Assessing the efficiency of Iran health system in making progress towards universal health coverage: a comparative panel data analysis
Background Building upon decades of continuous reforms, Iran has been implementing various initiatives to reach universal health coverage (UHC). Improving efficiency is a crucial intermediate policy objective for UHC. Therefore, this article aimed to measure the efficiency and productivity changes o...
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| Autor*in: |
Sajadi, Haniye Sadat [verfasserIn] Goodarzi, Zahra [verfasserIn] Takian, Amirhossein [verfasserIn] Mohamadi, Efat [verfasserIn] Olyaeemanesh, Alireza [verfasserIn] Hosseinzadeh Lotfi, Farhad [verfasserIn] Sharafi, Hamid [verfasserIn] Noori Hekmat, Somayeh [verfasserIn] Jowett, Matthew [verfasserIn] Majdzadeh, Reza [verfasserIn] |
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E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2020 |
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| Übergeordnetes Werk: |
Enthalten in: Cost effectiveness and resource allocation - London : BioMed Central, 2003, 18(2020), 1 vom: 29. Juni |
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| Übergeordnetes Werk: |
volume:18 ; year:2020 ; number:1 ; day:29 ; month:06 |
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| DOI / URN: |
10.1186/s12962-020-00215-x |
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SPR040178994 |
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| 520 | |a Background Building upon decades of continuous reforms, Iran has been implementing various initiatives to reach universal health coverage (UHC). Improving efficiency is a crucial intermediate policy objective for UHC. Therefore, this article aimed to measure the efficiency and productivity changes of the Iranian health system in making progress towards UHC during 2010−2015 in comparison with 36 selected other upper-middle-income countries. Methods We used panel data to measure the variations in technical efficiency (TE) and total factor productivity (TFP) through an extended data envelopment analysis (EDEA) and Malmquist productivity index, respectively. General government health expenditure (GGHE) per capita (International dollar) was selected as the input variable. Service coverage of diphtheria, tetanus and pertussis; family planning; antiretroviral therapy; skilled attendants at birth; Tuberculosis treatment success rate; and GGHE as % of total health expenditure (THE) were considered as output variables. The data for each indicator were taken from the Global Health Observatory data repository and World Development Indicator database, for 6 years (2010−2015). Results The TE scores of Iran’s health system were 0.75, 0.77, 0.74, 0.74, 0.97, and 0.84 in the period 2010–2015, respectively. TFP improved in 2011 (1.02), 2013 (1.01), and 2014 (1.30, generally). The overall efficiency and TFP increased in 2014. Changes made in CCHE per capita and GGHE/THE attributed to the increase of efficiency. Conclusion There is a growing demand for efficiency improvements in the health systems to achieve UHC. While there are no defined set of indicators or precise methods to measure health system efficiency, EDEA helped us to draw the picture of health system efficiency in Iran. Our findings highlighted the essential need for targeted and sustained interventions, i.e., allocation of enough proportion of public funds to the health sector, to improve universal financial coverage against health costs aiming to enhance the future performance of Iran’s health system, ultimately. Such tailored interventions may also be useful for settings with similar context to speed up their movement towards improving efficiency, which in turn might lead to more resources to reach UHC. | ||
| 650 | 4 | |a Efficiency |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Productivity |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Health system |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Health reform |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Universal health coverage |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Iran |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Goodarzi, Zahra |e verfasserin |4 aut | |
| 700 | 1 | |a Takian, Amirhossein |e verfasserin |4 aut | |
| 700 | 1 | |a Mohamadi, Efat |e verfasserin |4 aut | |
| 700 | 1 | |a Olyaeemanesh, Alireza |e verfasserin |4 aut | |
| 700 | 1 | |a Hosseinzadeh Lotfi, Farhad |e verfasserin |4 aut | |
| 700 | 1 | |a Sharafi, Hamid |e verfasserin |4 aut | |
| 700 | 1 | |a Noori Hekmat, Somayeh |e verfasserin |4 aut | |
| 700 | 1 | |a Jowett, Matthew |e verfasserin |4 aut | |
| 700 | 1 | |a Majdzadeh, Reza |e verfasserin |4 aut | |
