Volume 34, Issue 1 (2-2020)                   Med J Islam Repub Iran 2020 | Back to browse issues page

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Ramezanian M, Haghdoost A A, Mehrolhassani M H, Abolhallaje M, Dehnavieh R, Poursheikhali A. Effective factors and drivers of Iran's health care financing system. Med J Islam Repub Iran. 2020; 34 (1) :718-725
URL: http://mjiri.iums.ac.ir/article-1-5237-en.html
Modeling in Health Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran , ahaghdoost@kmu.ac.ir
Abstract:   (403 Views)
Background: Different factors affect Iranchr('39')s health care financing system, and regardless of this impact, the future of this system will face fundamental challenges. In this environment, a health system is successful if it is able to anticipate the effects of these factors in the future of health care financing and preplan appropriate interventions towards health care financing system. The present study aims to identify these factors and trends.
   Methods: This study compiled a round view of the experts on the subject, with a future studies approach through a qualitative method. To collect data, a deep and semi-structured interview was performed. The results of the interviews were analyzed using content analysis method, and the primary and secondary themes were extracted using the Micmac software.
   Results: A total of 71 variables were identified in the form of 12 groups with titles of stewardship, service provision, resource gathering, purchasing and resource allocation, sociocultural, technological, environmental, economic, political, and managerial, and laws and values. Four variables, including distant-service provision, administrative bureaucracy, administrative focus and corruption, low-support decision-making, economic blockade, and sales of oil were among the influential factors and drivers.
   Conclusion: The findings showed Iranchr('39')s financing system is relatively stable but fragile and 3 areas of technology, politics, and economics have the most impact on structuring Iran’s financing system.
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