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Iranian health new financial management reform: Strengths, weaknesses and implications for future

  • Peivand Bastani
  • , Masoud Abolhalaj
  • , Maryam Ramezanian
  • , Javad Jafari
  • , Jalil Rajab Kordi

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

Background: In this research, we conclude and analyze the most important strong and weak points of new financial health system in the units covered by universities of medical sciences from the point of view of authorities for executing it in two medium and operational levels. Method: This qualitative research conducted on 15 of the most active trainers of the new health financial system were selected among universities of medical sciences for participation in expert pa-nels, And 8 financial managers of different univer-sities of medical sciences and member of techni-cal committee of financial managers of MOHME were interviewed in deep and semi-structured way. Data analysis process was performed by Krueger method. In order to ensure accuracy of the obtained finding, peer check method was used and there was high agreement between the obtai-ned themes and validity of the finding. Results: Results deriving from individual in-terviews and expert panels, lead to present 7 main themes about weaknesses and other 7 main the-mes about strengths of the Iranian health new fi-nancial management reform, each contains some important sub themes. Conclusion: It is suggested to take action re-garding formation of specialized workgroup com-posed of senior, middle managers and operational personnel employed in universities of medical sci-ences for agreement and presentation of strategy for exclusion of weaknesses, increase of strengths and conversion of weaknesses to strengths with regard to weaknesses resulting from limitations of infor-mation system in software and hardware aspect, structural limitations, establishments, communica-tion, payment system and bureaucracy, financial limitations, process limitations and the proposed strategies are tested as pilot method after prioritiza-tion and channelization before settlement of the se-cond phase of reforms in the country and achieve-ments shall be used for elevation of the entire health financial new reform in universities and faculties of medical sciences covered by MOHME.

Original languageEnglish
Pages (from-to)4035-4042
Number of pages8
JournalHealthMED
Volume6
Issue number12
Publication statusPublished - 2012

Keywords

  • Accrual accounting
  • Iranian health new finan-cial management reform
  • Ministry of health and medical education (MOHME)
  • Strenght
  • Weakness

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