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Journal of Health Management and Informatics، جلد ۹، شماره ۲، صفحات ۱۰۷-۱۱۵
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عنوان انگلیسی Analysis of the Health Sector Evolution Plan from the Viewpoint of Out-of-pocket Payment: A Multiple Streams Model
چکیده انگلیسی مقاله Introduction: Health Sector Evolution Plan (HSEP) is regarded as one of the most dominantreforms in the health system in Iran. This study aimed to review the agenda setting of Outof-Pocket Payment (OOP) reduction in HSEP plan by using the multiple streams Kingdon’smodel.Methods: This is a qualitative study conducted through ten semi-structured interviews.Sampling was purposeful and continued until reaching data saturation based on snowballsampling method. To formulate a theoretical structure and review the potential explanations,we used the framework analysis.Results: A higher proportion of growth in OOP expenditures and catastrophic health costsamong Iranian population in the years 2002-2012 was identified as the Problem stream.Emphasis on establishing an equitable financing system to reduce the problems of gettingaccess to health services based on population health needs led to the Policy stream whichhas been considerably supported by the Islamic Consultative Assembly and Iran Ministry ofHealth and Medical Education. Such supports were made possible by approving the budgetin 2014 and allocating appropriate resources (Political stream).Conclusion: By examining the method of setting the policy of OOP reduction as agenda, wecan make a precise analysis of the basis of this policy, and by emphasizing these three streamsin order to introduce corrective policies, we can improved it, if necessary.
کلیدواژه‌های انگلیسی مقاله Out-of-pocket payments, agenda setting, multiple streams model, Healthcare Sector, Iran
نویسندگان مقاله Mohammad Ranjbar |
Health Policy and Management Research Center, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

Hasan Jafari |
Health Policy and Management Research Center, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

Rahele Akbari |
Department of Health Technology Assessment, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

Habibeh Ziadpour |
Department of Health Technology Assessment, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

Fahimeh Golmakani |
Department of Health Technology Assessment, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

Maryam Nazari-moghadam |
Department of Health Technology Assessment, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

نشانی اینترنتی https://jhmi.sums.ac.ir/article_48705_b83101a2a9786a2d3b74e86ddf47adf4.pdf
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