Transcripts For IRINN 20240703

, we have a video back and forth, then i will be at your service dear ones. Well, as you heard in the news, today, with the presence of the president , the ceremony of opening about 1030 health plans and the plans of this area, in fact, to amend 108 health plans of the aftabash ceremony, and the plans of this area were practically added to the cycle of health and prevention services. The physical infrastructure of health is an important part of the structure of providing services to patients. But the legal infrastructure and Human Resources are also important components that we are trying to use the time of the program about the axes and role of lets talk about its impact on the development of justice in the health sector. For this purpose, the host. Mr. Dr. Mohammadmeh is the general manager of the Iran Health Insurance Organization and dr. Farshidi is the Deputy Health minister of the ministry of health. Hello, welcome to the economics desk. Well, mr. Dr. Farshidi, since the question i am asking is about the news of the opening ceremony, please tell me about the works that were inaugurated. In what field and in what fields was it, in the name of allah, the most merciful, the most merciful , i say hello to my dear viewers, thank you for the discussion that is being discussed today. The referral system is actually the most important part of this program to strengthen the countrys medical network system. In order to strengthen this network , we should Pay Attention to three factors that your highness mentioned one is the physical infrastructure, two Human Resources, and the content of the services provided. In terms of physical constructions, from the beginning of the 13th government, it was decided that 4,000, of course, we have a project under 40, that is , 40, 40 units, which include health houses , Health Centers in villages, in cities, laboratories , living areas, including these. We can use 2000 units of these within the last 2 years well, dr. Ena, right now, because its time for the kammeh program, lets go to the approximately 1,000 units that were opened today. In what field should we give more news information in this field . Thank you. I told you how many Health Centers there were. How many Health Centers were there . Now i am afraid of the exact number. All the provinces are involved. All the provinces are involved in the less fortunate areas and the provinces that are in a more deprived state of Health Infrastructure. The number of places that fell today is more. Next, apart from other houses, our Health Community centers, which are both in the village and in the cities, our health bases and places that have been considered for the health forces to live, these cities are more than 25,000 cities in the villages and cities with less than 20,000 people , mainly these are in the villages. One thousand and thirtyseven, mainly in rozsaha and including cities with less than 20,000 people. Apart from the few cases that you mentioned, there are some things. We also had plans and laboratory projects to open health schools. These explanations you had that opened today. Was the way other measures have also been taken in the 13th government in this area , see a short report together and we are trees, the issue of health is a prelude to treatment, and the more work is done in the direction of health , the less people will go to Health Centers, and here the health of the body and soul go hand in hand. Let me teach him Spiritual Health and physical health, prevention before treatment, a slogan whose implementation is the goal of the government and the ministry of health and medicine, for which the costs of treatment and improvement of peoples health, prevention before treatment, and now they are doing this, whenever they say here. There is a base that provides basic services once lets visit once, the first time, we will do something, a series of tests and a blood pressure, height, weight, etc. , we will give a point , we say, go until you are not found at all in another year , our statistics say that it will be over in 20 years. This hospital has less beds, but the governments actions in this field will include 200 Health Projects in addition to the 200 projects of last year. This is one of the discussions in order to increase the resilience of the Health System of the Islamic Republic of iran in the region with the distance from other countries in all indicators, Life Expectancy , mortality of infants, mortality of pregnant mothers in all in the eradication of communicable diseases, moving towards the implementation of the Family Health program was another step that the government took in order to implement prevention policies. Myself, my wife, my child, whenever we get sick , we go to our family doctor. The main goal of the Family Medicine program is to improve the Health Literacy of the society, and in that direction, there is a discussion of improving peoples lifestyles in order to control the risk factors related to noncommunicable diseases, especially. 