Basic Health Insurance Stewardship in Line with the Upstream Laws and Policies: Conflicts and Contradictions!!!

Ebrahim Jaafaripooyan; Farnoosh Azizi; Aida Asghari; Maryam Babaei

doi:10.18502/mshsj.v7i2.10675

Ebrahim Jaafaripooyan Associate Professor, Department of Health Economics and Management, School of Health, Tehran University of Medical Sciences, Tehran, Iran
Farnoosh Azizi Ph.D. student of Healthcare Management, School of Health, Tehran University of Medical Sciences, Tehran, Iran
Aida Asghari Ph.D. student of Healthcare Management, School of Health, Tehran University of Medical Sciences, Tehran, Iran
Maryam Babaei Ph.D. student of Healthcare Management, School of Health, Tehran University of Medical Sciences, Tehran, Iran

DOI: https://doi.org/10.18502/mshsj.v7i2.10675

Keywords: Stewardship, Basic health insurance, Iran

Abstract

One of the serious challenges regarding interactions between Iran’s social security system and health system is basic health insurance stewardship. It has existed for a long time and has been given a special place concerning the related laws and policies in recent years. In this regard, it seems that approving of rules conflicting with upstream laws and policies has increased existing conflicts. This is done by creating ambiguity in the position of basic health insurance. But, it should not be forgotten that the main goal is universal health coverage and effective insurance protection against financial risks caused by illness. Therefore, any decision in these areas should be made with respect to the social, cultural, economic and political conditions of the country and according to the historical experiences and structural characteristics.