Stakeholders analysis of merging social health insurance funds in Iran: what kind of interests they may gain or lose?
Stakeholders analysis of merging social health insurance funds in Iran: what kind of interests they may gain or lose?
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DOI：
10.1002/hpm.2605
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发表时间：
2019-01-01
影响因子：
2.7
通讯作者：
Olyaeemanesh, Alireza
中科院分区：
文献类型：
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作者：
Bazyar, Mohammad;Rashidian, Arash;Olyaeemanesh, Alireza
伊朗于2010年通过了一项法律，将所有现有的医疗保险基金合并在一起。这一利益相关者分析旨在揭示利益相关者在伊朗合并医疗保险计划时可能会失去或获得哪些利益，这使得他们反对或支持它。这是2014年进行的定性研究。进行了60次半结构化的面对面访谈。采用最大异质性抽样的目的抽样和滚雪球抽样来选择受访者。政府不愿意承担更多的财政负担。现有的健康保险计划，如社会保障组织和资源充足的小型健康保险基金，以及工会，都不愿意失去其财务和组织自主权，与其他弱势群体分享其福利，或在运营医院等卫生设施时面临可能的财务挑战。高层管理人员和员工担心失去工作、薪水或组织职位。合作、劳动和社会福利部不想失去对医疗保险计划的控制。卫生和医学教育部和伊朗健康保险组织是支持保险基金合并政策的行为者之一。成功实施合并需要考虑到不同利益攸关方的利益。
Iran passed a Law in 2010 to merge all existing health insurance funds physically together. This stakeholder analysis aimed at revealing that what benefits the stakeholders might lose or gain as a result of merging health insurance schemes in Iran, which make them to oppose or support it. This was a qualitative study conducted in 2014. Sixty semi-structured face-to-face interviews were conducted. Purposive and snowball samplings with maximum heterogeneity samples were used for selecting interviewees. Government is not willing to undertake more financial commitment. Existing health insurance schemes like Social Security Organization and minor well-resourced health insurance funds and also worker unions are unwilling to lose their financial and organizational autonomy, to share their benefits with other less privileged groups, or face likely financial challenges in running their health facilities like hospitals. Top managers and workforces are worried to lose their job, salary, or organizational positions. Ministry of Cooperation, Labour, and Social Welfare does not want to lose its control on health insurance schemes. Ministry of Health and Medical Education and Iran Health Insurance Organization are among actors that support the insurance funds merging policy. Successful implementing of consolidation requires taking into account the interests of different stakeholders.