46 thousand billion tomans have been seen for this work. We did its infrastructure almost last year to about 200 houses. The president has more than a thousand plans in todays program he opened a health facility. From today, these centers will be added to the cycle of providing Health Services and prevention of the Health System. Fatemeh faramarezi, sedav sima news reporter. Well, thanks to my colleague mrs. Farami for preparing this report. Mr. Dr. Naseri, in the discussion of health, especially in General Health policies , it is mentioned in paragraph seven and two that Health Management should be done through insurances. Well, in this field , we have done a series of works, the patient support fund, because of the work that was done financially in there was a discussion about the preferred width, this work was the preferred width system that you are talking about, especially to some extent it has been successful and now these two cases are its indicators. I wanted to see what measures have been taken in this field in the matter of insurance and Health Resources, that is, we want to entrust it through insurance. As a provider of Financial Resources or financial protection of people against health costs, insurances have their own specific duties in every country. The Islamic Republic of iran is based on the constitution of the Islamic Republic of iran. Leaving the health field to insurances, has this been established in the country or not, or to what extent have we reached this socalled law . Now in the country, under 30 of insurances are providers of Financial Resources, in which sectors are they mainly in the medical sectors . 80 of the cost of Health Insurance is 5 in treatment and 15 in health care. Well, this figure in Social Security is maybe 100 in the treatment area, so the part that is related to Health Care Costs is a small part. What are the benefits of this 30, he said yes, well, this is 30 in total resources provided by insurances it is possible that the government directly provides about 25 or the remaining 30 comes from the peoples pockets. Lets say that the 60 is given by the insurance and the government directly , and the rest is about me. Pay the expenses. Can insurances play a more effective role or direct payment by other government institutions or other mechanisms . Why is insurance better . Insurance has a working mechanism, both in supervision and in proper provision, especially strategic purchase of insurance. It can make a strategic purchase from institutions that have Better Service quality and can better provide services to the people, buy them for their own insureds, and for the sake of financial protection, they can buy the amount that is highrisk, for example, the fund for terminally ill patients for this purpose. Backbreaking expenses were formed, which according to International Rules in the field of health is an expense that may completely tear the family apart and stop the continuation of treatment, so this fund came to be fully deposited for jabani to manage these resources through insurances. What will happen in the future at that time . How much should we put the point here for the people, it is for the benefit of the people, that is the payment from the peoples pockets, if this work now says 30, let it reach that desired point, how much it will be for the benefit of the people and the whole Health System. He has seen that the Insurance Companies can, because the mechanism of the insurance work, whether in its calculations or in monitoring the work being done and the quality of the work, is certainly much better than the service provider. In any way that institution serves, we will accept it and we will accept it sometimes it is possible to have proper supervision , for example, there is a service in the village. One side is these regulatory discussions, another side is that, well, we say 30 to 40 , even Health Resources are wasted in countries whose accounts and books are much more accurate than ours. The documents will be processed completely. And even our strategic purchase discussions to the point of discussion it is more progressive, we can present it to him before the end. With these methods, we can have a proper strategic purchase, bring the costs down and provide the proper quality. In general, we pay, our supervisions are crosssectional supervisions, they are localized in the operating room and other places, but we have a specific plan to be able to buy a Quality Service in the strategy , we have not yet succeeded in the country. Those willing to serve , especially the university of medical sciences, we can also serve lets buy the best and be with them. If the Family Medicine system wants to be implemented, we should see the border areas, see the remote villages , see those that are difficult to cross, see the ones that are difficult to pass , and increase the longevity of the doctor. We cannot apply the same prescription to all countries. Is he in the city or is he near the city, with that doctor who is far away, there should be plenty of resources and the allocation of salary expenses should be such that he stays there , we have to see if there are resources and if it is guaranteed, we will say all insurances, not that we have 6 insurances or mr doctor, im sorry, the same time i bought your service , you said that all this work should be done through insurance. We should look at the whole Health System. You mentioned it last year and you yourself announced that it will go up already. This is the answer to this question that i asked you. Now this is the number of digits. I would be grateful if i could say a few things. For example, please give me an example of this topic of Fund Formation how much did the support of special patients help this or the discussion of the really thoughtful plan that the parliament and the government put the ministry of health and Health Insurance as the executor of this plan exactly at the time when our medical expenses grew a lot in terms of tober and here, although previously it was also, but this view and the establishment of this fund reached the peoples help. We have now covered 17 diseases, of which we are paying a large percentage of the costs. Up to 95 and in some limited cases even 100 costs of diseases that are expensive and really, the family cant bear it without taking into account the tithes that have been declared in the thaab alalhad fund for all people, so that we can have a suitable coverage for all people. Another thing is that this is of course faced with the challenge of the discussion, there is the matter of milk and dry matter, this discussion