. Search keywords included "health governance," "Iran health system," and "health challenges." After initial screening, 80 relevant articles were selected and meticulously analyzed using content analysis method.
Results: Analysis of the 80 selected studies showed that the key factors affecting health system governance in Iran fall into five main categories: Economic-financial factors: International sanctions (40% reduction in imports of specific drugs), high out-of-pocket payments (38-42%), and inefficient budget allocation. Structural challenges: Severe centralization (87% of decisions made in Tehran), parallel work by institutions, and policy changes with government shifts. Information technology weakness: Lack of integrated electronic health records and absence of a performance monitoring system. Socio-cultural factors: Regional inequalities and rising public expectations. International environment: Dependence on imports of medical equipment.
Conclusion: Improving health system governance in Iran requires comprehensive reform in four key areas: enhancing transparency and accountability through a Supreme Health Council, increasing financial flexibility via a sustainable health fund and value-based payments, promoting digital transformation with integrated electronic records and AI, and ensuring equity through fair resource allocation. Global evidence shows that such reforms can boost system efficiency by up to 40%, making governance improvement a crucial investment for advancing population health and achieving sustainable development in Iran.
نوع مطالعه: مروری |
دریافت: 1404/2/1 | پذیرش: 1404/2/30 | انتشار: 1404/2/30
دریافت: 1404/2/1 | پذیرش: 1404/2/30 | انتشار: 1404/2/30
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