Modeling the Effective Management Factors in the Pattern of Regulation and Supervision of Social Insurance Funds of Iran
Journal Title: مجله راهبردهای مدیریت در نظام سلامت - Year 2019, Vol 4, Issue 2
Abstract
Background: To achieve the objectives of social security and health system, it is essential to enhance the level of efficiency of social insurance funds. To hit this target, the challenges of regulation improvement should be identified and addressed in these funds. Therefore, the present study aimed at identifying the key challenges of regulation and modeling the network of management and its effective factors. Methods: This was a cross-sectional qualitative study. In the qualitative part, a systematic review and thematic analysis were conducted using MaxQDA 10 software. Qualitative data were collected by reviewing the relevant documents and related studies. In the quantitative part, the structural-interpretative modeling and Mick-Mac analysis methods were employed. The data were collected by referring to the 14 experts selected by targeted sampling method using a questionnaire. Results: 9 factors were identified as the key challenges in regulation of social insurance funds, including 1) management inconsistency; 2) non-clear insurance approach in population coverage; 3) multiplicity of insurance funds; 4) failure to organize the funds; 5) lack of integrity of rules and regulations; 6) weakness of regulatory authority; 7) weak policy making in management of financial resources; 8) inconsistencies in the country’s insurance tariff system; and 9) insurance cover for informal jobs. The content network was formed in a 4-level model by structural- interpretative modeling method. Conclusion: Regulation challenges of the social insurance funds include a combination of factors showing the need for the formation of a unit regulator to organize these funds. The aim is to meet the key challenges in 4 layers of the proposed model and modify the regulatory and supervisory structure with a comprehensive, impartial, and specialized approach.
Authors and Affiliations
Mohammad Hashem Botshekan, Mohammad Ali Dehghan Dehnavi, Mohammad Javad Mohagheghnia, Hosein Aslipour, Seyyed Mohammad Abbasnia
Keywords
Related Articles
- EP ID EP650284
- DOI 10.18502/mshsj.v4i2.1406
- Views 71
- Downloads 0
Shiraz Medical Tourism Industry: Development Strategies
Background: Medical tourism industry with global revenue of around 20 billion dollars in 2005 is one of the largest industries in the world. Absorbing a percentage of this amount can have a significant impact on medical...
Challenges in Implementation of Health Care Reform in the Area of Treatment Qom City
Background: The health system reform was implemented with 3 approaches of financial protection of people, creating equity in accessing health services, and improving quality in May 2014. The health care reform, similar t...
Sustainable Improvement of Health System Functions through Health System Strengthening Approach
Weaknesses of health systems limit their performance. Health System Strengthening (HSS) is an approach which made of strategies, responds and activities and aimed to sustainable improvement of health systems' performance...
The Effect of Organizational Structure on the Entrepreneurial Spirit of the Staff Working in Vice-Chancellor for Treatment of Ahvaz Jundishapur University of Medical Sciences
Background: In modern organizations, establishment and utilization of the entrepreneurial thinking are inevitable. Entrepreneurial thinking is considered as the insight and ability of the founders as well as the cause of...
Entrepreneurship Behavior of the Faculty Members in Qazvin University of Medical Sciences and its Effective Factors
Background: In order to develop entrepreneurship, we need to study and recognize the present entrepreneurship situation precisely. The aim of this study was to determine the entrepreneurship behavior of the faculty membe...