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Financial Protection Indexes and the Iranian Health Transformation Plan: A Systematic Review

Background: On May 5, 2014, the Iranian Ministry of Health and Medical Education launched the Health Transformation Plan (HTP) as a major healthcare reform to curb out-of-pocket (OOP) expenses and protect people from catastrophic health expenditures (CHEs). Therefore, in this study, we conducted a c...

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Autores principales: Darvishi, Banafshe, Behzadifar, Masoud, Ghanbari, Mahboubeh Khaton, Ehsanzadeh, Seyed Jafar, Bakhtiari, Ahad, Behzadifar, Meysam, Azari, Samad, Bragazzi, Nicola Luigi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: YJBM 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8461582/
https://www.ncbi.nlm.nih.gov/pubmed/34602884
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author Darvishi, Banafshe
Behzadifar, Masoud
Ghanbari, Mahboubeh Khaton
Ehsanzadeh, Seyed Jafar
Bakhtiari, Ahad
Behzadifar, Meysam
Azari, Samad
Bragazzi, Nicola Luigi
author_facet Darvishi, Banafshe
Behzadifar, Masoud
Ghanbari, Mahboubeh Khaton
Ehsanzadeh, Seyed Jafar
Bakhtiari, Ahad
Behzadifar, Meysam
Azari, Samad
Bragazzi, Nicola Luigi
author_sort Darvishi, Banafshe
collection PubMed
description Background: On May 5, 2014, the Iranian Ministry of Health and Medical Education launched the Health Transformation Plan (HTP) as a major healthcare reform to curb out-of-pocket (OOP) expenses and protect people from catastrophic health expenditures (CHEs). Therefore, in this study, we conducted a comprehensive literature search with the aim of systematically investigating the impacts of HTP on OOP and CHE after the implementation of the plan. Method: Web of Science, PubMed, Scopus, Embase, and Iranian bibliographic thesauri and repositories such as MagIran, Elmnet, and Scientific Information Database were searched. Studies published between May 2014 and December 2020 that reported the impact of HTP on the financial indicators under investigation in this study (OOP and CHEs) that were conducted in Iran. Estimated pooled change both for OOP and CHEs was calculated as effect size utilizing meta-analytical techniques. Also, heterogeneity among studies was assessed with the I(2) statistics. Results: Seventeen studies were included, nine of which evaluated the OOP index, six studies assessed the CHEs index, and two studies examined both the OOP and CHEs indexes. The OOP was found to decrease after the implementation of the HTP (with an estimated decrease of 13.02% (95% CI: 9.09-16.94). Also, CHEs experienced a decrease of 5.80% (95% CI: 3.85-7.74). Conclusion: The findings show that the implementation of HTP has reduced health costs. In this regard and in order to keep reducing the costs that many people are unable to pay, the government and other organizations involved in the health system should provide sustainable financial resources in order to continue running HTP. However, there remain gaps and weaknesses that can be solved through discussion with all the actors involved.
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spelling pubmed-84615822021-09-30 Financial Protection Indexes and the Iranian Health Transformation Plan: A Systematic Review Darvishi, Banafshe Behzadifar, Masoud Ghanbari, Mahboubeh Khaton Ehsanzadeh, Seyed Jafar Bakhtiari, Ahad Behzadifar, Meysam Azari, Samad Bragazzi, Nicola Luigi Yale J Biol Med Review Background: On May 5, 2014, the Iranian Ministry of Health and Medical Education launched the Health Transformation Plan (HTP) as a major healthcare reform to curb out-of-pocket (OOP) expenses and protect people from catastrophic health expenditures (CHEs). Therefore, in this study, we conducted a comprehensive literature search with the aim of systematically investigating the impacts of HTP on OOP and CHE after the implementation of the plan. Method: Web of Science, PubMed, Scopus, Embase, and Iranian bibliographic thesauri and repositories such as MagIran, Elmnet, and Scientific Information Database were searched. Studies published between May 2014 and December 2020 that reported the impact of HTP on the financial indicators under investigation in this study (OOP and CHEs) that were conducted in Iran. Estimated pooled change both for OOP and CHEs was calculated as effect size utilizing meta-analytical techniques. Also, heterogeneity among studies was assessed with the I(2) statistics. Results: Seventeen studies were included, nine of which evaluated the OOP index, six studies assessed the CHEs index, and two studies examined both the OOP and CHEs indexes. The OOP was found to decrease after the implementation of the HTP (with an estimated decrease of 13.02% (95% CI: 9.09-16.94). Also, CHEs experienced a decrease of 5.80% (95% CI: 3.85-7.74). Conclusion: The findings show that the implementation of HTP has reduced health costs. In this regard and in order to keep reducing the costs that many people are unable to pay, the government and other organizations involved in the health system should provide sustainable financial resources in order to continue running HTP. However, there remain gaps and weaknesses that can be solved through discussion with all the actors involved. YJBM 2021-09-30 /pmc/articles/PMC8461582/ /pubmed/34602884 Text en Copyright ©2021, Yale Journal of Biology and Medicine https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed under the terms of the Creative Commons CC BY-NC license, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited. You may not use the material for commercial purposes.
spellingShingle Review
Darvishi, Banafshe
Behzadifar, Masoud
Ghanbari, Mahboubeh Khaton
Ehsanzadeh, Seyed Jafar
Bakhtiari, Ahad
Behzadifar, Meysam
Azari, Samad
Bragazzi, Nicola Luigi
Financial Protection Indexes and the Iranian Health Transformation Plan: A Systematic Review
title Financial Protection Indexes and the Iranian Health Transformation Plan: A Systematic Review
title_full Financial Protection Indexes and the Iranian Health Transformation Plan: A Systematic Review
title_fullStr Financial Protection Indexes and the Iranian Health Transformation Plan: A Systematic Review
title_full_unstemmed Financial Protection Indexes and the Iranian Health Transformation Plan: A Systematic Review
title_short Financial Protection Indexes and the Iranian Health Transformation Plan: A Systematic Review
title_sort financial protection indexes and the iranian health transformation plan: a systematic review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8461582/
https://www.ncbi.nlm.nih.gov/pubmed/34602884
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