Seven years of experience in the health system transformation plan in Iran: a comparative study and narrative review

 The aim of this study was to investigate the various aspects of the implementation of the health system transformation plan after seven years of its implementation in Iran.

 The present study was conducted in two phases in 2021. In the first phase, a comparative study of health system reforms and developments in selected countries of Turkey, Malaysia, South Korea, Mexico and Brazil was reviewed. In the second phase of the research, using the narrative review method, the published studies on the impact of the Iranian health system transformation plan were searched and summarized, and information about the researchers, the province where the study was conducted, and their most important findings were extracted. Data analysis was performed as a comprehensive review of articles, qualitative summary and final conclusions.

The effect of health transformation plan on the performance of services in the dimensions of natural childbirth and cesarean section, stakeholder satisfaction, performance evaluation of providers and the volume and amount of services used and the effect of health transformation plan on the function of financing in the dimensions of household financial participation, payment Out of pocket, the financial performance of departments and units, health and insurance expenses, and informal payments were identified and reviewed.

 The findings of the present study showed that the health system transformation plan in Iran after seven years and with the implementation of various steps and packages, in the areas of reducing out-of-pocket payments, cesarean section rates without indication, non-payments Formalism and access to health services have to some extent been able to achieve predetermined goals.