A comparative study of cooperation models in city council and municipalities with the health system in Iran and selected countries
نویسندگان
1 Department of Healthcare Services Management, School of Health Management and Information Sciences/ Health Management and Economics Research Center/ Iran University of Medical Sciences, Tehran, Iran
2 Department of Healthcare Services Management, School of Health Management and Information Sciences/ Iran University of Medical Sciences, Tehran, Iran
3
doi
چکیده
AIM: This study aimed to identify models for the participation of the city council and municipality withthe health system in selected countries.SUBJECTS AND METHODS: This is a descriptive comparative study conducted in 2020 qualitatively.The countries studied were examined in terms of the following characteristics: type of politicalstructure, type of health system, level of cooperation between local government and health system,municipal financing, type of financial participation of local government and health system, methodor institution for participation Created, level of participation, local government influence on healthsystem decisions, advantages and disadvantages of a partnership between local government andhealth system. Data were collected through valid databases (PubMed, Scopus, Embase, and GoogleSearch engine) and website of the World Health Organization, local government, and the Ministryof Health of countries concerned and analyzed in a framework of analysis.RESULTS: Countries were divided into two groups in terms of a partnership between the healthsystem and local governments, which had a distinct partnership between the health system and localgovernment and without their participation. Factors that contribute to the creating and strengtheningof partnerships include beliefs of health authorities and local government, the need for participation,transparency in participatory programs, designing a specific mechanism for participation, localauthority, and financing joint participation plans.CONCLUSION: In countries with planned participation, citizens have better access to services.Citizens’ participation, as well as the private sector, is greater in health issues. In these countries,participation in health financing by the private sector and other related agencies has increased.Planning and service delivery increases according to neighborhood needs. The variety of servicesprovided and the use of new methods of service are more, and in these countries, the focus ofthe Ministry of Health on the preparation of strategies and monitoring the quality of services isincreasing.
