ArticleBMC public health2024
Iran's health insurance ecosystem: challenges and strategies.
Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Sustainable financing in Iran's health system: a policy analysis of agenda-setting through Kingdon's multiple streams framework.Health economics review · 2026Article
- Multi-objective machine learning framework for welfare-optimized health insurance design in infectious disease management (Gastroenteritis).BMC public health · 2026Observational
- Observational
- Article
- Key indicators for evaluating Iran's health insurance performance.Health economics review · 2025Article
- Hospital errors and their consequences among healthcare professionals a: descriptive correlational investigation.Annals of medicine and surgery (2012) · 2025Article
- Assessing the development of health technology assessment in Iran: a policy analysis using Kingdon's Multiple streams framework: a qualitative study.BMC public health · 2025Article
- Address sustainability risks in health insurance funds: generational actuarial balance and intergenerational equity perspective.Frontiers in public health · 2025Article
- From Markup to Value: Global Implications of Iran's Cost-plus Pharmaceutical Pricing for Emerging Markets.Journal of research in pharmacy practiceArticle
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Authors and funding
4 authors.
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Abstract
introductionIdentifying and exploiting stewardship and financing challenges in Iran's health insurance system as an ecosystem is essential to achieving predetermined goals. This study aimed to determine the challenges and strategies in the Iranian health insurance ecosystem to provide relevant evidence to healthcare managers and policymakers to improve its functions and perform necessary reforms.
methodThis qualitative study was conducted at the national level in Iran. Data were collected using semi-structured interviews and analyzed using the directed content analysis method. The study participants included managers and experts in health insurance and faculty of universities of medical sciences, who were selected by purposive sampling.
resultsThe challenges and strategies expressed by participants were categorized into two functions: stewardship and financing. Four main themes, ten subthemes, 22 challenges, and 24 strategies were identified in the stewardship function, along with three main themes, 12 subthemes, 17 challenges, and 16 strategies in the financing function. The major challenge in the Iranian health insurance ecosystem was the complexity and conflict of interests between multiple actors with different roles, which led to fragmentation, diverse structures, and a gap between other functions and objectives, hindering the effective functioning of the ecosystem.
conclusionIn order to deal with the challenges of the health insurance ecosystem, it is suggested to create a coherent insurance system through a single utility system, and by paying more attention to health-oriented services, the health insurance ecosystem becomes a health-oriented system instead of being treatment-oriented. In addition, in order to strengthen the governance of the country's health insurance ecosystem, the number of actors with multiple roles should be reduced and the roles of the actors should be clarified and separated in order to prevent conflicts of interest and structural corruption in this ecosystem.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.