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10.1186/s12962-020-00215-x doi (DE-627)SPR040178994 (SPR)s12962-020-00215-x-e DE-627 ger DE-627 rakwb eng 610 ASE Sajadi, Haniye Sadat verfasserin aut Assessing the efficiency of Iran health system in making progress towards universal health coverage: a comparative panel data analysis 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Building upon decades of continuous reforms, Iran has been implementing various initiatives to reach universal health coverage (UHC). Improving efficiency is a crucial intermediate policy objective for UHC. Therefore, this article aimed to measure the efficiency and productivity changes of the Iranian health system in making progress towards UHC during 2010−2015 in comparison with 36 selected other upper-middle-income countries. Methods We used panel data to measure the variations in technical efficiency (TE) and total factor productivity (TFP) through an extended data envelopment analysis (EDEA) and Malmquist productivity index, respectively. General government health expenditure (GGHE) per capita (International dollar) was selected as the input variable. Service coverage of diphtheria, tetanus and pertussis; family planning; antiretroviral therapy; skilled attendants at birth; Tuberculosis treatment success rate; and GGHE as % of total health expenditure (THE) were considered as output variables. The data for each indicator were taken from the Global Health Observatory data repository and World Development Indicator database, for 6 years (2010−2015). Results The TE scores of Iran’s health system were 0.75, 0.77, 0.74, 0.74, 0.97, and 0.84 in the period 2010–2015, respectively. TFP improved in 2011 (1.02), 2013 (1.01), and 2014 (1.30, generally). The overall efficiency and TFP increased in 2014. Changes made in CCHE per capita and GGHE/THE attributed to the increase of efficiency. Conclusion There is a growing demand for efficiency improvements in the health systems to achieve UHC. While there are no defined set of indicators or precise methods to measure health system efficiency, EDEA helped us to draw the picture of health system efficiency in Iran. Our findings highlighted the essential need for targeted and sustained interventions, i.e., allocation of enough proportion of public funds to the health sector, to improve universal financial coverage against health costs aiming to enhance the future performance of Iran’s health system, ultimately. Such tailored interventions may also be useful for settings with similar context to speed up their movement towards improving efficiency, which in turn might lead to more resources to reach UHC. Efficiency (dpeaa)DE-He213 Productivity (dpeaa)DE-He213 Health system (dpeaa)DE-He213 Health reform (dpeaa)DE-He213 Universal health coverage (dpeaa)DE-He213 Iran (dpeaa)DE-He213 Goodarzi, Zahra verfasserin aut Takian, Amirhossein verfasserin aut Mohamadi, Efat verfasserin aut Olyaeemanesh, Alireza verfasserin aut Hosseinzadeh Lotfi, Farhad verfasserin aut Sharafi, Hamid verfasserin aut Noori Hekmat, Somayeh verfasserin aut Jowett, Matthew verfasserin aut Majdzadeh, Reza verfasserin aut Enthalten in Cost effectiveness and resource allocation London : BioMed Central, 2003 18(2020), 1 vom: 29. Juni (DE-627)369555570 (DE-600)2119372-1 1478-7547 nnns volume:18 year:2020 number:1 day:29 month:06 https://dx.doi.org/10.1186/s12962-020-00215-x kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2129 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 18 2020 1 29 06 |
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10.1186/s12962-020-00215-x doi (DE-627)SPR040178994 (SPR)s12962-020-00215-x-e DE-627 ger DE-627 rakwb eng 610 ASE Sajadi, Haniye Sadat verfasserin aut Assessing the efficiency of Iran health system in making progress towards universal health coverage: a comparative panel data analysis 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Building upon decades of continuous reforms, Iran has been implementing various initiatives to reach universal health coverage (UHC). Improving efficiency is a crucial intermediate policy objective for UHC. Therefore, this article aimed to measure the efficiency and productivity changes of the Iranian health system in making progress towards UHC during 2010−2015 in comparison with 36 selected other upper-middle-income countries. Methods We used panel data to measure the variations in technical efficiency (TE) and total factor productivity (TFP) through an extended data envelopment analysis (EDEA) and Malmquist productivity index, respectively. General government health expenditure (GGHE) per capita (International dollar) was selected as the input variable. Service coverage of diphtheria, tetanus and pertussis; family planning; antiretroviral therapy; skilled attendants at birth; Tuberculosis treatment success rate; and GGHE as % of total health expenditure (THE) were considered as output variables. The data for each indicator were taken from the Global Health Observatory data repository and World Development Indicator database, for 6 years (2010−2015). Results The TE scores of Iran’s health system were 0.75, 0.77, 0.74, 0.74, 0.97, and 0.84 in the period 2010–2015, respectively. TFP improved in 2011 (1.02), 2013 (1.01), and 2014 (1.30, generally). The overall efficiency and TFP increased in 