سیاست های اصلاحات بهداشتی: مسائل مربوط به پایداری مالی (پرونده رئیس جمهور ایران)
|کد مقاله||سال انتشار||تعداد صفحات مقاله انگلیسی||ترجمه فارسی|
|99346||2017||33 صفحه PDF||سفارش دهید|
Publisher : Elsevier - Science Direct (الزویر - ساینس دایرکت)
Journal : Journal of Policy Modeling, Volume 39, Issue 6, NovemberâDecember 2017, Pages 1086-1101
Two years after the implementation of RouhaniCare, this study aims to review and analyze the main bottleneck of the plan: Fiscal sustainability. The findings of this study, based on a fiscal simulation model, show that, despite some favorable changes in health indicators, including a considerable decrease in catastrophic health expenditure and a reduction in out-of-pocket health costs for inpatient services, the gap to finance HRP will threaten the continuation of the reform in the coming years. HRP will cost approximately 2% of GDP in the medium-long term. Considering the current path of government revenues, this is fiscally unsustainable, and government will face a menu of options in the near future: reallocating current expenditures in favor of health sector spending; increasing tax revenues, including imposing new health sector linked corrective taxes; and reforming HRP so that it places less of burden on public finance spending.