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Healthcare transparency in Iran: anticipated benefits, risks, opportunities and barriers
Hossein Bouzarjomehri1, Mohammadreza Maleki1, Iravan Masoudi-Asl1
1Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Enhancing transparency in Iran's healthcare system offers benefits like reduced corruption and improved quality. Addressing political resistance and leveraging opportunities are crucial for successful policy reform.
Area of Science:
- Health Policy and Governance
- Healthcare Management
- Public Health
Background:
- Transparency is crucial for effective governance but is lacking in Iran's healthcare sector.
- Understanding the benefits, risks, opportunities, and barriers (BROB) is essential for policy reform.
Purpose of the Study:
- To identify and prioritize the BROB of transparency in Iran's healthcare system.
- To inform policy development for enhancing healthcare governance.
Main Methods:
- A modified Delphi approach was employed, integrating a scoping review and expert interviews.
- Three Delphi rounds involving 70 participants were conducted to validate the BROB framework.
Main Results:
- 54 out of 70 initial propositions on BROB were validated.
- Confirmed benefits include reduced corruption and improved service quality; acknowledged risks are minimal.
- 52 out of 55 assessed opportunities and barriers were confirmed, categorized into political, managerial, social, and technical factors.
Conclusions:
- Transparency can significantly improve Iran's healthcare system, but faces substantial systemic and political challenges.
- Public demand and digital infrastructure present key opportunities for driving change.
- A roadmap for policymakers is provided to design tailored transparency strategies and overcome constraints.
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