kabir M J K, heidari A, Lotfi M, hosseini S M, Shojaee A, Keshavarzi A. Factors Affecting the Improvement and Effectiveness of Basic Health Insurance: A Qualitative Study. Hakim 2020; 23 (2) :179-188
URL:
http://hakim.tums.ac.ir/article-1-1941-en.html
1- Associated Professor, Health Management and Social Development Research Center, Golestan University of Medical Sciences, Gorgan, Iran
2- Asistant Professor, Health Management and Social Development Research Center, Department of Public Health, Faculty of Health, Golestan University of Medical Sciences, Gorgan, Iran. , alirezaheidari7@gmail.com
3- Msc, Health Services Management, Office of Knowledge Translation and Research Utilization, Vice Chancellery for Research, Tehran University of Medical Sciences, Tehran, Iran.
4- General Physician, Headquarters of Golestan Health Insurance Organization, Gorgan, Iran
5- Ph.D Candidate of Health Policy, Health Management & Economics Department, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
6- General Physician, Iran Health Insurance Organization, Tehran, Iran.
Abstract: (720 Views)
Introduction: Iran is a country with characteristics such as social inequality and complex epidemiological evolution, in which a group of its population does not have adequate health services. Health insurance is a promising tool to achieve universal health coverage. This study aimed to explain the factors affecting the improvement and effectiveness of basic health insurance.
Methods: In this qualitative study, 15 senior managers of the Ministry of Health and the Health Insurance Organization were selected by purposive sampling. The data were collected using interview guidelines and semi-structured in-depth interviews. All interviews were transcribed. Data were analyzed using the content analysis method with in-situ analysis.
Results: By analyzing the data, seven categories (managerial, executive, political, technological, organizational, economic, and cultural factors) and 25 sub-categories were identified.
Conclusion: It is necessary to consider facilitators and inhibiting factors extracted from the study and select appropriate strategies to improve the current situation. It can lead to the quantity and quality improvement of basic health insurance.
Please cite this article as follows:
Kabir MJ, Heidari A, Lotfi M, Hosseini SM, Shojaee A, Keshavarzi A. Factors Affecting the Improvement and Effectiveness of Basic Health Insurance: A Qualitative Study. Hakim Health Sys Res. 2020; 23(2): 179-188. |
*Corresponding Author: Health Management and Social Development Research Center, Department of Public Health, Faculty of Health, Golestan University of Medical Sciences, Gorgan, Iran. Tel: (+98)9120126458, Fax: (+98)1732160331, E-mail: alirezaheidari7@gmail.com
Type of Study:
Original |
Subject:
General Received: 2019/08/3 | Accepted: 2020/06/30 | Published: 2020/06/30