Comparative Study on Health Management for Chronic Patients and Design of a Health Management Model for Iran
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Original Investigation
P: 1-6
April 2017

Comparative Study on Health Management for Chronic Patients and Design of a Health Management Model for Iran

J Acad Res Med 2017;7(1):1-6
1. Candidate of Health Services Management, School of Medical Sciences, Department of Health Services Management, Science and Research Branch, Islamic Azad University, Tehran, Iran
2. Department of Health Services Management, Science and Research Branch, Islamic Azad University, Tehran, Iran
3. Department of Public Health and Statistics, Faculty of Health, Kashan University of Medical Sciences, Kashan, Iran
No information available.
No information available
Received Date: 29.01.2016
Accepted Date: 12.08.2016
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ABSTRACT

Objective:

Health management for chronic patients represents a serious challenge for policymakers. Since the community has to cope with substantial expenses, and a considerable part of health funds are allocated for the continuing care of these patients, designing appropriate policies for organizing, financing, and providing optimal health care is of special importance. This study was aimed to design a health management model for chronic patients in Iran.

Methods:

We scrutinized studies done in England, Australia, United state, and Canada and used these as suitable references from which we selected applicable strategies. Subsequently, we submitted these for approval to relevant experts to establish a service health care management model for chronic patients. The final model was developed by the expert panel.

Results:

In almost all of our references we found that health and welfare ministries, along with the private sector, provide decentralized health care to chronic patients. Health care programs for chronic patients encompass free services for regular check-ups, vaccinations, lifestyle training, acute illness care, health advisors, health aids, and equipment, and laboratory services. Policies are outlined by the National Committee on Prevention and Control of Non-Communicable Diseases, which has its base at the Supreme Council of Health. Funds are provided mainly by governmental bodies and subsequently, by societies and non-governmental organizations (NGO's), with some participation of the chronic patients themselves (as premium and franchise).

Conclusion:

Our model for management of chronic patients includes the formation of a “health committee for chronic patients” in the Supreme Council of Health and Ministry of Health and Medical Education, and the provision of decentralized and provincial health care services. Funds should be provided through taxes, charity aids, and support from international organizations. Nongovernmental and charity aids may be increased to lessen the financial burden on the governments.

Keywords: Chronic disease, Iran, patient

References

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