Methods of Resource Allocation Based on Needs in Health Systems, and Exploring the Current Iranian Resource Allocation System

  Yousefi M¹ (MSc) Akbari Sari A * ¹ (MD, PhD) Arab M¹ (PhD), Oliaeemanesh A² (MD, PhD)

  ¹ Department of Health Management and Economics, School of Public Health and Centre

  For Knowledge Translation, Tehran University of Medical Sciences, Tehran, Iran

  ² Department of Health Economics, Iranian Ministry of Health and Medical Education, Tehran, Iran

  Received: 10 Apr 2010, Accepted: 24 Jun 2010

  Abstract

  Introduction: This study aims to explore the applicability of a needs-based resource allocation method in Iran and to compare healthcare resources currently allocated to Iranian provinces using this method.

  Methods: MEDLINE and Google Scholar were searched and experts were contacted to identify methods of resource allocation based on needs in addition, experts were interviewed to explore which methods are more appropriate in Iran according to the level and accuracy of data available. A combination of indicators was used to estimate the relative amount of resources each province should receive and compare it with the exact amount each province received.

  Results: The main indicators were population, mortality rate, socio-economic indicators, costs of prevalent diseases, extra costs for rural areas, previous budget, costs of family physician services, hospital services and drugs. In Iran reliable data about population, mortality and the level of deprivation is available for each province. Comparing the two methods, 12 provinces have received a relatively high budget, 14 a relatively low budget and in 4 provinces the budget was relatively balanced.

  Conclusion: Using a good combination of indicators has the potential to improve allocation of Iran’s healthcare resources based on needs. There are currently significant differences between the amount of budget allocated to each Iranian province and the amount should have been allocated according to the needs-based method used in this study. This method has the potential to be further developed for allocating resources, although any change should be implemented gradually and over time.

  Key words: National Health Programs, Health Policy, Resource Allocation, Health Care Rationing, Iran

  Hakim Research Journal 2010 13(2): 80- 90.

  * Corresponding Author: Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Keshavarz Blvd, Tehran, Iran. Tel/Fax: +98- 21- 88989129, Email: akbarisari@tums.ac.ir