Table 1 Results of analysis of direct effects of variables in the Iranian HS
From: Drivers, uncertainties, and future scenarios of the Iranian health system
N° | Dimensions of the Heath system | Components | Variables | Total number of rows | Total number of columns | Location of variables in the direct effects analysis map |
|---|---|---|---|---|---|---|
1 | Population health | Demographics | Demographic factors related to population/patient (De-Fac) | 107 | 100 | Lower-left area of the map (third quarter-secondary leverage) |
2 | Population lifestyle change (LS-Pop) | 113 | 102 | On the horizontal axis (influence axis- secondary leverage) | ||
3 | High-risk behaviors and risk factors | Behavioral risk factors (Be-Fac) | 122 | 119 | Upper- right area of the map (first quarter-target variable) | |
4 | Biological risk factors (Bio-Fac) | 97 | 100 | Lower-left area of the map (third quarter-adjustable variable) | ||
5 | Environmental and occupational risk factors (E&O-Fac) | 128 | 97 | Upper-left area of the map (Second quarter-drivers) | ||
6 | Community health status | Health indicators (H-Ind) | 100 | 121 | Lower-right area of the map (fourth quarter-dependent variable) | |
7 | Economic and social indicators (E-S-Ind) | 119 | 127 | Upper-right area of the map (first quarter-target variable) | ||
8 | Disease incidence (Dis-Inc) | 102 | 105 | Lower-left area of the map (third quarter-adjustable variable) | ||
9 | Service delivery | Preventive services | Community empowerment (Co-Emp) | 118 | 115 | Upper-right area of the map (first quarter-target variable) |
10 | Community care covered (Co-Ca-Cov) | 121 | 118 | Upper-right area of the map (first quarter-risk variable) | ||
11 | Environmental health (En-He) | 115 | 97 | Upper-left area of the map (second quarter-drivers) | ||
12 | Mental health (Me-He) | 96 | 119 | Lower-right area of the map (fourth quarter-dependent variable) | ||
13 | Nutrition and food security (Nu-Fo Sec) | 120 | 118 | Upper-right area of the map (first quarter-target variable) | ||
14 | Occupational health (Oc-He) | 104 | 103 | Lower-left area of the map (third quarter-adjustable variable) | ||
15 | Family health (Fa-He) | 118 | 112 | Upper-right area of the map (first quarter-risk variable) | ||
16 | Reproductive and sexual health (Rep-Sex-He) | 116 | 120 | Upper-right area of the map (first quarter-target variable) | ||
17 | Medical service | Outpatient services delivery (Out-Ser) | 133 | 123 | Upper-right area of the map (first quarter-target variable) | |
18 | Para-clinical services (Para-Cli-Ser) | 139 | 117 | Upper-right area of the map (first quarter-risk variable) | ||
19 | Clinical services (Cli-Ser) | 135 | 114 | Upper-right area of the map (first quarter-risk variable) | ||
20 | Inpatient services delivery (In-Ser) | 135 | 122 | Upper-right area of the map (first quarter-risk variable) | ||
21 | Palliative and supportive care coverage (Pal-Sup-Ca) | 89 | 103 | Lower-left area of the map (third quarter-adjustable variable) | ||
22 | Rehabilitation care coverage (Reh-Ca) | 97 | 119 | Lower-right area of the map (fourth quarter-dependent variable) | ||
23 | Traditional medical care coverage (Tra-Med-Ca) | 88 | 95 | Lower-left area of the map (third quarter-adjustable variable) | ||
24 | Improving services quality | Treatment measures/patient rights (Tre-Mea-Pa-Rig) | 93 | 105 | Lower-left area of the map (third quarter-adjustable variable) | |
25 | Equity and access to services (Eq-Acc-Ser) | 105 | 123 | Lower-right area of the map (fourth quarter-dependent variable) | ||
26 | Services effectiveness (Ser-Efs) | 87 | 121 | Lower-right area of the map (fourth quarter-dependent variable) | ||
27 | Services efficiency (Ser-Efy) | 98 | 121 | Lower-right area of the map (fourth quarter-dependent variable) | ||
28 | Leveling and service delivery levels | Improvement of health referral system (Ref-Sys-He) | 95 | 106 | Lower-left area of the map (third quarter-adjustable variable) | |
