Health Scope

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Towards Reforming Health Provider Payment Methods: Evidence from Iran

Saeideh Babashahy 1 , Abdolvahab Baghbanian 2 , Saeed Manavi 3 , Ali Akbari Sari 4 , * , Alireza Olyaee Manesh 4 and Raziyeh Ronasiyan 3
Authors Information
1 Healthcare Management, Department of Healthcare Administration Management, School of Economics, University of Hacettepe, Ankara, Turkey
2 Health Policy and Economics, Faculty of Health Sciences, University of Sydney, Australia
3 Ministry of Health and Medical Education, IR Iran
4 Department of Health Economics and Management, School of Public Health, Tehran University of Medical Sciences, Tehran, IR Iran
Article information
  • Health Scope: February 01, 2017, 6 (1); e33575
  • Published Online: August 23, 2016
  • Article Type: Research Article
  • Received: October 4, 2015
  • Revised: June 29, 2016
  • Accepted: August 1, 2016
  • DOI: 10.5812/jhealthscope.33575

To Cite: Babashahy S, Baghbanian A, Manavi S, Sari A A, Olyaee Manesh A, et al. Towards Reforming Health Provider Payment Methods: Evidence from Iran, Health Scope. 2017 ;6(1):e33575. doi: 10.5812/jhealthscope.33575.

Abstract
Copyright © 2016, Health Promotion Research Center. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Methods
4. Results
5. Discussion
Acknowledgements
Footnotes
References
  • 1. Frenk J. Dimensions of health system reform. Health Policy. 1994; 27(1): 19-34[PubMed]
  • 2. Murray CJ, Frenk J. A framework for assessing the performance of health systems. Bull World Health Organ. 2000; 78(6): 717-31[PubMed]
  • 3. Chernew ME. Reforming payment for health care services: comment on "physicians' opinions about reforming reimbursement". Arch Intern Med. 2010; 170(19): 1742-4[DOI][PubMed]
  • 4. Ricketts TC. New models of health care payment and delivery. N C Med J. 2011; 72(3): 197-200[PubMed]
  • 5. Witter S, Fretheim A, Kessy FL, Lindahl AK. Paying for performance to improve the delivery of health interventions in low- and middle-income countries. Cochrane Database Syst Rev. 2012; (2)[DOI][PubMed]
  • 6. Baghbanian A, Esmaeili S. Introducing economic evaluation as a decision support tool in health care: A case review of ir Iran. J Health Scope. 2012; 1(3): 101-9[DOI]
  • 7. Sarikhani Y, Bagheri Lankarani K. Mixed payment method, the experience of a new payment method for health service providers in family physician program in Iran. Shiraz E-Med J. 2013; 14(4): 16651
  • 8. Bellanger MM, Tardif L. Accounting and reimbursement schemes for inpatient care in France. Health Care Manag Sci. 2006; 9(3): 295-305[PubMed]
  • 9. Sibley LM, Glazier RH. Evaluation of the equity of age-sex adjusted primary care capitation payments in Ontario, Canada. Health Policy. 2012; 104(2): 186-92[DOI][PubMed]
  • 10. Brown MM, Brown GC, Sharma S, Landy J. Health care economic analyses and value-based medicine. Surv Ophthalmol. 2003; 48(2): 204-23[PubMed]
  • 11. Baghbanian A. The emergence of adaptive decision-making in complex health systems: economics and resourcing of complex health systems: the emergence of adaptive decision-making in health car. 2011;
  • 12. Park M, Braun T, Carrin G, Evans D. Technical brief for policy makers 2007;
  • 13. Sturmberg JP, O'Halloran DM, Martin CM. People at the centre of complex adaptive health systems reform. Med J Aust. 2010; 193(8): 474-8[PubMed]
  • 14. Barnum H, Kutzin J, Saxenian H. Incentives and provider payment methods. Int J Health Plann Manage. 1995; 10(1): 23-45[PubMed]
