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Int J Well being Coverage Manag. 2022 Mar 2. doi: 10.34172/ijhpm.2022.6485. On-line forward of print.

ABSTRACT

BACKGROUND: Iran considers the revision of its medical insurance profit bundle (HIBP) as a method to attain common well being protection (UHC). But, its decision-making course of has been criticized for being weak when it comes to accountability and transparency. This paper reviews on the event and implementation of the HIBP revision in Iran within the interval 2019-2021, using evidence-informed deliberative processes (EDPs), a framework for profit bundle design with the express goal of optimizing the legitimacy of decision-making.

METHODS: The Excessive Council for Well being Insurance coverage (HCHI) is coordinating the HIBP revision: it deliberate the six steps of the EDP framework with assist from World Well being Group (WHO) and Radboudumc in 2019, and performed a pilot venture on a number of sclerosis (MS ) prognosis and therapy in 2020.

RESULTS: Implementation of the MS pilot venture involved the set up of advisory committees (involving some 60 stakeholders in supportive activity forces, a technical working group [TWG] and a nationwide advisory committee [NAC]), the choice of choice standards (referring to high quality of care, necessity, and sustainability), the inclusion of companies for analysis (9 in whole), and the evaluation and appraisal of those companies.

CONCLUSION: Implementation of the precedence setting course of for MS prognosis and therapy companies has doubtless improved the legitimacy of decision-making by involving stakeholders who engaged in deliberation primarily based on out there proof in a stepwise, clear course of. It’s anticipated to enhance the standard of look after MS sufferers in addition to its monetary accessibility, at a zero web funds affect. The pilot venture has served to assist Iran’s well being system transfer sooner towards UHC for a broader vary of important well being companies.

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PMID:35247943 | DOI:10.34172/ijhpm.2022.6485

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