2014. Changes made in CCHE per capita and GGHE/THE attributed to the increase of efficiency. Conclusion There is a growing demand for efficiency improvements in the health systems to achieve UHC. While there are no defined set of indicators or precise methods to measure health system efficiency, EDEA helped us to draw the picture of health system efficiency in Iran. Our findings highlighted the essential need for targeted and sustained interventions, i.e., allocation of enough proportion of public funds to the health sector, to improve universal financial coverage against health costs aiming to enhance the future performance of Iran’s health system, ultimately. Such tailored interventions may also be useful for settings with similar context to speed up their movement towards improving efficiency, which in turn might lead to more resources to reach UHC. Efficiency (dpeaa)DE-He213 Productivity (dpeaa)DE-He213 Health system (dpeaa)DE-He213 Health reform (dpeaa)DE-He213 Universal health coverage (dpeaa)DE-He213 Iran (dpeaa)DE-He213 Goodarzi, Zahra verfasserin aut Takian, Amirhossein verfasserin aut Mohamadi, Efat verfasserin aut Olyaeemanesh, Alireza verfasserin aut Hosseinzadeh Lotfi, Farhad verfasserin aut Sharafi, Hamid verfasserin aut Noori Hekmat, Somayeh verfasserin aut Jowett, Matthew verfasserin aut Majdzadeh, Reza verfasserin aut Enthalten in Cost effectiveness and resource allocation London : BioMed Central, 2003 18(2020), 1 vom: 29. Juni (DE-627)369555570 (DE-600)2119372-1 1478-7547 nnns volume:18 year:2020 number:1 day:29 month:06 https://dx.doi.org/10.1186/s12962-020-00215-x kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2129 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 18 2020 1 29 06 |
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10.1186/s12962-020-00215-x doi (DE-627)SPR040178994 (SPR)s12962-020-00215-x-e DE-627 ger DE-627 rakwb eng 610 ASE Sajadi, Haniye Sadat verfasserin aut Assessing the efficiency of Iran health system in making progress towards universal health coverage: a comparative panel data analysis 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Building upon decades of continuous reforms, Iran has been implementing various initiatives to reach universal health coverage (UHC). Improving efficiency is a crucial intermediate policy objective for UHC. Therefore, this article aimed to measure the efficiency and productivity changes of the Iranian health system in making progress towards UHC during 2010−2015 in comparison with 36 selected other upper-middle-income countries. Methods We used panel data to measure the variations in technical efficiency (TE) and total factor productivity (TFP) through an extended data envelopment analysis (EDEA) and Malmquist productivity index, respectively. General government health expenditure (GGHE) per capita (International dollar) was selected as the input variable. Service coverage of diphtheria, tetanus and pertussis; family planning; antiretroviral therapy; skilled attendants at birth; Tuberculosis treatment success rate; and GGHE as % of total health expenditure (THE) were considered as output variables. The data for each indicator were taken from the Global Health Observatory data repository and World Development Indicator database, for 6 years (2010−2015). Results The TE scores of Iran’s health system were 0.75, 0.77, 0.74, 0.74, 0.97, and 0.84 in the period 2010–2015, respectively. TFP improved in 2011 (1.02), 2013 (1.01), and 2014 (1.30, generally). The overall efficiency and TFP increased in 2014. Changes made in CCHE per capita and GGHE/THE attributed to the increase of efficiency. Conclusion There is a growing demand for efficiency improvements in the health systems to achieve UHC. While there are no defined set of indicators or precise methods to measure health system efficiency, EDEA helped us to draw the picture of health system efficiency in Iran. Our findings highlighted the essential need for targeted and sustained interventions, i.e., allocation of enough proportion of public funds to the health sector, to improve universal financial coverage against health costs aiming to enhance the future performance of Iran’s health system, ultimately. Such tailored interventions may also be useful for settings with similar context to speed up their movement towards improving efficiency, which in turn might lead to more resources to reach UHC. Efficiency (dpeaa)DE-He213 Productivity (dpeaa)DE-He213 Health system (dpeaa)DE-He213 Health reform (dpeaa)DE-He213 Universal health coverage (dpeaa)DE-He213 Iran (dpeaa)DE-He213 Goodarzi, Zahra verfasserin aut Takian, Amirhossein verfasserin aut Mohamadi, Efat verfasserin aut Olyaeemanesh, Alireza verfasserin aut Hosseinzadeh Lotfi, Farhad verfasserin aut Sharafi, Hamid verfasserin aut Noori Hekmat, Somayeh verfasserin aut Jowett, Matthew verfasserin aut Majdzadeh, Reza verfasserin aut Enthalten in Cost effectiveness and resource allocation London : BioMed Central, 2003 18(2020), 1 vom: 29. Juni (DE-627)369555570 (DE-600)2119372-1 1478-7547 nnns volume:18 year:2020 number:1 day:29 month:06 https://dx.doi.org/10.1186/s12962-020-00215-x kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2129 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 18 2020 1 29 06 |
