Challenges in Providing Rehabilitation Services for People with Disabilities in Iran: A Qualitative Study

Abdi, Kianoush; Arab, Mohammad; Khankeh, Hamid Reza; Kamali, Mohammad; Rashidian, Arash; Farahani, Farah; Shemshadi, Hashem

doi:10.9734/bjmmr/2016/23337

Cited by 18 publications

(23 citation statements)

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“…Furthermore, participation of patients and rehabilitation experts in policy processes is another option which has noted by recent evidence [26]. Unfortunately, disabled persons and other relevant groups have no enough power or influence to involve in decision-and policymaking processes in Iran [21]. Collaboration between scientific associations and health insurers can be another alternative to improve the insurance coverage of physiotherapy service.…”

Section: Stewardshipmentioning

confidence: 99%

“…Iran like many other countries, there is no transparent and regular supervision system in healthrelated rehabilitation sector including physiotherapy [21]. In addition, lack of comprehensive accreditation is another feature of physiotherapy sector in Iran [29].…”

Section: Stewardshipmentioning

confidence: 99%

“…In agreement with evidence, our findings concluded that moving the allocated resources for rehabilitation services to insurance (third party) mechanisms is essential. However, the current funding for rehabilitation services is highly dispersed and each organization receives a separate budget [21]. Additionally, using effective third-part mechanisms at national level, facilitate the cross-subsidization.…”

Section: Pooling Of Fundsmentioning

confidence: 99%

“…In fact, different actors and stakeholders (including Ministry of Health, Social Security Organization (SSO), Iran Health Insurance Organization (IHIO), Armed Forces Social Security Organization (AFSSO), Hilal Ahmar (in English Red Crescent), State Welfare Organization of Iran, Iranian Physiotherapy Association, and etc.) are involved in this process [9,21].…”

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confidence: 99%

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Recommendations to improve the insurance coverage for physiotherapy services in Iran A multi-criteria decision making approach

Shahabi¹,

Heydari²,

Lankarani³

et al. 2020

Preprint

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Background High rate of traffic injuries, climate changes, natural disasters, aging, and chronic diseases have been resulted in a considerable demand for receiving physiotherapy in Iran. However, there are various complications in utilization of physiotherapy services, especially poor insurance coverage. This study investigated and prioritized potential policy recommendations to improve the insurance coverage for physiotherapy services in Iran. Methods The present project was carried out using mix-method (qualitative-quantitative) approach in Iran. In the first phase, a qualitative study was conducted to find the policy recommendations and in the second phase, obtained policy recommendations were prioritized based on the effectiveness, acceptability, cost, fairness, feasibility, and time using Analytical Hierarchy Process (AHP). Results In the first phase, 30 semi-structured interviews with health policy-makers, health insurers, faculty members, rehabilitation experts, and physiotherapists were conducted. Several policy recommendations were proposed by participants. Following the second phase, prioritized recommendations were provided to promote stewardship (e.g. informing the policy-makers about physiotherapy services), collection of funds (e.g. value-added tax on luxury goods and services), pooling of funds (e.g. moving the allocated resources to insurance (third party) mechanism), purchasing (e.g. using strategic purchasing), and benefit package (e.g. considering the preventive interventions) as main components of insurance coverage. Conclusion The findings of this study will be provided a favorable ground to improve the insurance coverage for physiotherapy services in Iran, and decision- and policy-makers can place these recommendations at their agenda settings in the health sector to protect the health status of population, especially disabled groups.

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Section: Stewardshipmentioning

confidence: 99%

Section: Stewardshipmentioning

confidence: 99%

Section: Pooling Of Fundsmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Recommendations to improve the insurance coverage for physiotherapy services in Iran A multi-criteria decision making approach

Shahabi¹,

Heydari²,

Lankarani³

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…In fact, different actors and stakeholders (including the Ministry of Health and Medical Education: MoHME, Social Security Organization: SSO, Iran Health Insurance Organization: IHIO, Armed Forces Social Security Organization: AFSSO, the Iranian Red Crescent Society: IRCS, the State Welfare Organization of Iran, and the Iranian Physiotherapy Association, etc.) are involved in this process [9,24].…”

Section: Introductionmentioning

confidence: 99%

Recommendations to improve insurance coverage for physiotherapy services in Iran: A multi-criteria decision making approach

Shahabi

Heydari

Lankarani

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: High toll of traffic-related injuries, climate change, natural disasters, population aging, as well as chronic diseases have all made considerable demands on receiving physiotherapy services in Iran. Nevertheless, there is an assortment of complications facing utilization of such services, particularly poor insurance coverage. Therefore, the present study investigated and prioritized potential policy recommendations to improve insurance coverage for physiotherapy services in Iran.Methods: This project was carried out in Iran, using a mix-methods (viz. qualitative-quantitative) approach. Within the first phase, a qualitative study was completed to find policy recommendations. Such recommendations were then prioritized through the Analytical Hierarchy Process (AHP), in the second phase, based on effectiveness, acceptability, cost, fairness, feasibility, and time. Results: Within the first phase, a total number of 30 semi-structured interviews with health policy-makers, health insurers, faculty members, rehabilitation experts, and physiotherapists were completed. Several policy recommendations were also proposed by the study participants. Following the second phase, prioritized recommendations were provided to promote stewardship (e.g. informing policy-makers about physiotherapy services), collection of funds (e.g. placing value-added taxes on luxury goods and services), pooling of funds (e.g. moving allocated resources towards insurance [viz. third-party] mechanism), purchasing (e.g. using strategic purchasing), and benefit package (e.g. considering preventive interventions) as the main components of insurance coverage. Conclusion: The study findings provided a favorable ground to improve insurance coverage for physiotherapy services in Iran. As well, decision- and policy-makers can place these recommendations on the agenda in the health sector to protect population health status, especially that of groups with disabilities.

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Stewardship of physiotherapy services in Iran: common pitfalls and policy solutions

Shahabi

Skempes

Mojgani

et al. 2021

Physiotherapy Theory and Practice

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Challenges in Providing Rehabilitation Services for People with Disabilities in Iran: A Qualitative Study

Cited by 18 publications

References 0 publications

Recommendations to improve the insurance coverage for physiotherapy services in Iran A multi-criteria decision making approach

Recommendations to improve the insurance coverage for physiotherapy services in Iran A multi-criteria decision making approach

Recommendations to improve insurance coverage for physiotherapy services in Iran: A multi-criteria decision making approach

Stewardship of physiotherapy services in Iran: common pitfalls and policy solutions

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