Legal challenges of rehabilitation services in Iran: The framework of the health system functions model of the World Health Organization - Payesh (Health Monitor)
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Volume 22, Issue 2 (March-April 2023)                   Payesh 2023, 22(2): 233-236 | Back to browse issues page

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Shahidisadeghi N, Sedighi S, Bakhtiyari M, Mokhtari payam M. Legal challenges of rehabilitation services in Iran: The framework of the health system functions model of the World Health Organization. Payesh 2023; 22 (2) :233-236
1- Department of Health, Islamic Parliament Research Center of the Islamic Republic of Iran, Tehran, Iran
Abstract:   (1289 Views)
Similar to many countries, Iran is committed to achieving universal health coverage. As such several laws have been approved regarding rehabilitation services. Examining these laws shows that there are many legal challenges in the functions of the health system including procurement, financing, resource production, service delivery and accountability, and service quality. Also, the problems of governance in Iran include unbalanced policies and laws, irresponsible intervention, weak all-round supervision, lack of thoughtful and compassionate management, and inconsistency within and between departments. In addition, rehabilitation financing in Iran is unbalanced. In the third chapter of the law of the sixth development plan, the challenges and problems of supportive institutions, especially the lack of credit and coverage gaps were brought into attention. It was emphasized that the needs cannot be met with direct support approaches. Contrary to many countries that have specific laws for recording and analyzing information for disabled people, Iran is in its initial stages of forming a database for them. Furthermore, the comprehensive law on the protection of the rights of the disabled in 2013 is not a right-oriented law emphasizing the recognition, and does not guarantee their rights equal to ordinary people; instead, it has a welfare perspective on the issue. The presence of government organizations such as Ministry of Cooperatives, Labor and Social Welfare, and the National Welfare Organization has caused the law to become a support-economic with the dominant discourse of rehabilitation instead of empowering disabled people and becoming a budget-oriented law. 
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Subject: Letter to editor
Received: 2023/01/27 | Accepted: 2023/02/14 | ePublished ahead of print: 2023/03/1 | Published: 2023/04/9

1. United Nations. "Political Declaration of the High‐level Meeting on Universal Health Coverage" [Internet]. 2019 [Updated 2022 November 2]. Available from:
2. Sajadi H S, Shirazikhah M, Joghataei M. Need to expand rehabilitation facilities to improve access to health services for people with disabilities in Iran. Social Welfare Quarterly (refahj) 2021; 21:9-14
3. Jahanbin P, Abdi K, Khanjani MS, Hosseini MA. [Exploring Barriers of teamwork in providing rehabilitation services: A qualitative content analysis]. Archives of Rehabilitation 2019; 20:210-21 [Persian] [DOI:10.32598/rj.20.3.210]
4. Abdi K, Arab M, Khankeh H, Kamali M, Rashidian A, Farahani F. Challenges in providing rehabilitation services for people with disabilities in Iran: A qualitative study. Journal of Advances in Medicine and Medical Research 2016; 13:1-11 [DOI:10.9734/BJMMR/2016/23337]
5. Iravani M, Riahi L, Abdi K, Tabibi SJ. [A Comparative Study of the Rehabilitation Services Systems for People With Disabilities]. Archives of Rehabilitation 2021; 21:544-563 [Persian] [DOI:10.32598/RJ.21.4.3225.1]
6. World Health Organization. Rehabilitation in health systems: Guide for action [Internet]. 2019 [Updated 2022 November 21]. Available from:
7. Thomson S, Osborn R, Squires D, Reed SJ. International profiles of health care systems 2011: Australia, Canada, Denmark, England, France, Germany, Iceland, Italy, Japan, the Netherlands, New Zealand, Norway, Sweden, Switzerland, and the United States. [Internet] 2011. [Updated 2022 November 22]. https://
8. Gudlavalleti, Venkata S. Challenges in accessing health care for people with disability in the south Asian context: A review. Inter- national journal of Environmental Research and Public Health 2018; 15:2366 [DOI:10.3390/ijerph15112366]
9. Dastyar V, Mohammadi A. [Investigating the Empowerment of the Physically-Handicapped People and Its Related Factors: A cross-sectional, analytical study in Kohgiluyeh and Boyer-Ahmad Province]. Archives of Rehabilitation 2019; 19:354- 69 [Persian] [DOI:10.32598/rj.19.4.354]
10. Mistretta MJ. Differential effects of economic factors on specialist and family physician distribution in Illinois: A County-level analysis. The Journal of Rural Health 2007; 23:215-21 [DOI:10.1111/j.1748-0361.2007.00093.x]
11. Mullins CD, Wingate LMT, Edwards HA, Tofade T, Wutoh A. Tran- sitioning from learning healthcare systems to learning health care communities. Journal of Comparative Effectiveness Research 2018; 7:603-14. [DOI:10.2217/cer-2017-0105]
12. Fathi F, Khezri A, Khanjani M, Abdi K. [Comparison of Re- sponsiveness Status of Rehabilitation Services Organization from the Perspective of Services Recipients]. Archives of Rehabilitation 2019; 20:270-85 [Persian] [DOI:10.32598/rj.20.3.270]
13. Akhavan-Tafti M. Convention on the Rights of Persons with Disabilities: A Review of Challenges and Gaps in Its Implementation in Some Countries. Journal of Research in Rehabilitation Sciences 2016; 12: 173-84

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