Hospital transformation plan: achievements, challenges and lessons learnt

摘要

In this article, the authors discuss the evolution of the Iranian hospital management system after the Iranian Health Transformation Plan (HTP). These changes point to "Decreasing "Out-of-Pocket" payments for the hospitalized patients in the hospitals", "Enhancing the quality of hoteling services in the hospitals run by the Ministry of Health", "Capacity building of public hospital managers", and ultimately "establishing independent hospitals". The hospitals reform has significantly reduced patient out-of-pocket payments, increased productivity, reduced patient dissatisfaction, and promoted fair access. Major problems in the way of these improvements are the lack of sufficient resources, waste bureaucracy and lack of managerial skills among managers.