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Showing 4 results for Olyaeemanesh
The Effect of Health Transformation Plan on Supplementary Health Insurance in Iran
Efat Mohamadi, Taraneh Yousefinezhadi, Ali Hassanzadeh, Mojtaba Atri, Mohammadreza Mobinizadeh, Zahra Goudarzi, Sara Mohamadi, Alireza Olyaeemanesh,
Volume 1, Issue 3 (12-2018)
Abstract
Introduction: Implementation of the Health Transformation plan (HTP) has had many effects so far. The analysis of these impacts can help policymakers and planners to continuously improve the health system's ultimate goals. Considering that, health financing is one of the most impressive of health system functions from the HTP, the present study examines the effect of the HTP on supplementary health insurance as part of financial providers in the health system in Iran.
Methods: This is a descriptive study carried out using secondary data in 2017. Data were gathered using information systems of health insurance organizations and the statistical yearbook of central insurance of the country. Data analysis was performed using Excel and SPSS software. To analyze and report these data, descriptive statistics and analytical tests were used.
Results: The effect of the HTP on the share of health care providers has shown that in private financing, the share of households is the highest, and during the period 2002-2004, the average share of households from the total private sector share was 86.5%. During the period of 2002-2003, the share of the domestic government as the public sector was 54% on average. Findings in relation to supplementary health show that the net loss has been ascending and premium rate has been increasing.
Conclusions: The share of households in health expenditures has decreased since the implementation of the HTP, but the average pocket spending in the public and private sector has not decreased by more than 10%. The goal of creating competition and improving the quality of the public sector with the private sector and increasing the incentive for people to go to the public sector has largely been met by changing the frequency of contributions made by the financiers. In the long run, with the continuation of the implementation of the health system reform plan and the elimination of the way in which supplementary health insurers benefit from health subsidies, a high percentage of supplementary health insurance funds in the private sector is consumed, while it is better to adopt measures for the use of this resource in the public sector.

A review of Iranian health system's laws, policies and reforms over the last four decades: A retrospective approach
Mohammad Mehdi Kiani, Khatereh Khanjankhani, Hajar Haghighi, Azam Raoofi, Efat Mohammadi, Alireza Olyaeemanesh, Amirhossein Takian,
Volume 4, Issue 4 (3-2022)
Abstract
Introduction: Health is one of the main dimensions of social policies that governments adopt with the aim of reducing social inequalities. The economic and political structure in Iran has made the importance government's approach play a more important role in determining health policies. The present study aimed to identify the reforms, laws and policies adopted by the Iranian health system after the Islamic Revolution and the impact of each on the functions of the health system. 
Methods: This is a review study that identified the policies of the Iran health system between 1357 and 1399. Data collection was done by manual search on the websites of the relevant organizations. The documents were selected based on Jupp's four dimensions, and 101 documents were finally included. To classify the documents, the six-building block framework of World Health Organization was used.
Results: The findings of this study are categorized according to the approved policies in the field of health in the 3rd to 12th governments after the Islamic Revolution. Of the 26 policies approved during the years 1360 to 1368 and 31 policies approved from 1369 to 1376, the most cases were related to the service delivery dimension. However, the policies related to governance and leadership had the highest number among the 29 policies approved during the years 1377 to 1384 and 11 policies approved during the years 1385 to 1392.
Conclusion:  An overview of the five periods of the development program shows that the attention of health policymakers has shifted from service delivery to governance and leadership; Meanwhile, other functions, especially the health information system, have been neglected during the years 1385 to 1395.

Inequality in Health Financing Policies: A Fundamental Challenge of Social Equity in Iran
Amirhossein Takian, Alireza Olyaeemanesh, Efat Mohamadi,
Volume 5, Issue 1 (3-2022)
Abstract

Performance Evaluation Indicators of Iran Health Insurance Organization Based on Macro Policies
Efat Mohamadi, Ahad Bakhtiari, Mohammad Mehdi Nasehi, Mohammad Effatpanah, Mehdi Rezaei, Zahra Shahali, Amirhossein Takian, Alireza Olyaeemanesh,
Volume 7, Issue 1 (Spring 2024)
Abstract
Introduction: The performance evaluation of the Iranian Health Insurance Organization (IHIO), considering the responsibilities, objectives, and duties outlined in the higher-level documents and laws, is an important issue that has received less attention. Given the importance of systematic monitoring and evaluation to facilitate planning based on overarching domestic policies, it is necessary to adopt a suitable approach to monitor programs and policies and to respond to higher-level authorities to fulfill assigned tasks. The present study aims to identify performance indicators for IHIO based on the analysis of relevant higher-level documents and laws.
Methods: This study was conducted qualitatively and based on content analysis of documents, policies, and executive activities related to monitoring the performance of IHIO, from the year the Universal Health Insurance Law of the country was passed (1373) until 1402, in the year 1402 (Solar Hijri calendar, equivalent to 2023/2024 Gregorian calendar). The Scott method was used to examine the validity of the documents, and qualitative content analysis and the deductive approach were employed to analyze the data.
Results: Nine policies related to monitoring the performance of the IHIO were identified, with 11 themes and total of 188-indicators identified as follows: Population indicators (8 indicators), National Health Accounts (NHA) (13-indicators), Covered population (25-indicators), Covered health services (19-indicators), Covered costs/financial participation status (11-indicators), Organization’s financial resources (26-indicators), Contracted centers (11-indicators), Cost trends, cost burden, and visit burden (23-indicators), Monitoring indicators (11-indicators), Operational efficiency of the organization (30-indicators), Access to services and health outcomes (11-indicators).
Conclusion: In order to conduct a thorough and comprehensive evaluation of the Iranian Health Insurance Organization's performance, which aims to enhance transparency and public trust in the organization, it is imperative to take into account a diverse range of indicators that encompass all operational and performance aspects of a health insurance entity. Additionally, national macro indicators, including population metrics and national health accounts, play a crucial role in this process. Failing to consider these indicators may lead to challenges and biases when assessing the organization's performance.

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