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10.1186/s12962-020-00215-x doi (DE-627)SPR040178994 (SPR)s12962-020-00215-x-e DE-627 ger DE-627 rakwb eng 610 ASE Sajadi, Haniye Sadat verfasserin aut Assessing the efficiency of Iran health system in making progress towards universal health coverage: a comparative panel data analysis 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Building upon decades of continuous reforms, Iran has been implementing various initiatives to reach universal health coverage (UHC). Improving efficiency is a crucial intermediate policy objective for UHC. Therefore, this article aimed to measure the efficiency and productivity changes of the Iranian health system in making progress towards UHC during 2010−2015 in comparison with 36 selected other upper-middle-income countries. Methods We used panel data to measure the variations in technical efficiency (TE) and total factor productivity (TFP) through an extended data envelopment analysis (EDEA) and Malmquist productivity index, respectively. General government health expenditure (GGHE) per capita (International dollar) was selected as the input variable. Service coverage of diphtheria, tetanus and pertussis; family planning; antiretroviral therapy; skilled attendants at birth; Tuberculosis treatment success rate; and GGHE as % of total health expenditure (THE) were considered as output variables. The data for each indicator were taken from the Global Health Observatory data repository and World Development Indicator database, for 6 years (2010−2015). Results The TE scores of Iran’s health system were 0.75, 0.77, 0.74, 0.74, 0.97, and 0.84 in the period 2010–2015, respectively. TFP improved in 2011 (1.02), 2013 (1.01), and 2014 (1.30, generally). The overall efficiency and TFP increased in 2014. Changes made in CCHE per capita and GGHE/THE attributed to the increase of efficiency. Conclusion There is a growing demand for efficiency improvements in the health systems to achieve UHC. While there are no defined set of indicators or precise methods to measure health system efficiency, EDEA helped us to draw the picture of health system efficiency in Iran. Our findings highlighted the essential need for targeted and sustained interventions, i.e., allocation of enough proportion of public funds to the health sector, to improve universal financial coverage against health costs aiming to enhance the future performance of Iran’s health system, ultimately. Such tailored interventions may also be useful for settings with similar context to speed up their movement towards improving efficiency, which in turn might lead to more resources to reach UHC. Efficiency (dpeaa)DE-He213 Productivity (dpeaa)DE-He213 Health system (dpeaa)DE-He213 Health reform (dpeaa)DE-He213 Universal health coverage (dpeaa)DE-He213 Iran (dpeaa)DE-He213 Goodarzi, Zahra verfasserin aut Takian, Amirhossein verfasserin aut Mohamadi, Efat verfasserin aut Olyaeemanesh, Alireza verfasserin aut Hosseinzadeh Lotfi, Farhad verfasserin aut Sharafi, Hamid verfasserin aut Noori Hekmat, Somayeh verfasserin aut Jowett, Matthew verfasserin aut Majdzadeh, Reza verfasserin aut Enthalten in Cost effectiveness and resource allocation London : BioMed Central, 2003 18(2020), 1 vom: 29. Juni (DE-627)369555570 (DE-600)2119372-1 1478-7547 nnns volume:18 year:2020 number:1 day:29 month:06 https://dx.doi.org/10.1186/s12962-020-00215-x kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2129 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 18 2020 1 29 06 |
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10.1186/s12962-020-00215-x doi (DE-627)SPR040178994 (SPR)s12962-020-00215-x-e DE-627 ger DE-627 rakwb eng 610 ASE Sajadi, Haniye Sadat verfasserin aut Assessing the efficiency of Iran health system in making progress towards universal health coverage: a comparative panel data analysis 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Building upon decades of continuous reforms, Iran has been implementing various initiatives to reach universal health coverage (UHC). Improving efficiency is a crucial intermediate policy objective for UHC. Therefore, this article aimed to measure the efficiency and productivity changes of the Iranian health system in making progress towards UHC during 2010−2015 in comparison with 36 selected other upper-middle-income countries. Methods We used panel data to measure the variations in technical efficiency (TE) and total factor productivity (TFP) through an extended data envelopment analysis (EDEA) and Malmquist productivity index, respectively. General government health expenditure (GGHE) per capita (International dollar) was selected as the input variable. Service coverage of diphtheria, tetanus and pertussis; family planning; antiretroviral therapy; skilled attendants