Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1396
11
1
gregorian
2018
2
1
32
1
online
1
fulltext
en
Interaction between stewardship and social health insurances: A comparative and document analysis
Health Management and Economics
Health Management and Economics
Original Research
Original Research
<strong> </strong><strong> Background: </strong>Social health insurances provide protection to access affordable coverage of services and stewardships of health system need to intervene to fulfill these objectives. This study conducted to assess interaction between stewardship and social health insurances.<br>
<strong> Methods:</strong> This qualitative study conducted in two phases as comparative study and document analysis in 2018. Comparative study employed to identify the dimensions and requirements of interaction between stewardship of health systems and social health insurances in countries around the world. In document analysis, all evidence about Iran health financing reviewed. Data extraction forms were used to gather data.<br>
<strong> Results: </strong>There were less interaction between stewardship and social health insurances in revenue collection and risk pooling. Advisory role of stewardship and proposals to coverage of uninsured people and performing risk analysis were some examples of such interaction. In Iran’s health system, where stewardship plays a magnificent role in service provision, the basis of interactions are contracts, payment systems and timeline of payments.<br>
<strong> Conclusion:</strong> Mechanisms of interaction in Iran is not clear or does not work properly. Thus, nonstructural merging of social health insurances needs to redefine these mechanisms.<br>
Stewardship, Health system, Social health insurances, Interaction, Iran
446
452
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-4164-1&slc_lang=en&sid=1
Aslan
Nazari
anazari_1983@yahoo.com
200319475328460039807
200319475328460039807
No
Department of Health Services Management, Science and Research Branch, Islamic Azad University, Tehran, Iran.
Iravan
Masoudi Asl
masoudi_1352@yahoo.com
200319475328460039808
200319475328460039808
Yes
Department of Health Services Management, School of Health Management and Information Sciences, Iran university of medical sciences, Tehran, Iran.
Masoud
Abolhallaje
mohme2003@gmail.com
200319475328460039809
200319475328460039809
No
Budgeting and Performance Monitoring Center, Ministry of Health and Medical Education, Tehran, Iran.
Amir Ashkan
Nasiripour
nasiripour@srbiau.ac.ir
200319475328460039810
200319475328460039810
No
Department of Health Services Management, Science and Research Branch, Islamic Azad University, Tehran, Iran.
Mohammad Javad
Kabir
kabirmj63@yahoo.com
200319475328460039811
200319475328460039811
No
Health Management & Social Development Research Center, Gorgan University of Medical Sciences, Gorgan, Iran.