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Healthcare priority-setting criteria and social values in Iran: an investigation of local evidence

Published online by Cambridge University Press:  19 June 2023

Zahra Goudarzi ,
Leon Bijlmakers Open the ORCID record for Leon Bijlmakers [Opens in a new window] ,
Mojtaba Nouhi Open the ORCID record for Mojtaba Nouhi [Opens in a new window] ,
Reza Jahangiri ,
Majid Heydari ,
Warren Simangolwa ,
Seyyed Mostafa Hakimzadeh  and
Karen Trujillo Jara
Zahra Goudarzi
Affiliation:
Health Human Resources Research Center, Department of Health Economics, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran
Leon Bijlmakers
Affiliation:
Department of Health Evidence, Radboud University Medical Centre, Nijmegen, the Netherlands
Mojtaba Nouhi*
Affiliation:
National Institute for Health Research, Tehran University of Medical Sciences, Tehran, Iran
Reza Jahangiri*
Affiliation:
Heath Economics and Management Research Center, Iran University of Medical Sciences, Tehran, Iran
Majid Heydari
Affiliation:
Department of Policy Analysis, National Agency for Strategic Research in Medical Education, Ministry of Health and Medical Education, Tehran, Iran
Warren Simangolwa
Affiliation:
Health Economics and HIV and AIDS Research Division (HEARD), University of KwaZulu-Natal, Durban, South Africa Department of Patient Education, Patient and Citizen Involvement in Health, Lusaka, Zambia
Seyyed Mostafa Hakimzadeh
Affiliation:
Heath Economics and Management Research Center, Iran University of Medical Sciences, Tehran, Iran
Karen Trujillo Jara
Affiliation:
Department of Health Economics, School of Health Policy and Management, Erasmus University, Rotterdam, the Netherlands
*
Corresponding author: Mojtaba Nouhi and Reza Jahangiri, E-mail: mojtabanouhi@gmail.com; reza.jahan67@gmail.com
Corresponding author: Mojtaba Nouhi and Reza Jahangiri, E-mail: mojtabanouhi@gmail.com; reza.jahan67@gmail.com
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Abstract

Introduction

Integrating social values into health technology assessment processes is an important component of proper healthcare priority setting. This study aims to identify social values related to healthcare priority setting in Iran.

Method

A scoping review was conducted on original studies that investigating social values in the healthcare system in Iran. The databases of PubMed, EMBASE, and EBSCO were searched with no restrictions on time and language. The reported criteria were clustered using Sham’s framework of social value analysis in health policy.

Results

Twenty-one studies published between 2008 and 2022 met the inclusion criteria. Fourteen of the included studies followed a quantitative approach with different methods to identify criteria, and the remaining seven studies used a qualitative approach. A total of fifty-five criteria were extracted and clustered into necessity, quality, sustainability, and process categories. Only six studies found criteria that were related to processes. Only three studies used public opinions as a source of value identification and eleven studies investigated the weight of criteria. None of the included studies explored the interdependency of the criteria.

Conclusion

Evidence suggests that several criteria other than cost per health unit also need to be considered in healthcare priority setting. Previous studies have paid little attention to the social values that underlie priority setting and policy-making processes. To reach consensus on social values related to healthcare priority setting, future researches need to involve broader stakeholders’ perspectives as a valuable source of social values in a fair process.

Keywords

Health technology assessmentpriority settingsocial valuesevidence-informed deliberative processesIran
Type
Assessment
Information
International Journal of Technology Assessment in Health Care , Volume 39 , Issue 1 , 2023 , e37
Copyright
© The Author(s), 2023. Published by Cambridge University Press

