From: Health system to response to economic sanctions: global evidence and lesson learned from Iran
Code | Mitigating measures | Health System Function towards resilience | Source of data | Delphi |
---|---|---|---|---|
1 | Proactive inventory control | Efficient and equitable service delivery | Review | Accepted |
2 | Developing the list of nationally essential medicines | Efficient and equitable service delivery | Review | Accepted |
3 | Providing additional clarification that Iranian oil revenues can be freely used for medicine procurement without reservations | Sustained financing | Review | Accepted |
4 | Using the capacity of some international intermediate organizations and certain companies and financial institutions to facilitate purchasing medical items | Good governance | Review | Accepted |
5 | Defining tailored health service packages for vulnerable populations | Efficient and equitable service delivery | Interview and gray literature | Accepted |
6 | Establishing and improving a strong surveillance system | Integrated and updated health information system | Review & Interview and gray literature | Accepted |
7 | Price reduction of imported medicines through public resources | Sustained financing | Review | Accepted |
8 | Developing dual policies of equity and priority for vulnerable groups | Good governance | Review | Accepted |
9 | Institutionalizing fair and effective resource allocations | Sustained financing | Interview and gray literature | Accepted |
10 | Considering collateral pathways for procurement of required medical items | Good governance | Review & Interview and gray literature | Accepted |
11 | Extra financial protection for special, incurable, and chronic patients and for allocation of the additional budget to over-compensate unaffordable pharmaceutical products | Sustained financing | Review | Accepted |
12 | Providing clinical guidelines for rational prescribing | Efficient and equitable service delivery | Review | Accepted |
13 | Establishing an appropriate organizational structure to deal with the sanction | Good governance | Review & Interview and gray literature | Accepted |
14 | Having constant collaboration and active social networks at both national and global levels | Good governance | Review & Interview and gray literature | Accepted |
15 | Prioritizing health among public policies | Sustained financing | Review | Accepted |
16 | Strengthening evidence-informed policymaking | Good governance | Review & Interview and gray literature | Accepted |
17 | Preventing third parties, black market dealers, pharmacies, and health facilities that provide unsafe medicines as well as smugglers | Good governance | Â | Accepted |
18 | Facilitating immediate release of medicines from the customs with minimum financial documents | Service delivery | Review | Accepted |
19 | Adapting exportation laws based on domestic needs | Good governance | Review | Accepted |
20 | Conducting Health Impact Assessments (HIAs) that identify the effects of sanctions on healthcare | Good governance | Review | Accepted |
21 | Founding for health via sustained sources | Sustained financing | Interview and gray literature | Accepted |
22 | Investing in domestic production | Sustained financing | Review & Interview and gray literature | Accepted |
23 | Empowering the community and increasing their participation | Good governance | Review & Interview and gray literature | Accepted |
24 | Strengthening the global health diplomacy | Good governance | Review & Interview and gray literature | Accepted |
25 | Establishing support mechanisms to prevent and control the social harms of the economic outcomes of sanctions (e.g., the protection of working children) | Efficient and equitable service delivery | Review | Accepted |
26 | Improving the system for fair and effective allocation of resources between health plans and relevant executive bodies in health | Sustained financing | Review & Interview and gray literature | Accepted |
27 | Institutionalizing economic evaluation of medicines, medical devices and equipment, and health services | Sustained financing | Review & Interview and gray literature | Accepted |
28 | Optimizing the use of human resources (by improving competencies and making appropriate use of job descriptions, e.g., avoiding specialization in basic services) | Qualified workforces | Interview and gray literature | Accepted |
29 | Preparedness and planning for sanction | Good governance | Interview and gray literature | Rejected |
30 | Strong leadership and management | Good governance | Review & Interview and gray literature | Rejected |
31 | Optimizing the domestic market | Sustained financing | Review | Rejected |
32 | Strengthening the insurance system | Sustained financing | Review | Rejected |
33 | Strengthening of inter-sectoral cooperation | Good governance | Review | Rejected |
34 | Paying more attention to mass media | Good governance | Review | Rejected |
35 | Management and development of health tourism | Good governance | Review | Rejected |
36 | Electronic health record | Integrated and updated health information system | Review | Rejected |
37 | Electronic prescription | Integrated and updated health information system | Review | Rejected |
38 | Proper implementation of the referral system | Efficient and equitable service delivery | Review | Rejected |
39 | Medication tracking | Efficient and equitable service delivery | Review | Rejected |
40 | Consumer–patient collaboration | Efficient and equitable service delivery | Review | Rejected |