Health Care : Current Reviews

Recent reforms in health care system of Iran and America: A comparison based on the conceptual framework of financing

3^rd Indo-Global Summit & Expo on Healthcare

October 05-07, 2015 New Delhi, India

Mohammad H Yarmohammadian

Isfahan University of Medical Sciences, Iran

Keynote: Health Care: Current Reviews

Abstract:

Background: Policy-makers are faced with the challenge of improving the performance of their health systems. Success in achieving good health outcomes need health system which have well organizing, financing, function and fair response to health needs of people. Health systems financing as a control knob in health system reforms is a process in which revenue is collected from primary and secondary resources, aggregation and accumulation of funds to be allocated to certain activities of providers. In this paper, we try to compare recent health reform in Islamic Republic of Iran and United States of America based on the conceptual framework of the financing in health system. Method: This paper is a descriptive and comparative research that comparing recent health system reform in Islamic Republic of Iran in 2014 and United States of America in 2010 based on the conceptual framework of the financing in health system. Results: United States with more scope and population than Iran has 18 times greater health costs. However both countries in terms of achieving health indicators are in a similar situation. High rate of out of pocket in Iran and uninsured people in American and high costs of health system in both of them are problems that leading them to health system reform. Based on this research: In revenue collection resource of income in recent reform of Iran are from targeted subsidies so primary resource of revenue are people, family and in America are from Companies, manufacturers, service providers, etc. In the method and extent of coverage, supportive packages for specific groups in Iran and complete current coverage plans, removing obstacles and problems of them and creating new coverage program in America are in attention. Finally in service provision in Iran specific service a group of people and in America completing existing service package are in attention. Discussion & Conclusion: Based on this study, we suggesting that in next health system reform in Iran more attention paid to current problem and completing existing service. Financing resource can be from companies, manufacturers, service providers that are in relation to health system and health of people.

Biography :

Mohammad H Yarmohammadian is a Professor and Head of Health Management and Economic Research Center (HMERC), Isfahan University of Medical Sciences. He is a Member of Health in Disasters Board at Ministry of Health and Medical Education, Iran. He has published more than 50 articles in academic journlas.

Email: yarmohamadian@mng.mui.ac.ir