was about the preference that was not actually allocated from onor, and because of this, it did not go completely to the insurance side. That insurances are something, if this wheel is complete, which is set to be full width, it means that the cost will come to the insurance, which is another issue, that is to prevent smuggling and much more if things are taken, do you think that you will be affected by this, how much easier it will be in the process of accessing powdered milk and producing it . Well, we had the drug mechanism with all the drugs and pharmacies. It didnt work. Yes, we had a mechanism in the discussion of drugs. Previously, these drugs were covered or some of them were added that were not , but the structure of the milk explanation was not available to the Insurance Companies. In order not to cause any problems for families and especially for children this year the ministry agreed to make the same mechanism available to families and children without any problems. The next mechanism is that , god willing, it will come in the insurance discussions, and definitely when will it come in the insurance discussions, because we made this our policy long ago. We are not, we are the executive and we are ready to enter it into the systems if it comes, based on the conditions, weight and other indicators that each child should imagine for his growth , we can determine the number of milk in our systems and its amount and be able to provide it to the family. Now , lets clarify this more clearly for the viewer what was the result of this work in the discussion of drugs and the drug plan, how much benefit did this have for the Health System . There were other discussions. Well, the growth and development of the pharmaceutical industry in the country was really impressive. We were able to claim that we produce 97 of the drugs domestically. Now, a percentage of the Raw Materials may also be sourced from abroad. This important work should be seriously supported inside the country. If these resources are allocated, this will prevent that reverse smuggling to other countries has taken to a large extent, sales that cannot be smuggled to a country level, this has taken to a large extent, but because of the growth in terms of the amount that should be allocated, sufficient resources for the industry made them unable to rotate , part of the reason is this it was a part of overdose after corona, these things go hand in hand, but the benefits are in terms of drug distribution, because we can provide more people with electronic prescriptions. It has hurt a bit, of course , the discussion of why this happened is the same there is another plan, lets go back to the field of health. Hade farshidi, mr. Doctor, in the seventh plan bill to allocate at least 55 Health Resources to the field of prevention, as stated in the law, and in this discussion , we had the same thing in the discussion of treatment, this discussion of Resource Management is in the discussion. In fact, if this happens to health , how much can it help . What did mr. President talk about today, the priority of health over treatment, so we are far away, we are spending a lot of money. Satisfaction in treatment is not achieved in any way. Now we come back, how can this 5 help , if we can take a part of this cost, which i definitely have , mr. Engineer hosseini , lets take a part of these treatment costs in health, which is what we all have, supreme leader. The health first decree, mr. President also emphasized, will reduce the cost of treatment in the coming years. You 5. You pay here. Be realistic, if you want to consider a number, within the next 20 to 30 years , your costs will decrease 10 times in the field of treatment. You also had Health Insurance, right . Head the same understanding, what result, what implementation mechanism did you reach for the purchase of services to do that work. We now have a memorandum of understanding. Actually. We have several agreements now. The most important understanding is that we are on the right path in the prevention sector with Health Insurance. That is, the forces that were at the disposal of Health Insurance under the title of Family Doctors worked on prevention. Taking two risk factors into the program, one is diabetes, diabetes, and one is high blood pressure. These are very effective that if we take our medical view from the side of treatment to the side of health, to the side of prevention, we can even our costs, in my contract, lets consider the costs of prevention in addition, let s increase some definitions in this field. Now , when we talk about definitions, we all have in our minds the definitions of treatment, Health Insurance , we have a coordinated work. That the prevention services, especially some of these visits, for example, pregnant mothers, babies , they want special attention , we should increase that figure, maybe this happened with less Social Security, but this is happening now in health, it is an event that we really have to look at positively. And in the future , we have to expand, this 5 percent will help a lot that we can actually help the treatment, but mr. Hosseini, you see, the money is going to the treatment, this is a mistake, why is it a mistake, because i said that no matter how far we go in the treatment, we should strengthen our Health Infrastructure a little, now a hospital will be ready a little later, but now, in our cities, mri is not an emergency at all, as he says it is not, but the pregnant mother who is now on the service page should not Pay Attention to this , she said, tell her, maybe something happened , she didnt need it. Thank you very much, dr. Farshidi i would like to discuss the memorandum of understanding, sir there are other points to be mentioned, the main thing is that mr. Farshidi said that we have seen the areas in our