29 | Characteristics and capacity defined for each level of service (Cha-Ca-Ser) | 87 | 109 | Lower-right area of the map (fourth quarter-dependent variable) | ||
30 | Growth and development (infrastructure) | Human resources | Human resources quantity (Hu Res-Qua) | 103 | 116 | Lower-right area of the map (fourth quarter-dependent variable) |
31 | Employee behavioral factors (Emp-Be-Fac) | 102 | 115 | Lower-right area of the map (fourth quarter-dependent variable) | ||
32 | Quality of human resources training and education (Qua-Hu Res-Tra) | 123 | 89 | Upper-left area of the map (second quarter-drivers) | ||
33 | Information system | Research (Res) | 101 | 114 | Lower-right area of the map (fourth quarter-dependent variable) | |
34 | Collection, processing, and analysis of information (Co-Pro-Ana-Inf) | 105 | 94 | Lower-left area of the map (third quarter-secondary leverage) | ||
35 | Information management structure (Inf-Man-Str) | 102 | 91 | Lower-left area of the map (third quarter-secondary leverage) | ||
36 | Medicine and medical equipment | Medical facilities and equipment in health system (Med-Fac-Equ-He) | 124 | 124 | Upper-right area of the map (first quarter-target variable) | |
37 | Pharmaceutical system in health system | 121 | 120 | Upper-right area of the map (first quarter-target variable) | ||
38 | Health financing | Resources collection | Public resources (Pub-Res) | 117 | 120 | Upper-right area of the map (first quarter-target variable) |
39 | Government resources (Gov-Res) | 121 | 118 | Upper-right area of the map (first quarter-target variable) | ||
40 | Private resources (Pri-Re) | 94 | 120 | Lower-right area of the map (fourth quarter-dependent variable) | ||
41 | External resources (Ex-Res) | 98 | 116 | Lower-right area of the map (fourth quarter-dependent variable) | ||
42 | Factors affecting the amount of health financial resources (Fac-Amo-He-Fin-Res) | 133 | 99 | Upper-left area of the map (second quarter-drivers) | ||
43 | Resources pooling | Insurance mechanism (Ins-Mec) | 135 | 118 | Upper-right area of the map (first quarter-risk variable) | |
44 | Resources allocation and purchasing | Resources allocation pattern (Res-All-Pat) | 123 | 116 | Upper-right area of the map (first quarter-target variable) | |
45 | Medical services resources (Med-Ser-Res) | 120 | 113 | Upper-right area of the map (first quarter-risk variable) | ||
46 | Health services resources (He-Res-Ser) | 121 | 115 | Upper-right area of the map (first quarter-risk variable) | ||
47 | Service purchasing (Pur) | 129 | 114 | Upper-right area of the map (first quarter-risk variable) | ||
48 | Tariffs and pricing (Tar-Pri) | 131 | 115 | Upper-right area of the map (first quarter-risk variable) | ||
49 | Payment systems (Pay-Sys) | 115 | 120 | Upper-right area of the map (first quarter-target variable) | ||
50 | Leadership & governance | Structural factors | The power and role of political factors in the health sector (Pow-Rol-Pol-Fac) | 125 | 116 | Upper-right area of the map (first quarter-risk variable) |
51 | Roles, duties, and participation in practice (Rol-Dut-Par-Pra) | 108 | 120 | Lower-right area of the map (fourth quarter-dependent variable) | ||
52 | Inter-sectoral communication and cooperation (In-Sec-Co-Co) | 107 | 115 | Lower-right area of the map (fourth quarter-dependent variable) | ||
53 | Develop laws and regulations | Internal organizational laws (Int-Law) | 96 | 120 | Lower-right area of the map (fourth quarter-dependent variable) | |
54 | Effective external laws (Ext-Law) | 116 | 122 | Upper-right area of the map (first quarter-target variable) | ||
55 | Customer protection | Support society / individuals health (Sup-He-Soc-Ind) | 137 | 125 | Upper-right area of the map (first quarter-target variable) | |
56 | Financial support (Fin-Sup) | 126 | 94 | Upper-left area of the map (second quarter-drivers) | ||
| Â | Â | Â | Totals | 6310 | 6310 | Â |