Author/Authors :
Almaspoor Khangah، Hassan نويسنده Department of Health Services Management, Iranian Center of Excellence in Health Management, School of Health Management and Medical Informatics, Tabriz University of Medical Science, Tabriz, IR Iran , , Jannati، Ali نويسنده Tabriz Healthcare Management Research Center,Tabriz University of Medical Sciences, Tabriz, Iran , , Imani، Ali نويسنده Tehran University of Medical Sciences , , Salimlar، Shiva نويسنده Department of Health Services Management, School of Health
Management and Medical Informatics, Iranian Center of Excellence in
Health Management, Tabriz University of Medical Sciences, Tabriz, IR
Iran , , Derakhshani، Naser نويسنده Department of Health Services Management, School of Health
Management and Medical Informatics, Iranian Center of Excellence in
Health Management, Tabriz University of Medical Sciences, Tabriz, IR
Iran , , Raef، Behnaz نويسنده Department of Health Technology and Medical Informatics,
School of Health Management and Medical Informatics, Tabriz
University of Medical Sciences, Tabriz, IR Iran ,
Abstract :
Gaining health is an inalienable right of every human being;
therefore, governments are required to provide a minimum of health care
services for all people who live in the society. This study was
conducted to compare the health care system of Iran and some selected
countries around the world. This was a descriptive-comparative study,
which was conducted to compare the health care system of Iran and a
number of selected countries with a focus on the service provider and
payment method. In this research, nine countries including Norway,
Australia, United States of America, Germany, Italy, Canada, England,
Denmark and Japan were selected and studied based on the availability of
data. These data were compared to that of Iran. The required information
from selected countries was collected in 2014 using the “health system
review: health system in transition”, and “international profiles of
health care systems”, as well as well-known websites such as the world
health organization, the world bank and the health department. The
findings of this study showed that in most selected countries, primary
care services were provided by the private sector and the public sector
has been mostly functioning as a supervisor in this area, but in Iran,
primary care services were provided by the government. The findings of
this study also showed that hospital services in Iran and selected
countries (second and third level services) were provided by both public
and private sectors, yet the public sector had a bigger share. Moreover,
payment in primary health care (PHC) in the majority of the selected
countries was mostly capitation and FFS payments, or a combination of
the two. Payment in hospital care (secondary and tertiary levels) in
most of the studied countries and even Iran was mostly through
governmental budgets. According to the findings of this comparative
study indicating the successful experiences of health systems around the
world, it seems that the implementation of the process of
decentralization of the government in some sections and different levels
of health care is the best option for the health care system of
Iran.
