对伊朗的全民医疗保险政策制定过程的回顾性分析:定性研究
Mohammad Javad Kabir1, Alireza Heidari1, Mansoureh Lotfi1
1Health Management and Social Development Research Center Golestan University of Medical Sciences Gorgan Iran.
伊朗的全民医疗保险 (UHI) 政策制定面临挑战,因为尽管覆盖率增加,但预算拨款不足. 可持续融资和利益相关者的参与对于UHI至关重要.
科学领域:
- 卫生政策分析 卫生政策分析
- 卫生系统研究 卫生系统研究
- 公共卫生管理 公共卫生管理
背景情况:
- 全民医疗保险 (UHI) 在2014年在伊朗实施,以减少自付医疗费用.
- 卫生转型计划 (HTP) 旨在通过伊朗健康保险组织 (IHIO) 改善获得医疗服务的机会.
研究的目的:
- 分析伊朗普遍医疗保险 (UHI) 政策制定过程.
- 确定影响UHI实施和有效性的因素.
主要方法:
- 利用了沃尔特和吉尔森的政策三角框架和金顿的多流模型.
- 通过文档审查收集数据,与政策制定者和管理人员进行了17次深入采访,并与10名高级政策制定者举行了圆桌讨论.
- 用于文件的专题内容分析和采访和讨论的框架分析.
主要成果:
- 伊朗政策文件强调了保险覆盖的必要性.
- 政府的承诺,UHI和HTP的同时实施,以及媒体的压力影响了UHI的启动.
- 尽管覆盖了1100万人口,但UHI面临预算短缺,增加了IHIO的债务.
结论:
- 确保UHI的连续性和有效性需要全面的利益相关者参与.
- 持续的政治意愿,承诺和充足的资金对于UHI的成功至关重要.
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