Health system profile - Islamic Republic of Iran - What is GIS - World ...

CONTENTS
CONTENTS................................................................................................................ 1
FOREWORD............................................................................................................... 3
1 EXECUTIVE SUMMARY........................................................................................ 5
2 SOCIO ECONOMIC GEOPOLITICAL MAPPING ............................................................... 10
2.1 Socio-cultural Factors ................................................................................ 10
2.2 Economy .................................................................................................. 11
2.3 Geography and Climate ............................................................................. 12
2.4 Political/ Administrative Structure............................................................... 13
3 HEALTH STATUS AND DEMOGRAPHICS ...................................................................... 14
3.1 Health Status Indicators ............................................................................ 14
3.2 Demography............................................................................................. 16
4 HEALTH SYSTEM ORGANIZATION ............................................................................. 18
4.1 Brief History of the Health Care System ...................................................... 18
4.2 Public Health Care System ......................................................................... 18
4.3 Private Health Care System........................................................................ 20
4.4 Overall Health Care System ....................................................................... 23
5 GOVERNANCE/OVERSIGHT ..................................................................................... 25
5.1 Process of Policy, Planning and management.............................................. 25
5.2 Decentralization: Key characteristics of principal types ................................ 26
5.3 Health Information Systems....................................................................... 30
5.4 Health Systems Research........................................................................... 31
5.5 Accountability Mechanisms ........................................................................ 32
6 HEALTH CARE FINANCE AND EXPENDITURE ................................................................ 33
6.1 Health Expenditure Data and Trends .......................................................... 33
6.2 Tax-based Financing ................................................................................. 36
6.3 Insurance ................................................................................................. 38
6.4 Out-of-Pocket Payments ............................................................................ 41
6.5 External Sources of Finance ....................................................................... 42
6.6 Provider Payment Mechanisms................................................................... 43
7 HUMAN RESOURCES ............................................................................................. 44
7.1 Human resources availability and creation .................................................. 44
7.2 Human resources policy and reforms over last 10 years............................... 46
7.3 Planned reforms........................................................................................ 46
8 HEALTH SERVICE DELIVERY.................................................................................... 47
8.1 Service Delivery Data for Health services .................................................... 47
8.2 Package of Services for Health Care ........................................................... 50
8.3 Primary Health Care .................................................................................. 51
8.4 Non personal Services: Preventive/Promotive Care...................................... 54
8.5 Secondary/Tertiary Care ............................................................................ 55
8.6 Long-Term Care........................................................................................ 56
8.7 Pharmaceuticals ........................................................................................ 56
8.8 Technology............................................................................................... 59
9 HEALTH SYSTEM REFORMS..................................................................................... 61
9.1 Summary of Recent and planned reforms ................................................... 61
10 REFERENCES ................................................................................................... 63
10.1 Source Documents................................................................................. 63