Stakeholder analysis of Iran’s health insurance system

نویسندگان

1 Research Center for Modeling in Health, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran

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چکیده

INTRODUCTION: This study was designed and implemented with the purpose of identify and analyzethe stakeholders in Iran’s Health Insurance System (HInS).MATERIALS AND METHODS: This study was a mixed method study. The study setting was in thefield and consists of all organizations in the HInS. The study steps designed according to the KammiSchmeer stakeholder analysis model. The information was collected through semi‑structured andstructured interviews with 16 stakeholder representatives. The data collection tool was checklistand matrixes that determined the characteristics of the stakeholders. Analysis of data was done byMaxqda10 and Mactor software.RESULTS: A total of 34 stakeholders were identified that were involved in nine main activities ofHInS. Major stakeholders have governmental nature. The Government, the Planning and BudgetOrganization, the Ministry of Health, the Welfare Ministry, the Higher Health Insurance Council,and the Medical Council were stakeholders who have high financial, decision‑making, and politicalpower simultaneously. The Parliament and the Health Commission, the Government, the Planningand Budget Organization, and the Ministry of Health were stakeholders that had the most influenceon other stakeholders. Most of stakeholders have same position to the objectives of the HInS. Theinsurer organizations had opposed position with the objective of integrity of the funds.CONCLUSIONS: Stakeholders of Iran’s HInS are multiple and involved in various activities thatsometimes they are overlapping and parallel.  Regarding the same position of the majority ofstakeholders to the objectives, reforms are possible, provided that influential stakeholders participatein policies making.

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