Stakeholder analysis of Iran's health insurance system
Stakeholder analysis of Iran's health insurance system
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DOI：
10.4103/jehp.jehp_69_18
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发表时间：
2018-10-01
影响因子：
1.4
通讯作者：
Dehnavieh, Reza
中科院分区：
文献类型：
--
作者：
Heydari, Majid;Seyedin, Hesam;Dehnavieh, Reza
简介：本研究的设计和实施目的是确定和分析伊朗健康保险系统 (HInS) 的利益相关者。材料和方法：本研究是一项混合方法研究。研究设置在现场，由 HInS 的所有组织组成。研究步骤根据Kammi Schmeer 利益相关者分析模型设计。这些信息是通过对 16 名利益相关者代表进行半结构化和结构化访谈收集的。数据收集工具是确定利益相关者特征的清单和矩阵。数据分析由Maxqda10和Mactor软件完成。结果：总共确定了 34 个利益相关者，他们参与了 HInS 的九项主要活动。主要利益相关者具有政府性质。政府、计划和预算组织、卫生部、福利部、高级健康保险委员会和医学委员会是利益相关者，同时拥有较高的财政、决策和政治权力。议会和卫生委员会、政府、规划和预算组织以及卫生部是对其他利益相关者影响最大的利益相关者。大多数利益相关者对 HInS 的目标持相同立场。保险公司组织出于资金完整性的目的持反对立场。结论：伊朗 HInS 的利益相关者多种多样，参与各种活动，有时是重叠和平行的。鉴于大多数利益相关者对目标的立场相同，只要有影响力的利益相关者参与政策制定，改革是可能的。
INTRODUCTION: This study was designed and implemented with the purpose of identify and analyze the stakeholders in Iran's Health Insurance System (HInS). MATERIALS AND METHODS: This study was a mixed method study. The study setting was in the field and consists of all organizations in the HInS. The study steps designed according to the Kammi Schmeer stakeholder analysis model. The information was collected through semi-structured and structured interviews with 16 stakeholder representatives. The data collection tool was checklist and matrixes that determined the characteristics of the stakeholders. Analysis of data was done by Maxqda10and Mactor software. RESULTS: A total of 34 stakeholders were identified that were involved in nine main activities of HInS. Major stakeholders have governmental nature. The Government, the Planning and Budget Organization, the Ministry of Health, the Welfare Ministry, the Higher Health Insurance Council, and the Medical Council were stakeholders who have high financial, decision-making, and political power simultaneously. The Parliament and the Health Commission, the Government, the Planning and Budget Organization, and the Ministry of Health were stakeholders that had the most influence on other stakeholders. Most of stakeholders have same position to the objectives of the HInS. The insurer organizations had opposed position with the objective of integrity of the funds. CONCLUSIONS: Stakeholders of Iran's HInS are multiple and involved in various activities that sometimes they are overlapping and parallel. Regarding the same position of the majority of stakeholders to the objectives, reforms are possible, provided that influential stakeholders participate in policies making.