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References

Badakhshan, A, Arab, M, Rashidian, A, Mehrdad, N, Zendehdel, K. Priority-setting in health research in Iran: A qualitative study on barriers and facilitators. Health Res Policy Syst. 2018;16(1):1–11.CrossRefGoogle ScholarPubMed
Khayatzadeh-Mahani, A, Fotaki, M, Harvey, G. Priority setting and implementation in a centralized health system: A case study of Kerman province in Iran. Health Policy Plan. 2013;28(5):480–494.CrossRefGoogle Scholar
O’Rourke, B, Oortwijn, W, Schuller, T, International Joint Task Group. The new definition of health technology assessment: A milestone in international collaboration. Int J Technol Assess Health Care. 2020;36(3):187–190.CrossRefGoogle ScholarPubMed
Yazdizadeh, B, Mohtasham, F, Velayati, A. Impact assessment of Iran’s health technology assessment programme. Health Res Policy Syst. 2018;16(1):1–20.Google ScholarPubMed
Kristensen, FB, Lampe, K, Wild, C, Cerbo, M, Goettsch, W, Becla, L. The HTA Core Model®—10 years of developing an international framework to share multidimensional value assessment. Value Health. 2017;20(2):244–250.CrossRefGoogle ScholarPubMed
Majdzadeh, R, Sajadi, HS, Yazdizadeh, B, et al. Policy options for strengthening evidence-informed health policy-making in Iran: Overall SASHA project findings. Health Res Policy Syst. 2022;20(1):1–13.CrossRefGoogle ScholarPubMed
Darvishi, A, Daroudi, R, Yaseri, M. Public preferences regarding the priority setting criteria of health interventions for budget allocation: Results of a survey of Iranian adults. BMC Public Health. 2022;22:2038.CrossRefGoogle ScholarPubMed
Littlejohns, P, Sharma, T, Jeong, K. Social values and health priority setting in England: “Values” based decision making. J Health Organ Manag. 2012;26:363–373.CrossRefGoogle ScholarPubMed
Clark, S, Weale, A. Social values in health priority setting: A conceptual framework. J Health Organ Manag. 2012;26(3):293–316.CrossRefGoogle ScholarPubMed
Ahn, J, Kim, G, Suh, HS, Lee, SM. Social values and healthcare priority setting in Korea. J Health Organ Manag. 2012;26(3):343–350.CrossRefGoogle ScholarPubMed
Kieslich, K. Social values and health priority setting in Germany. J Health Organ Manag. 2012;26(3):374–383.CrossRefGoogle ScholarPubMed
Mostafavi, H, Rashidian, A, Arab, M, Mahdavi, M, Ashtarian, K. Health priority setting in Iran: Evaluating against the social values framework. Glob J Health Sci. 2016;8(10):53834.CrossRefGoogle ScholarPubMed
Torbica, A, Fornaro, G, Tarricone, R, Drummond, MF. Do social values and institutional context shape the use of economic evaluation in reimbursement decisions? An empirical analysis. Value Health. 2020;23(1):17–24.CrossRefGoogle ScholarPubMed
Arksey, H, O’Malley, L. Scoping studies: Towards a methodological framework. Int J Soc Res Methodol. 2005;8(1):19–32.CrossRefGoogle Scholar
Tricco, AC, Lillie, E, Zarin, W, et al. PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Ann Intern Med. 2018;169(7):467–473.CrossRefGoogle ScholarPubMed
Nouhi, M. It is time to develop a values hierarchy in the health system. Arch Iran Med. 2019;22(5):277.Google ScholarPubMed
Shams, L, Sari, AA, Yazdani, S. Values in health policy – A concept analysis. Int J Health Policy Manag. 2016;5(11):623.CrossRefGoogle ScholarPubMed
Hadian, M, Jouyani, Y, Asadi, H, Palangi, HS, Rahimnia, R. Identifying the criteria affecting appropriate allocation of health system resources to different diseases in Iran: A qualitative inquiry. Health Scope. 2019;8(4):e83968.CrossRefGoogle Scholar
Kabir, MJ, Heidari, A, Jafari, N, Honarvar, MR, Behnampour, N, Mirkarim, S-K. Developing basic health services packages: Defining a prioritization of effectiveness criteria. Int J Healthc Manag. 2021;14(3):650–655.CrossRefGoogle Scholar
Mostafavi, H, Arab, M, Rashidyan, A. Social values in prioritizing health: Analysis of documents of the Islamic Republic of Iran. J Health Dev. 2015;6(3):191–204.Google Scholar
Dehnavieh, R, Tourani, S, Maleki, M, et al. Information criteria for basic health insurance package services in the country from the perspective of organizations basic insurer. Health Inform Manage. 2008;7(2):118.Google Scholar
High Council for Health Insurance history file. Criteria for pharmaceutical coverage decision-making in health insurance agencies[upublished Manuscript], 2008.Google Scholar
Rajabi, F, Esmailzadeh, H, Rostamigooran, N, Majdzadeh, R. What must be the pillars of Iran’s health system in 2025? Values and principles of health system reform plan. Iran J Public Health. 2013;42(2):197.Google ScholarPubMed
Viyanchi, A, Rasekh, HR, Ghatari, AR, SafiKhani, HR. Selecting the acceptance criteria of medicines in the reimbursement list of public health insurance of Iran, using the “Borda” method: A pilot study. Iran J Pharm Res. 2015;14(4):1305.Google ScholarPubMed
