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December 4, 2025Health and Development JournalOpen Access

Out-of-Pocket Payments in Iran Before and After the Health Transformation Plan: A Systematic Review and Meta-analysis

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Authors

SNSaman NajafiRGReza GoudarziMKMahdiyeh Eskandari kia

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Overview

Systematic review shows Out-of-Pocket Payments reduced from 19.3% to 6.5% in Iran after Health Transformation Plan, highlighting its effectiveness.

Key Points

  • OOP payments decreased significantly from 19.33% to 6.54% following implementation of the Health Transformation Plan.
  • Quality assessment included 6 studies in systematic review with 3 incorporated into meta-analysis for comprehensive results.
  • Observational analysis across multiple databases captured relevant data on OOP payments before and after health reforms in Iran.
  • Findings support continued policy initiatives to sustain economic benefits and prevent excessive healthcare costs for the population.

Cite This Study

Najafi et al. (2024) studied this question.

synapsesocial.com/papers/6930dc6bea1aef094cca1e69https://doi.org/10.34172/jhad.92395
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The Impact of the Health Transformation Plan on Hospital Performance Indicators: A Meta-analysis Study in an EMRO Region Country2024 · 2 citations
  2. 2A systematic review and meta-analysis of healthcare service quality in Iran using the SERVQUAL model: a comparison before and after the Health Transformation Plan2026
  3. 3Out-of-pocket payments and associated factors among hypertensive patients insured under the National Health Insurance Scheme in a referral hospital, Ghana2026
  4. 4From Markup to Value: Global Implications of Iran’s Cost-plus Pharmaceutical Pricing for Emerging Markets2025
  5. 5The political economy of health reforms and out-of-pocket spending in Türkiye: evidence from household microdata, 2014–20232026