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Challenges of implementation: Strategic purchasing in Iran Health Insurance Organization

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  • Ali Reza Kalantari
  • Mohammad Jafari Sirizi
  • Mohammad Hossein Mehrolhassani
  • Reza Dehnavieh

Abstract

Background Strategic purchasing has been introduced as a key strategy for solving the problems faced by insurance companies. In Iran, the government has mandated the Iran Health Insurance Organization (IHIO) to implement this strategy. However, there are serious challenges to achieving that. The present study aims to identify these challenges. Methods In this qualitative study, a semi‐structured interview was conducted on 27 health managers and experts at the national level. The dimensions of the A. Preker model were used to analyze the data. Results Challenges of strategic purchasing in the IHIO were categorized into five concepts—political economy, policy design, organizational structure, organizational environment, and management capacity; within these concepts, 22 challenges were identified. Conclusions Improving strategic purchasing in Iran requires adopting a coherent approach and taking into account all the affecting factors. By revising some policies, and modifying and defining the rules needed to solve the infrastructural problems, the success of strategic purchasing can be obtained.

Suggested Citation

  • Ali Reza Kalantari & Mohammad Jafari Sirizi & Mohammad Hossein Mehrolhassani & Reza Dehnavieh, 2019. "Challenges of implementation: Strategic purchasing in Iran Health Insurance Organization," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(1), pages 875-884, January.
    • Handle: RePEc:bla:ijhplm:v:34:y:2019:i:1:p:e875-e884
    DOI: 10.1002/hpm.2704
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    References listed on IDEAS

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    1. Habicht, Triin & Habicht, Jarno & van Ginneken, Ewout, 2015. "Strategic purchasing reform in Estonia: Reducing inequalities in access while improving care concentration and quality," Health Policy, Elsevier, vol. 119(8), pages 1011-1016.
    2. Alexander S. Preker & Guy Carrin, 2004. "Health Financing for Poor People : Resource Mobilization and Risk Sharing," World Bank Publications - Books, The World Bank Group, number 15019, April.
    3. David A. Wise & Naohiro Yashiro, 2006. "Health Care Issues in the United States and Japan," NBER Books, National Bureau of Economic Research, Inc, number wise06-1, March.
    4. David A. Wise, 2006. "Introduction to "Health Care Issues in the United States and Japan"," NBER Chapters, in: Health Care Issues in the United States and Japan, pages 1-16, National Bureau of Economic Research, Inc.
    5. Alexander S. Preker & Xingzhu Liu & Edit V. Velenyi & Enis Baris, 2007. "Public Ends, Private Means : Strategic Purchasing of Health Services," World Bank Publications - Books, The World Bank Group, number 6683, April.
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