Prioritizing solutions to incorporate Prosthetics and Orthotics services into Iranian health benefits package: Using an analytic hierarchy process.

<h4>Introduction</h4>Health benefits package (HBP) is regarded as one of the main dimensions of health financing strategy. Even with increasing demands for prosthetics and orthotics (P&O) services to approximately 0.5% of the world's population, only 15% of vulnerable groups hav...

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Autores principales:	Saeed Shahabi, Shahina Pardhan, Ahmad Ahmadi Teymourlouy, Dimitrios Skempes, Shabnam Shahali, Parviz Mojgani, Maryam Jalali, Kamran Bagheri Lankarani
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/17e8666dddd641838a468c87c0397a53
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spelling	oai:doaj.org-article:17e8666dddd641838a468c87c0397a532021-12-02T20:10:57ZPrioritizing solutions to incorporate Prosthetics and Orthotics services into Iranian health benefits package: Using an analytic hierarchy process.1932-620310.1371/journal.pone.0253001https://doaj.org/article/17e8666dddd641838a468c87c0397a532021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0253001https://doaj.org/toc/1932-6203<h4>Introduction</h4>Health benefits package (HBP) is regarded as one of the main dimensions of health financing strategy. Even with increasing demands for prosthetics and orthotics (P&O) services to approximately 0.5% of the world's population, only 15% of vulnerable groups have the chance to make use of such benefits. Inadequate coverage of P&O services in the HBP is accordingly one of the leading reasons for this situation in many countries, including Iran.<h4>Aims</h4>The main objective of this study was to find and prioritize solutions in order to facilitate and promote P&O services in the Iranian HBP.<h4>Study design</h4>A mixed-methods (qualitative-quantitative) research design was employed in this study.<h4>Methods</h4>This study was conducted in two phases. First, semi-structured interviews were undertaken to retrieve potential solutions. Then an analytic hierarchy process (AHP) reflecting on seven criteria of acceptability, effectiveness, time, cost, feasibility, burden of disease, and fairness was performed to prioritize them.<h4>Results</h4>In total, 26 individuals participated in semi-structured interviews and several policy solutions were proposed. Following the AHP, preventive interventions, infant-specific interventions, inpatient interventions, interventions until 6 years of age, and emergency interventions gained the highest priority to incorporate in the Iranian HBP.<h4>Conclusion</h4>A number of policy solutions were explored and prioritized for P&O services in the Iranian HBP. Our findings provide a framework for decision- and policy-makers in Iran and other countries aiming to curb the financial burdens of P&O users, especially in vulnerable groups.Saeed ShahabiShahina PardhanAhmad Ahmadi TeymourlouyDimitrios SkempesShabnam ShahaliParviz MojganiMaryam JalaliKamran Bagheri LankaraniPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0253001 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Saeed Shahabi Shahina Pardhan Ahmad Ahmadi Teymourlouy Dimitrios Skempes Shabnam Shahali Parviz Mojgani Maryam Jalali Kamran Bagheri Lankarani Prioritizing solutions to incorporate Prosthetics and Orthotics services into Iranian health benefits package: Using an analytic hierarchy process.
description	<h4>Introduction</h4>Health benefits package (HBP) is regarded as one of the main dimensions of health financing strategy. Even with increasing demands for prosthetics and orthotics (P&O) services to approximately 0.5% of the world's population, only 15% of vulnerable groups have the chance to make use of such benefits. Inadequate coverage of P&O services in the HBP is accordingly one of the leading reasons for this situation in many countries, including Iran.<h4>Aims</h4>The main objective of this study was to find and prioritize solutions in order to facilitate and promote P&O services in the Iranian HBP.<h4>Study design</h4>A mixed-methods (qualitative-quantitative) research design was employed in this study.<h4>Methods</h4>This study was conducted in two phases. First, semi-structured interviews were undertaken to retrieve potential solutions. Then an analytic hierarchy process (AHP) reflecting on seven criteria of acceptability, effectiveness, time, cost, feasibility, burden of disease, and fairness was performed to prioritize them.<h4>Results</h4>In total, 26 individuals participated in semi-structured interviews and several policy solutions were proposed. Following the AHP, preventive interventions, infant-specific interventions, inpatient interventions, interventions until 6 years of age, and emergency interventions gained the highest priority to incorporate in the Iranian HBP.<h4>Conclusion</h4>A number of policy solutions were explored and prioritized for P&O services in the Iranian HBP. Our findings provide a framework for decision- and policy-makers in Iran and other countries aiming to curb the financial burdens of P&O users, especially in vulnerable groups.
format	article
author	Saeed Shahabi Shahina Pardhan Ahmad Ahmadi Teymourlouy Dimitrios Skempes Shabnam Shahali Parviz Mojgani Maryam Jalali Kamran Bagheri Lankarani
author_facet	Saeed Shahabi Shahina Pardhan Ahmad Ahmadi Teymourlouy Dimitrios Skempes Shabnam Shahali Parviz Mojgani Maryam Jalali Kamran Bagheri Lankarani
author_sort	Saeed Shahabi
title	Prioritizing solutions to incorporate Prosthetics and Orthotics services into Iranian health benefits package: Using an analytic hierarchy process.
title_short	Prioritizing solutions to incorporate Prosthetics and Orthotics services into Iranian health benefits package: Using an analytic hierarchy process.
title_full	Prioritizing solutions to incorporate Prosthetics and Orthotics services into Iranian health benefits package: Using an analytic hierarchy process.
title_fullStr	Prioritizing solutions to incorporate Prosthetics and Orthotics services into Iranian health benefits package: Using an analytic hierarchy process.
title_full_unstemmed	Prioritizing solutions to incorporate Prosthetics and Orthotics services into Iranian health benefits package: Using an analytic hierarchy process.
title_sort	prioritizing solutions to incorporate prosthetics and orthotics services into iranian health benefits package: using an analytic hierarchy process.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/17e8666dddd641838a468c87c0397a53
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Prioritizing solutions to incorporate Prosthetics and Orthotics services into Iranian health benefits package: Using an analytic hierarchy process.

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