Hakim Research Journal

fa برنامه‌ریزی، تدوین و اجرای طرح تحول نظام سلامت؛ اجرای طرحی ملی با تولیت وزارت بهداشت، درمان و آموزش پزشکی از طریق خلق منابع اعتباری جدید و با همکاری گسترده بین‌بخشی با هدف کلی ارتقاء مستمر سطح سلامت در کنار ایجاد عدالت در دسترسی و بهره‌مندی و حفاظت مالی از شهروندان در برابر هزینه‌های سلامت Planning, Elaborating, and Implementating the Health Transformation Plan, Implementation of a National Plan with the Trusteeship of Ministry of Health and Medical Education Through the Creation of New Credit Resources and Extensive Inter-Sectoral Collaboration with the Overall Aim of Continuously Improving the Level of Health Alongside the Creation of Justice in Accessing and Benefiting and Protecting Citizens from Health Costs گزارش Report تحمیــل فشــار مالــی مرتبــط بــا هزینه هــای درمــان بــر مـردم یکـی از اصلی تریـن مسـایل گریبان گیـر حـوزه سـلامت در ایــران در ابتــدای مطالعــات مرتبــط بــا طــرح تحــول نظــام سـلامت بــود. ایــن هزینه هــا کــه بــر اســاس تولیــد ناخالــص ملــی و ســهم ســلامت از آن و ســهم پرداختــی از هزینه هــای ســلامت، در ســرفصلی تحــت عنــوان حســابهای ملــی سـلامت مشـخص میشـود، نشـان مـیداد کـه بخـش عمـده هزینه هــای ســامت، پرداخــت مســتقیم از جیــب OOP بیمــاران بــود. درصــد پرداختــی از جیــب منجــر بــه دو پیامــد میشــود کــه بــا دو شــاخص هزینه هــای کمرشــکن و فقــرزا شناســایی میشــوند. بــه عبارتــی افزایــش درصــد خانوارهایــی کـه به خاطـر هزینه هـای ناشـی از سـلامت دچـار فقـر شـده و یـا کمـر آنهـا زیـر بـار ایـن هزینه هـا در حـال شکسـتن اسـت نشـان های از ناعادلانـه بـودن سـهم پرداخـت هزینه هـا در ایـن حــوزه اســت. در واقــع هزینه هــای فقــرزا و کمرشــکن ناشــی از ســلامت، درصــد بیشتــری از خانوارهــا را تحت تأثیــر قــرارمــیداد و جامعــه را بــه ورطه هــای خطرناکــی ســوق مــیداد. <div style="text-align: center;">Planning, Elaborating, and Implementating the Health Transformation Plan, Implementation of a National Plan with the Trusteeship of Ministry of Health and Medical Education Through the Creation of New Credit Resources and Extensive Inter-Sectoral Collaboration with the Overall Aim of Continuously Improving the Level of Health Alongside the Creation of Justice in Accessing and Benefiting and Protecting Citizens from Health Costs  </div> <div style="text-align: justify;">Mohammad Aghajani 1*, Iraj Harirchi 2, Ali Shahrami 3, Ali Maher 4, Alireza Olyaeemanesh 5, Peirhossein Kolivand 6,Mohmmad Hossein Mirdehghan 7, Mosa  Tabatabaei 8, Jamshid Kermanchi 9, Hassan Vaezi 10, Farah babaei 11, Saeid Manavi 12, Marziyeh Zangeneh 13, Arezoo Dehghani 14, Leila Poraghasi 15,  Seyedeh Sana Hosseini 16</div> <div style="text-align: center;">1 Deputy for Curative Affairs, Ministry of Health and Medical Education 2 Vice Minister and Deputy General Minister of Health and Medical Education 3 Executive Vice of Curative Affairs, Ministry of Health and Medical Education 4 Vice Deputy of Curative Affairs, Ministry Of Health and Medical Education 5 Director General of the Office of Technology Assessment, Standards and Health Tariffs, Ministry of Health and Medical Education 6 Head of the Emergency Department of the Country, Ministry of Health and Medical Education 7 Head of Suoedvision and Accreditation in Curative Affairs 8 Head of the Department of Economic Planning and Health Insurance, Ministry of Health and Medical Education 9 Adviser of Curative Affairs in the Disease Management, Ministry of Health and Medical Education 10 Head of Hospital Emergency, Ministry of Health and Medical Education 11 Head of Department of Midwifery, Ministry of Health and Medical Education 12 Head of the Tariff Policy Department and Payment System, Ministry of Health and Medical Education 13 Expert of Coordination Office and Planning of Health Insurance. Ministry of Health and Medical Education 14 Director of Public Relations of Curative Affairs, Ministry of Health and Medical Education 15 Expert of Tariff Policy Department, Payment and Treatment Resources, Ministry of Health and Medical Education 16 Expert of Curative Affairs, Ministry of Health and Medical Education   <hr> Please cite this article as follows:</div> <div style="text-align: justify;">Aghajani1 M, Harirchi I, Shahrami I, Maher I, Olyaeemanesh A, Kolivand P, et al. Planning, Elaborating, and Implementating the Health Transformation Plan, Implementation of a National Plan with the Trusteeship of Ministry of Health and Medical Education Through the Creation of New Credit Resources and Extensive Inter-Sectoral Collaboration with the Overall Aim of Continuously Improving the Level of Health Alongside the Creation of Justice in Accessing and Benefiting and Protecting Citizens from Health Costs. Hakim Health Sys Res 2017; 20(2): 110- 121.   <hr> *Corresponding Author: 9 Th Floor, Block A, Eyvanak, E Qods, Tehran, Iran. Tel: +98-21- 81454646, Email: aghajani.m@health.gov.ir</div> طرح تحول نظام سلامت, هزینه‌های سلامت Health Transformation Plan, Health Costs 110 121 http://hakim.tums.ac.ir/browse.php?a_code=A-10-1-643&slc_lang=fa&sid=1 Mohammad Aghajani محمد آقاجانی aghajani.m@health.gov.ir Yes وزارت بهداشت، درمان و آموزش پزشکی Iraj Harirchi ایرج حریرچی No وزارت بهداشت، درمان و آموزش پزشکی Ali Shahrami علی شهرامی No وزارت بهداشت، درمان و آموزش پزشکی Ali Maher علی ماهر No وزارت بهداشت، درمان و آموزش پزشکی Alireza Olyaeemanesh علیرضا اولیایی‌منش No وزارت بهداشت، درمان و آموزش پزشکی Peirhossein Kolivand پیرحسین کولیوند No وزارت بهداشت، درمان و آموزش پزشکی et al همکاران همکاران No وزارت بهداشت، درمان و آموزش پزشکی