at birth; Tuberculosis treatment success rate; and GGHE as % of total health expenditure (THE) were considered as output variables. The data for each indicator were taken from the Global Health Observatory data repository and World Development Indicator database, for 6 years (2010−2015). Results The TE scores of Iran’s health system were 0.75, 0.77, 0.74, 0.74, 0.97, and 0.84 in the period 2010–2015, respectively. TFP improved in 2011 (1.02), 2013 (1.01), and 2014 (1.30, generally). The overall efficiency and TFP increased in 2014. Changes made in CCHE per capita and GGHE/THE attributed to the increase of efficiency. Conclusion There is a growing demand for efficiency improvements in the health systems to achieve UHC. While there are no defined set of indicators or precise methods to measure health system efficiency, EDEA helped us to draw the picture of health system efficiency in Iran. Our findings highlighted the essential need for targeted and sustained interventions, i.e., allocation of enough proportion of public funds to the health sector, to improve universal financial coverage against health costs aiming to enhance the future performance of Iran’s health system, ultimately. Such tailored interventions may also be useful for settings with similar context to speed up their movement towards improving efficiency, which in turn might lead to more resources to reach UHC. Efficiency (dpeaa)DE-He213 Productivity (dpeaa)DE-He213 Health system (dpeaa)DE-He213 Health reform (dpeaa)DE-He213 Universal health coverage (dpeaa)DE-He213 Iran (dpeaa)DE-He213 Goodarzi, Zahra verfasserin aut Takian, Amirhossein verfasserin aut Mohamadi, Efat verfasserin aut Olyaeemanesh, Alireza verfasserin aut Hosseinzadeh Lotfi, Farhad verfasserin aut Sharafi, Hamid verfasserin aut Noori Hekmat, Somayeh verfasserin aut Jowett, Matthew verfasserin aut Majdzadeh, Reza verfasserin aut Enthalten in Cost effectiveness and resource allocation London : BioMed Central, 2003 18(2020), 1 vom: 29. Juni (DE-627)369555570 (DE-600)2119372-1 1478-7547 nnns volume:18 year:2020 number:1 day:29 month:06 https://dx.doi.org/10.1186/s12962-020-00215-x kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2129 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 18 2020 1 29 06 |
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Sajadi, Haniye Sadat Goodarzi, Zahra Takian, Amirhossein Mohamadi, Efat Olyaeemanesh, Alireza Hosseinzadeh Lotfi, Farhad Sharafi, Hamid Noori Hekmat, Somayeh Jowett, Matthew Majdzadeh, Reza |
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assessing the efficiency of iran health system in making progress towards universal health coverage: a comparative panel data analysis |
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Assessing the efficiency of Iran health system in making progress towards universal health coverage: a comparative panel data analysis |
| abstract |
Background Building upon decades of continuous reforms, Iran has been implementing various initiatives to reach universal health coverage (UHC). Improving efficiency is a crucial intermediate policy objective for UHC. Therefore, this article aimed to measure the efficiency and productivity changes of the Iranian health system in making progress towards UHC during 2010−2015 in comparison with 36 selected other upper-middle-income countries. Methods We used panel data to measure the variations in technical efficiency (TE) and total factor productivity (TFP) through an extended data envelopment analysis (EDEA) and Malmquist productivity index, respectively. General government health expenditure (GGHE) per capita (International dollar) was selected as the input variable. Service coverage of diphtheria, tetanus and pertussis; family planning; antiretroviral therapy; skilled attendants at birth; Tuberculosis treatment success rate; and GGHE as % of total health expenditure (THE) were considered as output variables. The data for each indicator were taken from the Global Health Observatory data repository and World Development Indicator database, for 6 years (2010−2015). Results The TE scores of Iran’s health system were 0.75, 0.77, 0.74, 0.74, 0.97, and 0.84 in the period 2010–2015, respectively. TFP improved in 2011 (1.02), 2013 (1.01), and 2014 (1.30, generally). The overall efficiency and TFP increased in 2014. Changes made in CCHE per capita and GGHE/THE attributed to the increase of efficiency. Conclusion There is a growing demand for efficiency improvements in the health systems to achieve UHC. While there are no defined set of indicators or precise methods to measure health system efficiency, EDEA helped us to draw the picture of health system efficiency in Iran. Our findings highlighted the essential need for targeted and sustained interventions, i.e., allocation of enough proportion of public funds to the health sector, to improve universal financial coverage against health costs aiming to enhance the future performance of Iran’s health system, ultimately. Such tailored interventions may also be useful for settings with similar context to speed up their movement towards improving efficiency, which in turn might lead to more resources to reach UHC. |
