Economic Strategy

Economic Strategy

The methods of reducing government tenure in the models of reforming the structure of the health sector, the experience of other countries: emphasizing the general policies of Article 44 of the Constitution

Document Type : Original Article

Authors
Zohreh Aalipour 1
VAHID chenari 1
Ezzatullah Kiani 1
Foad Makvandi 1
gabber amirnejad 2
1 Department of public administration, Shoushtar Branch, Islamic Azad University, Shoushtar, Iran
2 Department of Public Administration, Tehran Science and Research Branch, Islamic Azad University, Tehran, Iran
10.22034/es.2024.435838.1732
Abstract
After approval  Of the general policies of Article 44 of the Constitution in 2005 and 2006; The Law on the Implementation of General Policies of Said  Articel of the Constitution was approved and promulgated in 2008 to adapt the health field to the aforementioned general policies; In Note 2, Part C, Article 3 of the aforementioned law, it was announced that the assignment of activities and any development in the health sector is deferred to the preparation of a bill within one year from the date of approval of the law. The Above matter has been delayed for fifteen years. While there are no exceptions mentioned in the general policies, it is obvious that it is necessary to identify the reasons for this delay in the case of organizations that are considered the most extensive government organizations. In addition to this, identifying sectoral policies and how to implement them in the models of other countries can be helpful in drawing the perspective The program of reforming the structure of the country's health sector with the aim of "reducing government tenure" has been started mainly since three decades ago. A complex but inevitable policy that has forced countries to examine various methods and reengineer implementation plans to achieve this goal. The purpose of this research is to identify the methods of reducing government tenure in the structural reform models of other countries, in order to implement the general policies of Article 44 of the Constitution in the field of health in our country.
Similarities have been observed in the methods used to reduce the government's tenure in the field of health, but there is no fixed prescription in this field for countries. The results of this research show that the adopted policies include decentralization, reduction of tenure (privatization), development of the private sector and encouraging people to benefit from private services. There are more than 33 methods of reducing tenure in the field of health, and according to the current laws of the country, it is possible to use at least 10 of them, of which only three methods are currently used. Also, in some countries, there are various types of public/private partnerships have been used.
Keywords
tenure
privatization
health sector
methods of reducing tenure

Subjects

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  • Receive Date 17 December 2023
  • Revise Date 03 April 2024
  • Accept Date 04 May 2024