伊朗卫生系统预算和公共财务管理的挑战:质量研究
Tayebeh Moradi1, Mohammad Javad Kabir2, Hamid Pourasghari3
1Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Medical journal of the Islamic Republic of Iran
|August 21, 2023
概括
伊朗的卫生部门面临着严峻的预算挑战,主要是预算制定,执行和监督. 这些问题加剧了经济不稳定,阻碍了卫生系统目标的实现.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 卫生经济学 卫生经济学
背景情况:
- 有效的财务管理对于卫生系统至关重要.
- 资源预测和优先级设定的不足,给预算带来了重大挑战.
- 伊朗的卫生部门面临着独特的公共财务管理和预算困难.
研究的目的:
- 确定影响伊朗公共财务管理和卫生预算的关键政策和事件.
- 揭示伊朗卫生预算体系中存在的挑战.
主要方法:
- 在2022年,采用了两阶段的定性方法.
- 审查48个与卫生预算相关的上游文件和法律.
- 与卫生预算专家进行了13次半结构面试,随后进行了主题内容分析.
主要成果:
- 确定了85个政策和11个主题,有71个子主题.
- 关键的挑战包括预算的制定 (结构,透明度,可持续性),执行 (拨款,不可执行的预算),以及监测,报告和评估 (MR&E) 的分散.
- 缺乏透明度和无效的MR&E流程是主要问题.
结论:
- 伊朗的卫生预算挑战主要来自制定和批准阶段,影响执行和报告.
- 伊朗的宏观经济和金融不稳定性对卫生部门的预算有显著的负面影响.
- 预算缺陷直接影响卫生部门的总体目标和结果.
相关概念视频
Health Information Technology and Healthcare Information System
868
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
868
Introduction To Health Care Delivery System
2.8K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
2.8K
Issues And Trends In Healthcare Delivery System
5.7K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.7K
Methods Of Healthcare Delivery System
3.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.3K
Methods of Documentation VI: Case Management Model
598
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
598
Secondary Healthcare System
1.5K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.5K