| abstractGer |
Background Building upon decades of continuous reforms, Iran has been implementing various initiatives to reach universal health coverage (UHC). Improving efficiency is a crucial intermediate policy objective for UHC. Therefore, this article aimed to measure the efficiency and productivity changes of the Iranian health system in making progress towards UHC during 2010−2015 in comparison with 36 selected other upper-middle-income countries. Methods We used panel data to measure the variations in technical efficiency (TE) and total factor productivity (TFP) through an extended data envelopment analysis (EDEA) and Malmquist productivity index, respectively. General government health expenditure (GGHE) per capita (International dollar) was selected as the input variable. Service coverage of diphtheria, tetanus and pertussis; family planning; antiretroviral therapy; skilled attendants at birth; Tuberculosis treatment success rate; and GGHE as % of total health expenditure (THE) were considered as output variables. The data for each indicator were taken from the Global Health Observatory data repository and World Development Indicator database, for 6 years (2010−2015). Results The TE scores of Iran’s health system were 0.75, 0.77, 0.74, 0.74, 0.97, and 0.84 in the period 2010–2015, respectively. TFP improved in 2011 (1.02), 2013 (1.01), and 2014 (1.30, generally). The overall efficiency and TFP increased in 2014. Changes made in CCHE per capita and GGHE/THE attributed to the increase of efficiency. Conclusion There is a growing demand for efficiency improvements in the health systems to achieve UHC. While there are no defined set of indicators or precise methods to measure health system efficiency, EDEA helped us to draw the picture of health system efficiency in Iran. Our findings highlighted the essential need for targeted and sustained interventions, i.e., allocation of enough proportion of public funds to the health sector, to improve universal financial coverage against health costs aiming to enhance the future performance of Iran’s health system, ultimately. Such tailored interventions may also be useful for settings with similar context to speed up their movement towards improving efficiency, which in turn might lead to more resources to reach UHC. |
| abstract_unstemmed |
Background Building upon decades of continuous reforms, Iran has been implementing various initiatives to reach universal health coverage (UHC). Improving efficiency is a crucial intermediate policy objective for UHC. Therefore, this article aimed to measure the efficiency and productivity changes of the Iranian health system in making progress towards UHC during 2010−2015 in comparison with 36 selected other upper-middle-income countries. Methods We used panel data to measure the variations in technical efficiency (TE) and total factor productivity (TFP) through an extended data envelopment analysis (EDEA) and Malmquist productivity index, respectively. General government health expenditure (GGHE) per capita (International dollar) was selected as the input variable. Service coverage of diphtheria, tetanus and pertussis; family planning; antiretroviral therapy; skilled attendants at birth; Tuberculosis treatment success rate; and GGHE as % of total health expenditure (THE) were considered as output variables. The data for each indicator were taken from the Global Health Observatory data repository and World Development Indicator database, for 6 years (2010−2015). Results The TE scores of Iran’s health system were 0.75, 0.77, 0.74, 0.74, 0.97, and 0.84 in the period 2010–2015, respectively. TFP improved in 2011 (1.02), 2013 (1.01), and 2014 (1.30, generally). The overall efficiency and TFP increased in 2014. Changes made in CCHE per capita and GGHE/THE attributed to the increase of efficiency. Conclusion There is a growing demand for efficiency improvements in the health systems to achieve UHC. While there are no defined set of indicators or precise methods to measure health system efficiency, EDEA helped us to draw the picture of health system efficiency in Iran. Our findings highlighted the essential need for targeted and sustained interventions, i.e., allocation of enough proportion of public funds to the health sector, to improve universal financial coverage against health costs aiming to enhance the future performance of Iran’s health system, ultimately. Such tailored interventions may also be useful for settings with similar context to speed up their movement towards improving efficiency, which in turn might lead to more resources to reach UHC. |
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Goodarzi, Zahra Takian, Amirhossein Mohamadi, Efat Olyaeemanesh, Alireza Hosseinzadeh Lotfi, Farhad Sharafi, Hamid Noori Hekmat, Somayeh Jowett, Matthew Majdzadeh, Reza |
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