Pharmaceutical strategic purchasing requirements in Iran: Price interventions and the related effective factors

Bastani, Peivand; Dinarvand, Rasoul; Samadbeik, Mahnaz; Pourmohammadi, Kimia

doi:10.4103/2279-042x.176553

Cited by 20 publications

(19 citation statements)

References 14 publications

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“…Then at the fourth stage charting was occurred and we tried to merge the related codes to generate sub categories as sub themes and then achieved to main categories or themes. In this step the relation between the main and subthemes were identified too and at the last step, all the themes and subthemes were interpreted and approved by the research team that did not have any conflict of interest [ 18 ].…”

Section: Methodsmentioning

confidence: 99%

Qualitative analysis of national documents on health care services and pharmaceuticals` purchasing challenges: evidence from Iran

Bastani

Samadbeik

Dinarvand

et al. 2018

BMC Health Serv Res

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BackgroundIranian health sector encountered many challenges in resource allocation and health service purchasing during the past decades, the aim of this study was to determine the main challenges of the present process of health service purchasing for national policymakers and other developing countries with the same setting.MethodsIt was a qualitative study carried out via the complete content analysis of all relevant national documents from 2007 to 2014. In order to retrieve the related documents, we searched the official websites related to the Ministry of Health and Medical Education, four main Iranian insurance organizations, the Health Committee of the Parliament Profile, strategic vice president’s site and Supreme Insurance Council. After recognition of documents, their credibility and authenticity were evaluated in terms of their publication or adjustment. For the analysis of documents, the four step-Scott method was used applying MAXQDA version 10.ResultsFindings illustrated that health service purchase challenges in the country can be classified in 6 main themes of policy-making, executive, intersectional, natural, legal and informational challenges with 26 subthemes. Furthermore, 5 themes of Basic Benefit Package, Reimbursement,Decision making, Technology and Contract are considered as the main Challenges in pharmaceutical purchasing area containing 13 relevant subthemes.ConclusionsIt seems that according to documents, Iran has faced many structural and procedural problems with the purchase of the best health interventions. So it is highly recommended to consider consequences derived from the present challenges and try to use these evidences in their policy making process to decrease the existed problems and move to better procurement of health interventions.

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Section: Methodsmentioning

confidence: 99%

Qualitative analysis of national documents on health care services and pharmaceuticals` purchasing challenges: evidence from Iran

Bastani

Samadbeik

Dinarvand

et al. 2018

BMC Health Serv Res

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“…47 , 114 Sanctions with a large economic effect on a target country (similar to Iran’s case) can have severe public health consequences which are very much similar to the effects of major military conflict. 83 Sanctions on Iran had the potential to disrupt government’s subsidized healthcare. 62 Economic sanctions decreased the revenues of Iran’s government and its ability to invest on health, education and social security of Iranians.…”

Section: Part 1) Iranian’s Enjoyment Of Their Rights In Sanctions’ Pementioning

confidence: 99%

Assessment of the Effects of Economic Sanctions on Iranians’ Right to Health by Using Human Rights Impact Assessment Tool: A Systematic Review

Kokabisaghi

2018

Int J Health Policy Manag

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Background: Over the years, economic sanctions have contributed to violation of right to health in target countries. Iran has been under comprehensive unilateral economic sanctions by groups of countries (not United Nations [UN]) in recent years. They have been intensified from 2012 because of international community’s uncertainty about peaceful purpose of Iran’s nuclear program and inadequacy of trust-building actions of this country. This review aimed to identify the humanitarian effects of the sanctions on the right of Iranians to health and the obligations of Iran and international community about it. Methods: To assess economic sanction policies and identify violated rights and the obligations of states according to international human rights laws, in this study, Human Rights Impact Assessments (HRIA) tool is used. Applying this tool requires collection of evidences regarding the situation of rights. To provide such evidence, a systematic review of literature which involved 55 papers retrieved from the web-based databases and official webpages of Iran’s government and UN’ health and human rights committees and organizations was done. All articles about the consequences of economic sanctions related to nuclear activities of Iran on welfare and health of Iranians published from January 2012 till February 2017 in English and Persian languages were included. Search terms were economic sanctions, embargoes, Iran, welfare, health and medicine. Additional studies were identified by cross checking the reference lists of accessed articles. All selected papers were abstracted and entered into a matrix describing study design and findings, and categorized into a framework of themes reflecting the areas covered (health and its determinants). According to HRIA framework, related obligations of Iran and other states about adverse effects of the sanctions on Iranians’ right to health were extracted. Results: The sanctions on Iran caused a fall of country’s revenues, devaluation of national currency, and increase of inflation and unemployment. These all resulted in deterioration of people’s overall welfare and lowering their ability to access the necessities of a standard life such as nutritious food, healthcare and medicine. Also, the sanctions on banking, financial system and shipment led to scarcity of quality lifesaving medicines. The impacts of sanctions were more immense on the lives of the poor, patients, women and children. Humanitarian exemptions did not protect Iranians from the adverse effects of sanctions. Conclusion: Countries which imposed economic sanctions against Iran have violated Iranians’ right to health. International community should have predicted any probable humanitarian effects of sanctions and used any necessary means to prevent it. Furthermore, Iran should have used any essential means to protect people from the adverse effects of sanctions. Now, they should work on alleviation of the negative effects of sanctions. Even though, some of the effects such as disability and death cannot be compen...

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“…About the importance of taking medication, statistics show that, on average, 20%–30% of inpatient costs and more than 95% of treatments are related to medicine and medical equipment. [ 8 ] Given that in various communities, the elderly are the largest medicine consumers, the cost can be estimated more. [ 9 ]…”

Section: Introductionmentioning

confidence: 99%

The status of Iranian hospital pharmacies according to age-friendly pharmacies criteria

Bastani

Marzaleh

Dehghani

et al. 2017

J Adv Pharm Technol Res

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Due to the increasing elderly population and the subsequent increase in their need for medication and more referrals to the pharmacy, this study was conducted to investigate the Iranian hospital pharmacies in terms of age-friendliness criteria. This was a cross-sectional study conducted in 2017. The study population included 3 metropolitan hospital pharmacies selected through clustered sampling, and all their 67 pharmacies were included by census. Data collection tool was a reliable researcher-made checklist (t = 0.85, α = 0.9) Data analysis was performed using Kruskal–Wallis test and Mann–Whitney test through SPSS version 24. The results in these three cities showed that only two pharmacies were in a high level of age-friendly. The relationship between type of pharmacy and the final score of age-friendly situation in these cities showed no significant relationship. There was no significant relationship among the average of the final score of the age-friendly situation in three studied cities. Due to the increasing elderly population and the aging society, readiness of Iranian hospital pharmacies to provide services to the elderly will be one of the most challenging issues in the long term. With proper legislation and policies on health-care systems, especially pharmacies, physical and psychological problems in elderly can be reduced in the future. Furthermore, with advancing toward age-friendly pharmacies, the community can be empower and become ready encountering elderly problems.

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Pharmaceutical strategic purchasing requirements in Iran: Price interventions and the related effective factors

Cited by 20 publications

References 14 publications

Qualitative analysis of national documents on health care services and pharmaceuticals` purchasing challenges: evidence from Iran

Qualitative analysis of national documents on health care services and pharmaceuticals` purchasing challenges: evidence from Iran

Assessment of the Effects of Economic Sanctions on Iranians’ Right to Health by Using Human Rights Impact Assessment Tool: A Systematic Review

The status of Iranian hospital pharmacies according to age-friendly pharmacies criteria

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