A qualitative study of the difficulties in reaching sustainable universal health insurance coverage in Iran

Ibrahimipour, H. and Maleki, M. R. and Brown, R. and Gohari, M. and Karimi, I. and Dehnavieh, R. (2011) A qualitative study of the difficulties in reaching sustainable universal health insurance coverage in Iran. Health Policy and Planning, 26 (6). pp. 485-495.

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Abstract

Objective To understand the Iranian health financing system and provide lessons for policy makers about achieving universal coverage. Methods Twenty-five interviewees from seven major health insurance companies were selected for a qualitative study in 2007. Using a semi-structured interview, three main tasks of the health financing system (revenue collection, risk pooling and purchasing) were investigated. A framework method was applied for the data analysis. Results The results of the study show the following seven major obstacles to universal coverage: unknown insured rate; regressive financing and non-transparent financial flow; fragmented and non-compulsory system; non-scientifically designed benefit package; non-health-oriented and expensive payment system; uncontrolled demands; and administrative deficiency. A long-term systematic plan is required to address the above problems. © The Author 2011; all rights reserved.

Item Type: Article
Additional Information: Cited By :39 Export Date: 16 February 2020 CODEN: HPOPE Correspondence Address: Dehnavieh, R.; Health Services Management Department, Management and Medical Information School, Haft-Bagh Blvd, Kerman, Iran; email: rdehnavi@gmail.com
Uncontrolled Keywords: benefit package Health insurance Iran population coverage sustainable financing universal coverage article cross-sectional study female human insurance interview male management Cross-Sectional Studies Humans Insurance, Health Interviews as Topic Policy Making
Subjects: W General medicine- Health professions
Divisions: Mashhad University of Medical Sciences
Depositing User: mr lib7 lib7
Date Deposited: 05 May 2020 03:42
Last Modified: 05 May 2020 03:42
URI: http://eprints.mums.ac.ir/id/eprint/17019

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