Viyanchi, A, Ghatari, AR, Rasekh, HR, SafiKhani, H. Administrative process and criteria ranking for drug entering health insurance list in Iran-TOPSIS-based consensus model. Iran J Pharm Res. 2016;15(1):369.Google ScholarPubMed
Mohamadi, E, Tabatabaei, SM, Olyaeemanesh, A, et al. Coverage decision-making for orthopedics interventions in the health transformation program in Iran: A multiple criteria decision analysis (MCDA). Shiraz E-Med J. 2016;17(12):e40920.CrossRefGoogle Scholar
Mobinizadeh, M, Raeissi, P, Nasiripour, AA, Olyaeemanesh, A, Tabibi, SJ. A model for priority setting of health technology assessment: The experience of AHP-TOPSIS combination approach. DARU. 2016;24(1):1–12.CrossRefGoogle Scholar
Rashidian, A, Arab, M, Mahdavi, MV, Ashtarian, K, Mostafavi, H. Which social values are considered in Iranian health system? Arch Iran Med. 2018;21(5):199–207.Google ScholarPubMed
Yazdani, S, Jadidfard, M-P. Developing a decision support system to link health technology assessment (HTA) reports to the health system policies in Iran. Health Policy Plan. 2017;32(4):504–515.Google Scholar
Kabir, MJ, Heidari, A, Nahid, J, et al. Dimensions and effective components in the design of basic health services package in Iran: An exploratory and confirmatory factor analysis approach. Monitoring. 2020;19(5):511–522.Google Scholar
Jouyani, Y, Hadiyan, M, Salehi, M, Souri, A. Using discrete choice model to elicit preference for health-care priority setting. J Educ Health Promot. 2019;8:117.Google Scholar
Nouri, S, Riahi, L, Nabi, KH, Jahangiri, K. Identifying key factors related to the resource allocation in the health sector of the Iranian oil industry: Application of DEMATEL method. Health Scope. 2020;9(3):e97728.CrossRefGoogle Scholar
Shahabi, S, Pardhan, S, Ahmadi Teymourlouy, A, et al. Prioritizing solutions to incorporate prosthetics and orthotics services into Iranian health benefits package: Using an analytic hierarchy process. Plos One. 2021;16(6):e0253001.CrossRefGoogle ScholarPubMed
Karyani, AK, Sari, AA, Woldemichael, A. Eliciting preferences for health insurance in Iran using discrete choice experiment analysis. Int J Health Policy Manag. 2019;8(8):488.CrossRefGoogle Scholar
Mohamadi, E, Olyaeemanesh, A, Rashidian, A, et al. Measuring public preferences for changes in the health insurance benefit package policies in Iran: A survey approach. Iran J Public Health. 2020;49(5):940–948.Google ScholarPubMed
Mostafavi, H, Mahdavi, M, Mollajafari, F, Hashemi, SHM. Comparison of social values in health priority setting: The experiences of 7 countries. Soc Determ Health. 2018;4(2):105–114.Google Scholar
Saravdekar, S, Shukla, VK, Upadhya, OP, Rai, M, Giri, K. Implementation of principles of pharmacoeconomics and pharmacovigilance to achieve optimal financial and therapeutic benefits through WHO – Essential medicine policy and adoption of NLEM-based hospital formulary policy. J Family Med Prim Care. 2019;8(6):1987–1993.CrossRefGoogle ScholarPubMed
Oortwijn, W, Jansen, M, Baltussen, R. Evidence-informed deliberative processes for health benefit package design – Part II: A practical guide. Int J Health Policy Manag. 2021;11(10):2327–2336.Google ScholarPubMed
Oortwijn, W, Jansen, M, Baltussen, R. Use of evidence-informed deliberative processes by health technology assessment agencies around the globe. Int J Health Policy Manag. 2020;9(1):27.CrossRefGoogle ScholarPubMed
Azadiyan, M, Vosoogh Moghaddam, A, Farhadi Mahalli, A. Fuzzy analytical hierarchy process (AHP) of good governance components for health system policy-making in the Islamic Republic of Iran. Manage Strat Health Syst. 2021;6(2):87–102.Google Scholar
Nouhi, M, Baltussen, R, Razavi, SS, et al. The use of evidence-informed deliberative processes for health insurance benefit package revision in Iran. Int J Health Policy Manag. 2022;11(11):2719–2726.Google ScholarPubMed
Mohamadi, E, Takian, A, Olyaeemanesh, A, et al. Health insurance benefit package in Iran: A qualitative policy process analysis. BMC Health Serv Res. 2020;20(1):1–13.CrossRefGoogle ScholarPubMed
Harirchi, I, Hajiaghajani, M, Sayari, A, et al. How health transformation plan was designed and implemented in the Islamic Republic of Iran? Int J Prev Med. 2020;11:121.Google ScholarPubMed
Ghahramani, S, Lankarani, KB. Inpatient out-of-pocket in Iran after health transformation plan. Int J Health Policy Manag. 2018;7(9):877.CrossRefGoogle ScholarPubMed
Mouter, N, Koster, P, Dekker, T. Contrasting the recommendations of participatory value evaluation and cost-benefit analysis in the context of urban mobility investments. Transp Res Part A Policy Pract. 2021;144:54–73.CrossRefGoogle Scholar
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