دانلود مقاله ISI انگلیسی شماره 99346
ترجمه فارسی عنوان مقاله

سیاست های اصلاحات بهداشتی: مسائل مربوط به پایداری مالی (پرونده رئیس جمهور ایران)

عنوان انگلیسی
Health reform policy-making: Fiscal sustainability matters (The case of Iran’s PresidentCare)
کد مقاله سال انتشار تعداد صفحات مقاله انگلیسی
99346 2017 33 صفحه PDF
منبع

Publisher : Elsevier - Science Direct (الزویر - ساینس دایرکت)

Journal : Journal of Policy Modeling, Volume 39, Issue 6, November–December 2017, Pages 1086-1101

پیش نمایش مقاله
پیش نمایش مقاله  سیاست های اصلاحات بهداشتی: مسائل مربوط به پایداری مالی (پرونده رئیس جمهور ایران)

چکیده انگلیسی

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.