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Medical Journal of Islamic Republic of Iran، جلد ۲۹، شماره ۱، صفحات ۶۵۹-۶۶۶

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عنوان انگلیسی The financing of the health system in the Islamic Republic of Iran: A National Health Account (NHA) approach
چکیده انگلیسی مقاله Background: The National Health Accounts keep track of all healthcare related activities from the beginning (i.e. resource provision), to the end (i.e. service provision). This study was conducted to address following questions: How is the Iranian health system funded? Who distribute the funds? For what services are the funds spent on?, What service providers receive the funds? Methods: The required study data were collected through a number of methods. The family health expenditure data was obtained through a cross sectional multistage (seasonal) survey while library and field study was used to collect the registered data. The collected data fell into the following three categories: the household health expenditure (the sample size: 10200 urban households and 6800 rural households-four rounds of questioning), financial agents data, the medical universities financial performance data. Results: The total health expenditure of the Iranian households was 201,496,172 million Rials in 2008, which showed a 34.4% increase when compared to 2007. The share of the total health expenditure was 6.2% of the GDP. The share of the public sector showed a decreasing trend between 2003-2008 while the share of the private sector, of which 95.77% was paid by households, had an increasing trend within the same period. The percent of out of pocket expenditure was 53.79% of the total health expenditure. The total health expenditure per capita was US$ 284.00 based on the official US$ exchange rate and US$ 683.1 based on the international US$ exchange rate.( exchange rate: 1$=9988 Rial). Conclusion: The share of the public and private sectors in financing the health system was imbalanced and did not meet the international standards. The public share of the total health expenditures has increased in the recent years despite the 4th and 5th Development Plans. The inclusion of household health insurance fees and other service related expenses increases the public contribution to 73% of the total.
کلیدواژه‌های انگلیسی مقاله Financing, Health System, National Health Account

نویسندگان مقاله محمدرضا ذاکری | mohammadreza zakeri
faculty of health services management, shiraz university of medical sciences, shiraz, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی شیراز (Shiraz university of medical sciences)

علیرضا اولیایی | alireza olyaeemanesh
national institute for health research, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)
سازمان های دیگر: National Institute for Health Research

مرضیه زنگنه | marziee zanganeh
hta, standard and tariff office, curative department, ministry of health medical education, tehran, iran

سازمان اصلی تایید شده: وزارت بهداشت درمان و آموزش پزشکی (Ministry of health and medical education)

محمود کاظمیان | mahmoud kazemian
department of health economics, medicine faculty, shahed university, tehran, iran

سازمان اصلی تایید شده: دانشگاه شاهد (Shahed university)

آرش رشیدیان | arash rashidian
department of health management and economics, school of public health, tehran university of medical sciences, tehran, i

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

مسعود abouhalaj | masoud abouhalaj
ministry of health and medical education, tehran, iran

سازمان اصلی تایید شده: وزارت بهداشت درمان و آموزش پزشکی (Ministry of health and medical education)

شهرام توفیقی | shahram tofighi
health management research centre, baqiyatallah university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی بقیه الله (Baqiyatallah university of medical sciences)
سازمان های دیگر: Health Management Research Centre


نشانی اینترنتی http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-870&slc_lang=en&sid=en
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