مطالعه تطبیقی سیاست‌ها و استراتژی‌های معاونت درمان سازمان تأمین اجتماعی ایران و کشورهای منتخب
الموضوعات :
منصوره دینی
1
(
دانشجوی دکتری مدیریت خدمات بهداشتی و درمانی، واحد علوم و تحقیقات، دانشگاه آزاد اسلامی، تهران، ایران
)
سید جمال‌الدین طبیبی
2
(
استاد، گروه مدیریت خدمات بهداشتی و درمانی، واحد علوم و تحقیقات، دانشگاه آزاد اسلامی، تهران، ایران
)
لیلا ریاحی
3
(
دانشیار،گروه مدیریت خدمات بهداشتی و درمانی،واحد علوم و تحقیقات،دانشگاه آزاد اسلامی،تهران، ایران
)
کامران حاجی نبی
4
(
استادیار،گروه مدیریت خدمات بهداشتی و درمانی،واحد علوم و تحقیقات،دانشگاه آزاد اسلامی،تهران
)
الکلمات المفتاحية: تامین اجتماعی , سیاست , استراتژی , مطالعه تطبیقی,
ملخص المقالة :
مقدمه: هدف از مطالعه حاضر، بررسی تطبیقی سیاست‌ها و استراتژی‌های معاونت درمان سازمان تأمین اجتماعی به‌عنوان دومین سازمان ارائه‌دهنده بیمه‌های اجتماعی و درمان ایران با 5 کشور دیگر است. روش پژوهش: این پژوهش یک مطالعه تطبیقی با رویکرد کیفی است که در سال 1401 انجام شد، نمونه‌گیری به‌صورت هدفمند بوده و پنج کشور ژاپن، کاستاریکا، مصر، یونان و مکزیک در مؤلفه‌های سیاست‌ها و استراتژی‌ها شامل تولیت و مدیریت درمان، مؤلفه‌های اجتماعی، تأمین مالی و بیمه ائی، قانونی، سیاست‌گذاری و برنامه استراتژیک با ایران مقایسه شدند. در این مطالعه از پایگاه اطلاعاتی معتبر استفاده و داده‌ها با استفاده از مدل آموزش تطبیقی در چهار مرحله توصیف، تفسیر، هم‌جواری و مقایسه تجزیه‌وتحلیل و در قالب جدول تطبیقی مقایسه شدند. یافته‌ها: نتایج حاکی از تأثیر مؤلفه‌های تولیت و مدیریت بهداشت و درمان، تأمین مالی و بیمه ائی، اجتماعی، قانونی، سیاست‌گذاری و برنامه استراتژیک بر سیاست‌ها و راهبردهای معاونت درمان سازمان تأمین اجتماعی است؛ که مؤلفه اجتماعی با میانگین 8/92 % بیشترین فراوانی مشاهده شده در میان اسناد مورد قبول و مؤلفه برنامه استراتژیک با میانگین 5/65% کمترین درصد فراوانی مشاهده شده در میان اسناد مورد قبول را دارا بود. نتیجه‌گیری: توجه به جمعیت سالمندی رو به رشد، توجه به پایداری مالی سازمان تأمین اجتماعی، اجرای صحیح قوانین و سیاست‌گذاری‌های بیمه ائی و درمانی و تدوین صحیح و علمی برنامه استراتژیک می‌تواند به بهبود ارائه خدمات درمانی و بهبود در مدیریت مصارف و منابع سازمان منجر شود؛ بنابراین ضروری است که بازنگری و اصلاح در سیاست‌ها و استراتژی‌های معاونت درمان تأمین اجتماعی صورت گیرد.
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