  • 15. Babashahy S, Baghbanian A, Manavi S, Akbari Sari A, Olyaee Manesh A, Ghaffari S, et al. Insight into Provider Payment Mechanisms in Healthcare Industry: A Case of Iran. Iran J Public Health. 2016; 45(5): 693-5[PubMed]
  • 16. Hornbrook MC, Berki SE. Practice mode and payment method. Effects on use, costs, quality, and access. Med Care. 1985; 23(5): 484-511[PubMed]
  • 17. Olyaeemanesh A, Manavi A, Monazzam K. Documentation and studies conducted at the department of health economics 2004-9;
  • 18. Designing and implementing health care provider payment systems: How to manuals 2009;
  • 19. Mehrdad R. Health system in Iran. Japan Med Assoc J. 2009; 52(1): 69-73
  • 20. Rashidian A, Joudaki H, Khodayari-Moez E, Omranikhoo H, Geraili B, Arab M. The impact of rural health system reform on hospitalization rates in the Islamic Republic of Iran: an interrupted time series. Bull World Health Organ. 2013; 91(12): 942-9[DOI][PubMed]
  • 21. Babashahy S, Akbari SA, Rashidian A, Olyaee Manesh A. Payments of physicians employed in public and private hospitals after modification of surgical and invasive services tariffs [in Persian]. Hakim Res J. 2012; 15(1): 38-43
  • 22. Lankarani KB, Alavian SM, Peymani P. Health in the Islamic Republic of Iran, challenges and progresses. Med J Islam Repub Iran. 2013; 27(1): 42-9[PubMed]
  • 23. Baghbanian A. Health scope in iran: the way forward. Health Scope. 2012; 1(2): 50-1
  • 24. Relative values of health services and tariffs Iran: MOHME 2014;
  • 25. Vosoogh Moghaddam A, Damari B, Alikhani S, Salarianzedeh M, Rostamigooran N, Delavari A, et al. Health in the 5th 5-years Development Plan of Iran: Main Challenges, General Policies and Strategies. Iran J Public Health. 2013; 42: 42-9[PubMed]
  • 26. Health Sector Evolution Portal 2014;
  • 27. Cohen RI, Jaffrey F, Bruno J, Baumann MH. Quality improvement and pay for performance: barriers to and strategies for success. Chest. 2013; 143(6): 1542-7[DOI][PubMed]
  • 28. Dieleman M, Harnmeijer JW. Improving health worker performance: in search of promising practices 2006;
  • 29. Moghadam MN, Banshi M, Javar MA, Amiresmaili M, Ganjavi S. Iranian household financial protection against catastrophic health care expenditures. Iran J Public Health. 2012; 41(9): 62-70
  • 30. Fazaeli AA, Ghaderi H, Abbas Fazaeli A, Lotfi F, Salehi M, Mehrara M. Main determinants of catastrophic health expenditures: a Bayesian logit approach on Iranian household survey data (2010). Glob J Health Sci. 2015; 7(4): 335-40[DOI][PubMed]
  • 31. Sari AA, Babashahy S, Ghanati E, Naderi M, Lotfi SMT, Olyaee Manesh A, et al. Implementing the full-time practice in Iran health system; perceptions of the medical university chancellors on its challenges, consequences and effective solutions [in Persian]. J Kerman Univ Med Sci. 2013; 20(1): 40-51
  • 32. Sandelowski M. Focus on research methods whatever happened to qualitative description? Res Nurs Health. 2000; 23(4): 334-40[DOI]
  • 33. Nabipour I. Megatrend analaysis of the health policies of IR Iran [in Persian]. Iran South Med J. 2014; 17(5): 1007-30
  • 34. Esmailzadeh H, Rajabi F, Rostamigooran N, Majdzadeh R. Iran health system reform plan methodology. Iran J Public Health. 2013; 42(1): 13-7
  • 35. Hurley J, Lomas J, Goldsmith LJ. Physician responses to global physician expenditure budgets in Canada: a common property perspective. Milbank Q. 1997; 75(3): 343-64[PubMed]
  • 36. Aghaei Hashjin A, Kringos DS, Manoochehri J, Aryankhesal A, Klazinga NS. Development and impact of the Iranian hospital performance measurement program. BMC Health Serv Res. 2014; 14: 448[DOI][PubMed]
  • 37. Allen P. Restructuring the nhs again: Supply side reform in recent english health care policy. Financ Accountability Manage. 2009; 25(4): 373-89[DOI]
