International Journal of Preventive Medicine (Int J Prev Med)2008-78021182020092723282328ENCancer Research Centre of Cancer Institute, Tehran University of Medical Sciences, TehranDepartment of Cardiology, School of Medicine, Prevention of Cardiovascular Disease Research Center, Shahid Beheshti University of Medical Sciences, TehranDepartment of Pediatric Gastroenterology, School of Medicine, Pediatric Gastroenterology, Hepatology and Nutrition Research Center, Shahid Beheshti University of Medical Sciences, TehranNanotechnology Research Centre, Faculty of Pharmacy, Tehran University of Medical Sciences, TehranKnowledge Utilization Research Center, University Research and Development Center, Tehran University of Medical Sciences, TehranResearch Group of Health Stewardship, National Institute for Health Research, Tehran University of Medical Sciences, TehranSecretariat on Health Observatory, National Institute for Health Research, Tehran University of Medical Sciences, TehranResearch Group of Health Economic, National Institute for Health Research, Health Equity Research Center, Tehran University of Medical Sciences, TehranKnowledge Utilization Research Center, Community Based Participatory Research Center, Department of Epidemiology and Biostatistics, Tehran University of Medical Sciences, Tehran20200927Following his inauguration in late 2013, President Rouhani aimed to boost quality and equity in the<br />health care delivery system. To fulfill this aim, a set of interventions, called Health Transformation<br />Plan (HTP), were implemented. So far, it has been a heated debate whether HTP breathes a spirit<br />of a new reform. HTP has targeted long‑standing historical deficits of the Iranian health system<br />as well as urgent problems, both of which have been, to some extent, resolved. To decrease<br />Out‑Of‑Pocket (OOP) health expenditures, HTP has presented new financing mechanisms to expand<br />a safety net to Iranian citizens fundamentally. HTP also encompassed interventions to overcome<br />problems in the provision of health care by recruitment of health workforces, establishing new<br />health facilities, and expanding primary health care to urban and peri‑urban areas. Furthermore,<br />performance indicators including access, quality, and patient satisfaction have been affected. Given<br />these changes, HTP is entitled to be a health system reform. However, a new agenda within HTP is<br />required so that the Iranian health system can obtain better value for money that is to be spending<br />on it.http://ijpm.mui.ac.ir/index.php/ijpm/article/view/2328http://ijpm.mui.ac.ir/index.php/ijpm/article/download/2328/717718170