1- Health Management, Policy, and Economics Department, School of Public Health, Health Information Management Research Center, Tehran University of Medical Sciences, Tehran, Iran. , hdargahi@sina.tums.ac.ir
2- Health Management, Policy, and Economics Department, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
3- Health Management and Economics Research Center, Health Management Research Institute, Iran University of Medical Sciences, Tehran, Iran
2- Health Management, Policy, and Economics Department, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
3- Health Management and Economics Research Center, Health Management Research Institute, Iran University of Medical Sciences, Tehran, Iran
Abstract: (311 Views)
Introduction: The World Health Organization considers medical technology vital to countries' health systems. Without quality and affordable medical equipment and supplies, lack of market structure, competitiveness, and also active role of supply chain of medical devices and equipment, achieving universal health coverage is not possible. This study aimed to identify and analyze the market structure and supply chain of the medical devices, equipment, and supplies industry in Iran in comparison with selected countries.
Methods: This study used the Arksey and O'Malley scoping review method. Relevant keywords in Persian and English were collected from the Magiran, SID, Irandoc, IRDA, Emerald, Embase, WOS, Scopus, and PubMed databases from 2001 to 2025. Inclusion criteria included access to the full text of the studies, and exclusion criteria included restrictions on access to the text and the absence of relevant evidence. Finally, 40 studies were selected for analysis and reviewed using the framework analysis method. The latest version of the PRISMA-SCR checklist was also used in this process.
Results: There are significant differences between developed countries and Iran in terms of export and import shares, regulation of market performance, supply chain management, and competition. Developed countries have gained a large share of the medical device market in developing countries by investing in research and development.
Conclusion: The lack of a competitive market in the import of medical devices, the growth of the concentration index of some importers, and the inefficiency of the supply chain have created challenges for the Iranian health system. It is suggested that attention be paid to domestic production, creating a competitive market, and modeling after developed countries.
Methods: This study used the Arksey and O'Malley scoping review method. Relevant keywords in Persian and English were collected from the Magiran, SID, Irandoc, IRDA, Emerald, Embase, WOS, Scopus, and PubMed databases from 2001 to 2025. Inclusion criteria included access to the full text of the studies, and exclusion criteria included restrictions on access to the text and the absence of relevant evidence. Finally, 40 studies were selected for analysis and reviewed using the framework analysis method. The latest version of the PRISMA-SCR checklist was also used in this process.
Results: There are significant differences between developed countries and Iran in terms of export and import shares, regulation of market performance, supply chain management, and competition. Developed countries have gained a large share of the medical device market in developing countries by investing in research and development.
Conclusion: The lack of a competitive market in the import of medical devices, the growth of the concentration index of some importers, and the inefficiency of the supply chain have created challenges for the Iranian health system. It is suggested that attention be paid to domestic production, creating a competitive market, and modeling after developed countries.
Keywords: devices and Supplies, Healthcare Market structure, supply chain, Developed countries, Iran.
Type of Study: Review |
Subject:
Health Services Management
Received: 2025/04/1 | Accepted: 2026/07/20
Received: 2025/04/1 | Accepted: 2026/07/20
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