An overview of the integrity in Iranian health system based on classification of common health systems

There are different classifications of health systems based on empirical evidences. However, there are few works in theoretical health systems classification. Rothgang et al. (2005) did theoretical deductive classification based on the number of players (private sector, public sector and government) and roles (policymaker, demander and supplier) which shows 27 the different classes. Böhm et al. (2013) imposed power hierarchical hypothesis and showed 10 classes fallow the hypothesis. Nowadays Iran’s health system is a State-based mixed-type. In this class, state is the policymaker and health supplier and public sector are demanders. Health system of Iran is not in the category of fallow power hierarchical hypothesis; thus we suggest the system change in one of the following ways: If supply sector is privatized, Iran’s health system may change into Etatist Social Health Insurance. Most of the OECD countries are in this group and which may confirm that this system is the best. If the supply sector shifts to the public sector, the health system may fallow power hierarchical hypothesis. If the insurance funds gather in the health ministry, Iran’s model will be similar to that of England.