لینک‌های قابلیت دسترسی

جمعه ۱۹ آذر ۱۳۹۵ تهران ۱۵:۲۸ - ۹ دسامبر ۲۰۱۶

ورشكستگي بيمارستان هاي دولتي در اثر اجراي طرح خودگرداني و سوء مديريت وزارت بهداشت


شيرين فاميلي، مصاحبه با دكتر حيدر تبريزي، كارشناس بهداشت

Summary of today's broadcast - Wednesday, February 20, 2002Wednesday, February 20, 2002 On Radio Azadi (Radio Free Europe/Radio Liberty - Persian Service) Summary of today's broadcast TOP STORY Public Hospitals at the Brink of Bankruptcy: Failure of Self Management Plan - Public hospitals in Iran suffer from budgetary constrains; and lack of funds for procurement of new equipment and meeting payroll, has brought them to near bankruptcy, according to the Tehran-based healthcare scholar, Dr. Heydar Tabrizi, in an interview with RFE/RL. Dr. Tabrizi blames the self management plan, which took effect 7 years ago for only part of the problem. The other part of the problem is the flawed management of healthcare in Iran by IRI's Ministry of Healthcare and Medical Education. He says, in Iran, where every industry and every sector of the economy is owned and managed by the government, through the self-management plan, funding healthcare is largely left to the private sector. IRI government's participation in the overall healthcare expenditures is below 45 percent, while, according to UN figures, in Europe almost 80 percent of the healthcare costs come from the public coffers. In the US, the public sector's participation in healthcare expenses has gone up to 50 percent. (Shirin Famili, Berlin) IRAN Sudden Cancellation of the IRI Foreign Minister's Trip to Russia - Unfinished work on some documents about mutual projects was the reason for the cancellation of the Kharrazi trip to Moscow, a Russian Foreign Ministry spokesperson announced. (Mani Kasravi, Moscow) Cancellation of Kharrazi's Moscow Visit: Two Western reports - The US-Russian negotiations prior to the Bush-Putin summit in Moscow has hit a sang on the topic of the Russian technical cooperation with IRI, according to Washington Times. Kharrazi cancelled his planned trip to Moscow as a result of the demotion of the Russian official in charge of atomic projects sales. Cancellion of Kharrazi's Moscow Visit: An analysis - Kharrzai had more important things to do in Iran than making a 2-day routine tripo to Moscow, says Pirouz Mojtahedzadeh, an analyst of Iranian foreign policy in London. However, he adds that, in the aftermath of the axis of evil speech, the Russian officials might have thought by postponing the IRI Foreign Minister's visit, they could avoid possible US displeasure about IRI-Russian relations, during the upcoming Bush-Putin summit in Moscow. Judiciary Chief Says Little in Q & A at Tehran University - In his answers about questionable actions of the IRI Judiciary against reformist press, nationalist political leaders, activist students and outspoken members of the IRI parliament, Judiciary Chief Ayatollah Shahroudi said little to reverse public opinion about the body under his direction, according to RFE/RL's political analyst, Mehdi Khalaji. Pointing out to a gap between the bureaucracy and leadership in the Judiciaary, moderate conservatives have recently joined the reformists in the criticism of the Judiciary, he adds. Death of Hajj Saeed Amani: Beginning of the End of the religious conservatives Influence on Iranian politics and economy - The death of Hajj Saeed Amani, Secretary General of the Bazaar Islamic Societies and member of the Central Council of the Allied Islamic Society (Jam'iat Mo'talefeh Eslami) signals the beginning of the end of the power and influence of the traditionalist Islamic thinking in Iran, according to Tehrani journalist, Jamsheed Barzegar, in an interview with RFE/RL. Barzegar says The Allied Islamic Society and Bazaar Islamic Societies was the main financial benefactor of the traditionalist clergy and after the revolution reaped benefits and concessions from its close relationship with the IRI leadership. He adds that the bazaar's right wing Islamic Societies represented a small faction of the bazaar merchants and the Iranian society as a whole, but managed to block reforms, not only in the traditional relationships of production and distribution of goods in the economy, but also in the IRI Judiciary and military, as well as the regime's cultural policies. Barzegar says the traditional right's recent violent reaction to the reformist activists, shows that this faction has lost its ability to adapt to the new realities of the Iranian society. (Mahmonir Rahimi) Bonyad Mostaz'afan to Pay Taxes for the First Time in 23 Years - As a result of the reformist parliament's pressure and with the eventual approval of the IRI Leader, Bonyad, one of the Middle East's largest financial and economic organizations will begin to pay taxes, as of the next Iranian year. Mohsen Rafighdoust, the former director of Bonyad, recently put the value of more than 400 industrial, real estate and financial companies under Bonyad at 30,000 billion rials. The Bonyad controls a majority of Iran's hotels and tourism organizations, 50 percent of all ceramic and beverages produced in Iran and 25 percent of all tire and rubber, in addition to numerous real estate and farm holdings. The other large financial and economic concern pressured to begin paying taxes, is the foundation running the properties of the endowment of Imam Reza in Mashhad, which managed to keep its tax