The impact of sanction and healthcare system reform on the healthcare performance and pharmaceutical market in Iran; 200
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(2020) 13:50
RESEARCH
Open Access
The impact of sanction and healthcare system reform on the healthcare performance and pharmaceutical market in Iran; 2001-2016 Saman Zartab1, Nasrin Nassiri Koopaei2,3, Hadi Abbasian1, Mansur Nassiri Koopaei4 and Nasser Nassiri Koopaei5*
Abstract Background: Iranian government has introduced multiple healthcare system reforms during the last 30 years aiming at improving accessibility and affordability of care. Pharmaceutical products are one of the major sources of financial burden on the healthcare system. The healthcare system and pharmaceutical sector have been balanced out by the partially counteracting effects of the HSEP (Health sector evolution plan) and the imposed sanctions. Methods: This research investigates the healthcare system performance as well as the pharmaceutical market trend mostly based on the financial criteria from 2001. The correlation between the two change patterns was studied to understand the underlying driving market forces. Results: During 2001 to 2013, total health expenditure has grown 25.6% in average. THE (Total health expenditure) share of the GDP remains between 6-7%, while the out of pocket payment has dropped to 37% in 2015 from 57% in 2001, and most health services been directed to the inpatient facilities. Iranian pharmaceutical market has grown rapidly in recent years and grew 28.38% per year and drug consumption per capita reached 34.43$ from 2.28$. However, the import drove most of the market expansion. Noteworthy, the share of pharmaceuticals from THE has also increased. Conclusions: It is concluded that the sanctions and HSEP have enforced partially counteracting forces on the pharmaceutical market to maintain its consistent growing trend. Keywords: Healthcare system reform, Pharmaceutical market trend analysis, Financial indicators, Performance assessment, Drug consumption
Background Iranian government has introduced multiple healthcare system reforms during the last 30 years with the aim of improving accessibility and affordability of care [1, 2]. Historically, these efforts included enforcement of the national health network, family physician program, integration of healthcare * Correspondence: [email protected] 5 Department of Pharmaceutical Engineering, School of Chemical Engineering, University of Tehran, 16th Azar St., Enghelab Sq, Tehran 1981165134, Iran Full list of author information is available at the end of the article
services and medical education, hospital autonomy plan, and the latest called health sector evolution plan (HSEP) designed and implemented by the Ministry of Health and Medical Education (MoH) in 2014 with a stepwise implementation. HSEP tried to transform the healthcare system in public hospitals to mitigate the dramatic healthcare cost surge [1, 3, 4]. The plan was sold with a positive public opinion to reduce the burden of healthcare expenditure on the patients by providing the health insurance coverage to the uninsured population and decrease in patient copayment and deductible, revolutionize the ho
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