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A Short Review on the Model of Government Support Programs for Special Patients in Iran, United Kingdom, United States of America, Italy, and Sweden

Esmaeil Hosseini, Mahmoud Mahmoudi Majd Abadi, Irvin Masoudi Asl, Behzad Karami Matin

Over the past few decades, caring for special patients has taken center stage in healthcare systems. Moreover, what necessitates conducting a comparative study into the conditions of special patients and designing a suitable model are as follows: high admission rates of these patients in hospitals, continual recurrence of the illness, sky-high costs of treatment and medicine, lack of coordination between the services offered by hospitals and community needs, and severe pressure of special patients on their families. Therefore, the present study aimed to compare the models of government support programs for special patients in Iran, the United Kingdom, the USA, Italy and Sweden through a descriptive-documentary method. The findings revealed that the Ministry of Health and Welfare and the private sector were the major providers of health services to special patients in most of the countries under study. It was also demonstrated that the services offered to special patients are jointly mainly funded by governments, associations, and non-governmental organizations and partially by insurance premiums and so forth. The results also indicated that the bulk of healthcare provision was shouldered by non-governmental sectors and the contribution of charitable people. Finally, it can be concluded that both health-related policies and the health of special patients can be closely honed and monitored through the formation of committees on the health of special patients at the Supreme Council of Health, the establishment of an office for special patients at the Vice-chancellery for Health at the Ministry of Health, Treatment and Medical Education, provision of decentralized services, and financing through taxation and contribution of charitable people and international organizations. [GMJ.2020;9:e1403] 

Supportive Programs; Special Patients; Financing; Organizational Structure; Control Mechanism

Mossialos E, Thompson S. Voluntary health insurance in the European Union Brussels. World health organization on behalf of the European Observatory on health systems and policies. 2004.

Vanaki Z, Parsa Yekta Z, Kazemnejad A, Heidarnia A. [Interpretation of Supporting Cancer Patients Under Chemotherapy: A Qualitative Research. Thought Behav. 2013; 9(1): 53-61. (Persian)

Gartner M, Fabrizii JP, Koban E, Holbik M, Machold LP, Smolen J, et al. Immediate access rheumatology clinic: efficiency and outcomes. Ann Rheum Dis. 2012; 71: 363-368.

Marmot M, Wilkinson RG. Social determinants of health. Chronic Ill. 2008; 14: 214-225.

Morse RL, Bottorff M, Neander J, Solberg H. Caregiver burden: historical development. Nurs Forum. 2011; 33.

Hasanzadeh P, Ali Akbari Dehkordi M, Khamseh MI. [Social Support and Coping Strategies in Patients with Type 2 Diabetes]. J Health Psychol. 2012; 2. (Persian)

Cosley J, McCoy E, Saslow R, Elissa S. Is compassion for others stress buffering? Consequences of compassion and social support for physiological reactivity to stress. J Experim Soc Psychol. 2010; 3: 113-123.

Barry M, Kaplan RS, Norton DP. Model Policy subsidies allocated to specific diseases drugs using dynamical systems approach. Proceeding of the 8th Biennial Conference Australia and New Zealand 3rd Sector Research. 2006;26-28:10-11.

Lorenzo H, laki E, Hemfoord L. Study the effects of social support on the ability to cope with cancer. J Healthcare Fin. 2010; 34(1): 72- 99.

Faghani Abukhalili S, Mohajel Aghdam A, Rahmani A. Surveying the need for supportive care and its relationship with perceived social support for cancer survivors. Master's thesis, Postgraduate School and Midwifery Tabriz University of Medical Sciences. 2014. (Persian)

Pourbaghi, Ali L. The role of social support in improving the quality of life in hemodialysis patients. J Health Stud. 2012; 3(12): 52-62. (Persian)

Jalalvand A. Specific Concerns for Specific Patients. Society Group. Jam Jam Journal. 2015.

Walker A, Alber J, Guillemard AM. Older People in Europe. Social and Economics Policies, Commission of the European Communities, Brussels. 2014.

Wills, T. A. Social support and interpersonal relationships. In M. S. Clark (Ed.). Review of personality and social psychology. 2016; 12.

Sarafino, E.P. Health Psychology: Biopsychosocial Interactions. (Second edition). New York: John Wiely and Sons Inc. 2014.

Busse R, et al. Healthcare system in eight countries: trends and challenges. Prepared by the European Observatory on healthcare systems. 2002.

https://www.US Doctors Site. 2016.

Zare, H, Jamali, MR. Rashidi, R. Comparative study Healthcare Systems Around the World, Tehran, Scientific and cultural publications. 2015.

Abol-Halajah M. Fundamentals of Financial Health Organizations. Bantam Publication. First Edition. 2006.

Carter, Barry E. & Phillip R. Trimble. International law: selected documents Law school casebook series, Uitgever. Little. Brown. 2005.

Matherse, C. & Fat, D.M. & Boerma, J.T. The global burden of disease: 2004 update. World health organization. 2008.

Sarafino, E.P. Health Psychology: Biopsychosocial Interactions. (Second edition). New York: John Wiely and Sons Inc. 2004.

Schroevers, M. & Kraaij, V. & Garnefski, N. How do cancer patients manage unattainable personal goals and regulate their emotions. British Journal of Health Psychology. 2013. 13: 551–562.

Wochna, Victoria R.N., M.S.N., O.C.N. Anxiety, needs, and coping in family members of the bone marrow transplant patient. Cancer Nursing. 2007; 20(4): 244-250.

Karimi I, Nasiripour A, Maleki M, Mokhtare H. Assessing financing methods and payment system for health service providers in selected countries: designing a model for Iran, Journal of health administration. 2006; 8(22): 15-24.