daily life that now our doctors in the Border Regions are staying longer. It is possible to pay for the family doctor. We suggested that in the 7th plan, 5 pages of Health Insurance resources should be allowed to spend for primary prevention and level 4 prevention in the insurance. What role will this play . One of its main roles is that many unnecessary diagnostic therapeutic interventions that cause harm to people we can prevent patients. With the training that is given, with the interventions that are done in hospitals and treatment centers, and primary prevention, which is before primary prevention , we can see the social environment and the Work Environment in such a way that especially for children, we can reduce the risk factors from them , for example, in other areas such as to prevent obesity, to reduce obesity, 9 heart and vascular diabetes, and other issues that are related to policy making, primary prevention and level 4 prevention are among the things that we want in our proposal in the 7th plan, which is my request to the representatives. It is honorable that you Pay Attention to this principle, and god willing, i think it will be discussed in the floor of the parliament on saturday. God willing, our hands will be open to us as well. It is extraordinary to do in Different Cases that the importance of their work is combined with our work, thank you very much, god willing, because this discussion has another branch, another axis, the discussion of Human Resources in this field, we are short, you see, we are at your service. Rib pain on the one hand and the unavailability of the dentist on the other hand in some areas of the country , it has become restless, they dont give me time. Generally, if they increase these centers, it will be much better. In less privileged areas, sometimes there is one dentist available for every hundred thousand people. Many patients come to us when their teeth are so damaged that medical treatment becomes more expensive. And the use of intermediate dental staff is a method experienced in other countries in order to reduce costs and improve oral and dental health indicators. Countries that have had a significant improvement in the index of unhealthy teeth in the past 20 years, which is part of the actions of hadwas forces are medical equipment. Although dental intermediate forces are active in the countrys Health System, the training of these forces in medical universities has been stopped for years. We have 300 Community Health Service Centers that have a dental unit. We have about 2000 dentists, 170 oral and dental hygiene, resuming the training of midlevel dental personnel with the aim of reducing costs, increasing access and improving oral and dental health indicators, which is mentioned in the seventh plan bill. Safa fazli , journalist of sed and sima, well, you are talking about this manpower and this is a very short introduction, and this point goes back to mr. Dr. Rasfidi, mr. Dr. Rasfidi, in 1360, our parliament decided to have this dental hygienist. And good forces were also trained for the villages, especially in deprived areas. Well, these forces were called intermediate forces, they were with the help of assistants, they came during the day to work on peoples teeth, and this work was done with the least thread. Become. These 1,800 people who had training were completely removed. Well, if from onor that in deprived areas, the less fortunate want to go to the dentist at these prices, which they could not afford at all. But he could do it with the minimum effort with the intermediate forces that you were trained at that time. What is the reason that these intermediate forces were removed . Where are these going . There are a lot of questions here, dentists , most of them become the doctors staff, continue to report that they are going to be a dentist, but you have to replace them in the cycle. They dont stay, they go higher, so they have to do it again let us fill the same cycle , you will be effective in the same way, and the result was great especially for the people who live in lowharvest areas during the day. There were several points in the report that was presented. The most important thing that the ministry of health is looking for is this. We now have more than 2,700 centers that have a dentist and provide Health Services in the morning. We are looking for all the 270 centers that we have now , what about those who do not have a center . Well, we every 15 we have a population of one dentist. Right now , i have 3,000 dentists. We have 1,000 centers. We have a total of 540 centers in our Health Community. The health of the whole center goes to the centers where there are 560 community Health Centers in the whole country, half of which are 27,000 Health Centers. No, you can see the bhorst health center. There are 18,000 Health Centers. He had the task of characterizing the ranks of doctors. Now when are you going to do this . Or are we not going to hire doctors . For now, the principles must be clarified first. You say that we should hire an associate, then an expert, then a doctor. We need to determine how many people we want and based on we have to train him now the policy of the ministry of health is that we must activate all the places where we have a dentist, that is, after the raft , when will it be activated . His part is finished, go to the doctor, now we are saying that instead of his rate being very different from that of niruse , we are saying come and work in the same government building with the government rate of the space. Participation program from dear and willing viewers the same person, have a good day and thank god with enthusiasm or haider khoonkhah yaranim labik or gaza labik or gaza labik or aqsa labik or aqsa my child, i really couldnt. 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