Reorganizing the Welfare State in Light of Market-Based Logic: A Neoliberal Reading of Health Policymaking in Postwar Iran (1367-1400) | ||
| پژوهشنامه مددکاری اجتماعی | ||
| Article 1, Volume 12, Issue 44, September 2025, Pages 1-43 PDF (602.67 K) | ||
| Document Type: Research Paper | ||
| DOI: 10.22054/rjsw.2026.87298.833 | ||
| Authors | ||
| aliakbar tajmazinani1; Negar Seraj* 2 | ||
| 1Social Welfare/Allameh Tabatabaei University/Tehran Province | ||
| 2Tehran | ||
| Abstract | ||
| With the spread of neoliberalism as the dominant discourse in public policy-making in recent decades, health policy-making systems have also undergone fundamental changes. This article examines the progress of neoliberal approaches in health policy-making in post-war Iran and analyzes the impact of these developments on the principles of social justice, access to services, quality of care, and health costs. Policies such as privatization, service competition, reduced government intervention, and increased market role, although in some areas have led to improved productivity and innovation in certain circumstances, have also had consequences such as increased inequality, reduced service inclusion, and economic pressure on vulnerable groups. This research is designed within the framework of a descriptive-analytical methodological strategy with a qualitative and interpretive approach and is organized based on the interpretive-critical paradigm. The unit of analysis in this research is document-oriented and system-oriented. The research data were extracted through the method of directional content analysis and using conceptual coding inspired by the fundamental concepts of neoliberalism. The findings of the research were categorized in the form of codes and subcategories under the titles of redefining health as a consumer good in the neoliberal ideological system, transforming the human body into a field of value addition, transforming the hospital into a quasi-entrepreneurial enterprise, marketization of health, and performance-oriented logic. | ||
| Keywords | ||
| Neoliberalism; Health Policy; Health System | ||
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