The impacts of economic sanctions on the performance of hospitals in Iran: implications for human rights

IF 1.2 Q4 HEALTH POLICY & SERVICES

International Journal of Human Rights in Healthcare Pub Date : 2022-08-18 DOI:10.1108/ijhrh-07-2021-0151

B. Karami Matin, Shahin Soltani, S. Byford, M. Soofi, S. Rezaei, Ali Kazemi-Karyani, E. Hosseini, Shiva Tolouei Rakhshan

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Abstract

Purpose Studies show that economic sanctions have had major negative impacts on health systems during the past years. The aim of this study is to identify the impacts of US sanctions on the performance of public hospitals in Iran. Design/methodology/approach A qualitative research study was conducted between October 2019 and September 2020 in Kermanshah Province, Iran. Semi-structured, face-to-face interviews, lasting between 25 and 90 min, were carried out with 20 participants in seven public hospitals affiliated to the authors’ institution in Kermanshah Province. Inductive thematic analysis was used to identify themes in the data. Findings Five main themes emerged from the analysis: resource management challenges; financial restrictions; interruptions in planning; reductions in the quality of service delivery; and changes in organizational relationships. Originality/value The results of the present study demonstrate that US economic sanctions have considerably reduced access to necessary medical equipment and medicines for public hospitals in Iran. Policymakers should monitor the distribution of equipment and pharmaceutical products within public hospitals in Iran and take actions to ameliorate shortages during times of economic sanctions.

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经济制裁对伊朗医院业绩的影响:对人权的影响

目的研究表明，经济制裁在过去几年中对卫生系统产生了重大负面影响。本研究的目的是确定美国制裁对伊朗公立医院绩效的影响。设计/方法/方法2019年10月至2020年9月在伊朗克尔曼沙省进行了一项定性研究。半结构化的面对面访谈，持续时间在25到90之间 min，与20名参与者一起在克尔曼沙省作者机构附属的七家公立医院进行。归纳主题分析用于确定数据中的主题。分析得出五个主要主题：资源管理挑战；金融限制；规划中断；提供服务的质量下降；以及组织关系的变化。独创性/价值本研究的结果表明，美国的经济制裁大大减少了伊朗公立医院获得必要医疗设备和药品的机会。政策制定者应监测伊朗公立医院内设备和药品的分配情况，并采取行动缓解经济制裁期间的短缺。

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来源期刊

International Journal of Human Rights in Healthcare HEALTH POLICY & SERVICES-

CiteScore

2.90

自引率

7.10%

发文量

期刊介绍： nternational Journal of Human Rights in Healthcare (IJHRH) is an international, peer reviewed journal with a unique practical approach to promoting race equality, inclusion and human rights in health and social care. The journal publishes scholarly and double blind peer-reviewed papers of the highest standard, including case studies and book reviews. IJHRH aims include: -To explore what is currently known about discrimination and disadvantage with a particular focus on health and social care -Push the barriers of the human rights discourse by identifying new avenues for healthcare practice and policy internationally -Create bridges between policymakers, practitioners and researchers -Identify and understand the social determinants of health equity and practical interventions to overcome barriers at national and international levels. The journal welcomes papers which use varied approaches, including discussion of theory, comparative studies, systematic evaluation of interventions, analysis of qualitative data and study of health and social care institutions and the political process. Papers published in IJHRH: -Clearly demonstrate the implications of the research -Provide evidence-rich information -Provoke reflection and support critical analysis of both challenges and strengths -Share examples of best practice and ‘what works’, including user perspectives IJHRH is a hugely valuable source of information for researchers, academics, students, practitioners, managers, policy-makers, commissioning bodies, social workers, psychologists, nurses, voluntary sector workers, service users and carers internationally.