From: Health insurance benefit package in Iran: a qualitative policy process analysis
Limitations and issues that can be investigated | |
• Lack of clear criteria to include services into the HIBP • Not considering the epidemiological transitions to increase the effectiveness of included services. • Scientific evidences were not adequately used • Health Technology Assessment (HTA) studies were not used • Bargaining power had an important role in the ISCHI decisions • The extensive HIBP list regardless of the priorities and costs • Policies on HIBP and the strategic purchasing were not implemented • Cultural, social and economic issues were not considered • Passive performance of health insurance organizations to include new proposed services within the HIBP • Lack of revision and evaluation systems • OTC drugs are included in the HIBP • Unproportioned percentage of the health expenditures are created by a small percentage of patients • Development and implementation of programs and policies are not permanent • Inadequate resources |