  • 38. A safer future: Global public health security in the 21st century 2007;
  • 39. Hajizadeh M, Nghiem HS. Out-of-pocket expenditures for hospital care in Iran: who is at risk of incurring catastrophic payments? Int J Health Care Finance Econ. 2011; 11(4): 267-85[DOI][PubMed]
  • 40. Forgione DA, Vermeer TE, Surysekar K, Wrieden JA, Plante CA. The impact of DRG-based payment systems on quality of health care in OECD countries. J Health Care Finance. 2004; 31(1): 41-54[PubMed]
  • 41. Busse R, Geissler A, Quentin W, Wiley M. Diagnosis-related groups in europe: Moving towards transparency, efficiency and quality in hospitals. 2011;
  • 42. Reid B, Palmer G, Aisbett C. The performance of Australian DRGs. Aust Health Rev. 2000; 23(2): 20-31[PubMed]
  • 43. Greb S, Focke A, Hessel F, Wasem J. Financial incentives for disease management programmes and integrated care in German social health insurance. Health Policy. 2006; 78(2-3): 295-305[DOI][PubMed]
  • 44. Hsia DC, Ahern CA, Ritchie BP, Moscoe LM, Krushat WM. Medicare reimbursement accuracy under the prospective payment system, 1985 to 1988. JAMA. 1992; 268(7): 896-9[PubMed]
  • 45. Gazi A, Tengilimoglu D, Top M, Tarcan M. Evaluation of performance based supplementary payment system made by personnel at the ministry of health hospitals: The example of ankara training and education hospital. Financ Polit Econ Comments J. 2009; 46(538): 53-74
  • 46. Covaleski MA, Dirsmith MW, Michelman JE. An institutional theory perspective on the DRG framework, case-mix accounting systems and health-care organizations. Account Organ Soc. 1993; 18(1): 65-80[DOI]
  • 47. Robinson JC. Theory and practice in the design of physician payment incentives. Milbank Q. 2001; 79(2): 149-77[PubMed]
  • 48. Hashemi B, Baratloo A, Forouzafar MM, Motamedi M, Tarkhorani M. Patient satisfaction before and after executing health sector evolution plan [in Persian]. Iran J Emerg Med. 2015; 2(3): 127-33
  • 49. Moradi-Lakeh M, Vosoogh-Moghaddam A. Health Sector Evolution Plan in Iran; Equity and Sustainability Concerns. Int J Health Policy Manag. 2015; 4(10): 637-40[DOI][PubMed]
  • 50. Kaarboe O, Siciliani L. Multi-tasking, quality and pay for performance. Health Econ. 2011; 20(2): 225-38[DOI][PubMed]
  • 51. Mohamadinezhad G. A comparative study of hospital payment mechanisms among a selected countries, recommendations for healthcare reform in Iran [in Pesian]. J Health Admin. 2003; 3(6): 50-7
  • 52. Jabbari H, Pezeshki MZ, Naghavi-Behzad M, Asghari M, Bakhshian F. Relationship between job satisfaction and performance of primary care physicians after the family physician reform of east Azerbaijan province in Northwest Iran. Indian J Public Health. 2014; 58(4): 256-60[DOI][PubMed]
  • 53. Bahadori M, Ravangard R, Alimohammadzadeh K, Hosseini SM. Plan and road map for health reform in Iran. BMJ. 2015; 351[DOI][PubMed]
  • 54. Debate of islamic parliament research center on increasing the service price in the private sector by the iranian physician council [in perisan] 2007;
  • 55. Simoens S, Giuffrida A. The impact of physician payment methods on raising the efficiency of the healthcare system: an international comparison. Appl Health Econ Health Policy. 2004; 3(1): 39-46[PubMed]
  • 56. Jegers M, Kesteloot K, De Graeve D, Gilles W. A typology for provider payment systems in health care. Health Policy. 2002; 60(3): 255-73[PubMed]
  • 57. Law of the fifth economic, social and cultural development plan of islamic republic of iran, 2009-2014 [in persian] 2011;
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