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.

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 ( 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
  • 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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