Presentation of Health Financing System Model with Emphasis on Structural, Contextual, Instrumental and Content Factors

Subject Areas : medical documents

parivash heidari orejlo ¹ , shaghayegh vahdat ² , hasan soltani ³

1 - PhD student in Health Services Management, Shiraz Branch, Islamic Azad University, Fars, Iran
2 - Assistant Professor, Department of Health Services Management, South Tehran Branch, Islamic Azad University, Tehran, Iran
3 - Assistant Professor, Department of Health Services Management, South Tehran Branch, Islamic Azad University, Tehran, Iran

Received: 2020-03-07 Accepted : 2020-05-30 Published : 2020-05-21

Keywords: Model, health system, Financing,

Abstract :

Introduction:Inadequate attention to health care as a necessary commodity can be detrimental to the health of the community and the huge resources spent in this area can be wasted. Limited financial resources, sanctions on the country, reduction of budget revenues, low share of funds allocated from the general government budget and low share of health care costs are among the total gross national expenditures that limit the financing of health care costs. It is necessary to provide a model that fits the requirements, requirements, laws and culture of the country. For this reason, in this article, we tried to identify the effective and functional factors on the realization of the health financing system in the country and present them in the form of a model. Methods:This descriptive research is based on survey research and is qualitative and quantitative in terms of the implementation process. In this research, first with a qualitative approach and by theoretical and library studies, the financing model in the health system in the world is examined. The design of the initial model was done by comparing and describing the differences and commonalities. Then, with the help of experts, the researcher designed the initial model, and in the next step, the model analysis algorithm was used in the Smart-PLS-SEM method to validate the presented model of the health system. Results:In order to study the research hypotheses and the conceptual research model in general, because the dimensions and components affecting health financing did not have the same ranks, as a result, prioritization was done and in the field of field factors, the dimensions of the budgeting system, respectively. Health-oriented services, tax-oriented system, in the instrumental factors section of the disease fund, financial participation and social hospital, in the content factors section, financing and legislation plans were developed and in the structural factors dimensions, service quality structure, risk structure and financial structure were measured. Then, the necessary analyzes were performed in three sections: fit of measurement models, structural model fit and general fit of the model, and then the existing relationships in the structural section were examined and interpreted, and in the reliability stage, the overall fit of the research model was examined. Conclusion:The research results show that creating a mechanism in the tax system, budgeting system according to the sanctions and creating restrictions in the investment system in the health sector and the spread of chronic and sudden diseases of the greatest importance and ranking in creating the model. The country has a health financing system.

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