exempt status. However, the involvement of the son of that foundation's director, Ayatollah Vaez Tabasi, has once again brought the need for openness in its operations to the fore. (Siavosh Ardalan) 4 Former Bank Meli Directors Appear in Court on Corruption Charges - In the third trial of the IRI Judiciary's anti-corruption campaign, 4 former Bank Meli directors are charged with illegally forgiving 20 billion rials in uncollectible loans to a client in Dubai. The bankers arranged for a purchase of goods at a nominal price from the debtor, according to Tehrani journalist Mohsen Jamsheedi, in an interview with RFE/RL. Jamsheedi sees the incompatibility of IRI's banking and trade laws with international norms as possible cause for such irregularities and corruptions and finds the trial useful in persuading IRI officials to reform Iranian banking and trade laws. The accused pleaded not guilty and claimed in court that their action in forgiving the debt was approved by President Khatami at the High Council of Money and Credit. (Fereydoun Zarnegar) IRI Parliament Approves Energy Price Hikes in the Budget Bill, Allows Wheat Imports by Mills - Iranian households will face a 10 percent hike in energy prices, beginning March 21, as the new Persian year kicks in Other new measures approved in the budget bill include permission to the government to dip into Iran's exchange reserves for $2.1 billion to cover some of the proposed foreign exchange deficit; and relaxing wheat export rules, which would allow mills to work at full capacity. Parliament's bills will have to approved by the non-elective extremist clergy in the Guardians Council. (Fereydoun Zarnegar) Karzai Plans Not to Seek Extradition of Hekmatyar in Trip to Iran WORLD Mounting Tensions in the Middle East - 16 Palestinians were killed when Israeli attacks on Gaza and West Bank. 6 Israelis died as a result of Palestinian hardliners military operations. (Jamshid Chalangi, Cario) Middle Crisis in the Western Press - A review of the Western press articles about the mounting violence in the Middle East indicates that Western leaders have become disillusioned about finding a quick solution to the crisis. (Siavash Ardalan) The US President in South Korea - In his joint press conference with the South Korean president, Mr. Bush said the US cannot tolerate governments such as that of North Korea, which starve their people and focus on developing and marketing weapons of mass destruction. (Shahram Tehrani, Beijing) 350 Die in Passenger Train Fire in Egypt - Officials have so far ruled out terrorism as the cause of the fire that burnt 7 passenger cars. (Farideh Rahbar, Cairo) 4 Suspected of Ties to Alqaida Were Arrested in Italy - The Moroccan members of an extremist Islamic organization arrested near Rome planned to poison the city's drinking water. (Ahmad Rafat, Rome) German's joint maneuver with American Soldiers in Kuwait - 250 German weapons experts began a joint maneuver along with American and Kuwaiti soldiers. Iraq Claims Ready to Face the USa - While US says there is no plan yet to attack Iraq, an Iraqi paper says the outcome of a US attack on Iraq will be the destruction of all American interests in the Arab world. Seven Relatives of September 11 Victims Sue Iran, Iraq and others for $ billions - In their lawsuit, filed in Washington, relatives of September 11 victims ask for $ 101 billions in damages from Iran, Iraq, other countries and organizations listed by the US as terrorist or supporters of terrorism. They hope to collect from assets held by the US belonging to these countries and organizations, says Saeed Mahmoudi, PhD, professor of international law in Sweden's Stockholm University. However he doubts that the claimants can prove to the court that Iran or Iraq government have actually supported Alqaida and the terrorists involved in the attacks on WTC and Pentagon. (Mina Baharmast) Pentagon Considers Distributing False and Misleading Information - Pentagon's project, as reported by NYT, to disseminate false and misleading information in its campaign to attract foreign help to the US anti-terrorism campaign is facing criticism and rejection in the Pentagon, even before it is officially proposed, writes RFE/RL reporter Andrew Tully. 2.5 Million Muslims Visit Mecca in This Year's Hajj Ceremonies - Of the 2.1 million who took part in the Hajj pilgrimage to Mecca, 1.1 million were Saudi citizens. Others came from 124 countries. (Jamshid Chalangi, Cairo) Saudi's Income from Hajj Ceremonies 40 percent of Saudi Arabia's non-oil income from the Hajj. (Ahmad Rafat, Rome)

دكتر حيدر تبريزي، كارشناس امور بهداشت و درمان مي گويد اجراي طرح خودگرداني بيمارستان ها كه از 7 سال پيش شروع شد، تنها يكي از دلايل قرار گرفتن بيمارستان هاي دولتي ايران در آستانه ورشكستگي است. وي سوء مديريت وزارت بهداشت را عامل ديگر اين مشكل مي داند. دكتر حيدري مي گويد بيمارستان كه به بودجه هاي اختصاصي متكي هستند، از نظر تامين هزينه هاي جاري و خريد تجهيزات جديد با مشكل روبرو هستند و كيفيت پايين خدمات بيمارستاني در اثر فضاي نسبتا باز مطبوعاتي بعد از انتخاب محمد خاتمي، به آگاهي افكار عمومي مي رسد. دكتر حيدري مشكل اصلي نظام بهداشت و درمان در ايران را پايين بودن سطح مشاركت دولت در هزينه هاي بهداشتي و درماني جامعه مي داند. بنا به آمار سازمان ملل، در حاليكه در ايران فقط 45 در صد از هزينه هاي بهداشت و درمان از سوي دولت تامين مي شود، در اروپا اين نسبت 80 درصد و در آمريكا 50 درصد است.

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