Volume 8, Issue 1 (Spring 2025)
Iran J Health Insur 2025, 8(1): 35-40 |
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Rezaee M, Rezaee A. Factors Influencing Physicians' Reluctance to Enter Contracts With the Health Insurance Organization in Khuzestan Province in 2024. Iran J Health Insur 2025; 8 (1) :35-40
URL: http://journal.ihio.gov.ir/article-1-343-en.html
URL: http://journal.ihio.gov.ir/article-1-343-en.html
1- National Center for Health Insurance Research, Tehran, Iran , mr.rezaei@ihio.gov.ir
2- Ahvaz Jundishapur University of Medical Sciences
2- Ahvaz Jundishapur University of Medical Sciences
Abstract: (1169 Views)
Introduction: Health insurance is essential for equitable healthcare access. However, administrative complexities and electronic system challenges often discourage physicians from contracting with health insurance providers. This study examines factors contributing to physicians' reluctance to engage with basic health insurance in Khuzestan Province and explores whether education level influences their willingness to collaborate.
Methods: A descriptive, survey-based study was conducted among general practitioners, specialists, subspecialists, and dentists in Khuzestan Province. A 16-item questionnaire assessed personal and professional characteristics, electronic system challenges, financial concerns, and technical support deficiencies. Data were analyzed using SPSS software, and the Mann-Whitney U test was applied to examine differences in physicians' willingness to contract with insurers.
Results: Major barriers included complex administrative procedures, delayed claim reimbursements, inadequate technical support, and low payment tariffs. These issues significantly affected physicians' willingness to engage with health insurance providers.
Conclusion: To increase physician participation, policy reforms should focus on revising reimbursement rates, improving financial structures, enhancing transparency, addressing technical system deficiencies, and expanding training and awareness programs. Addressing these barriers may promote stronger physician collaboration with health insurance providers.
Methods: A descriptive, survey-based study was conducted among general practitioners, specialists, subspecialists, and dentists in Khuzestan Province. A 16-item questionnaire assessed personal and professional characteristics, electronic system challenges, financial concerns, and technical support deficiencies. Data were analyzed using SPSS software, and the Mann-Whitney U test was applied to examine differences in physicians' willingness to contract with insurers.
Results: Major barriers included complex administrative procedures, delayed claim reimbursements, inadequate technical support, and low payment tariffs. These issues significantly affected physicians' willingness to engage with health insurance providers.
Conclusion: To increase physician participation, policy reforms should focus on revising reimbursement rates, improving financial structures, enhancing transparency, addressing technical system deficiencies, and expanding training and awareness programs. Addressing these barriers may promote stronger physician collaboration with health insurance providers.
Keywords: Health Insurance, Physicians, Electronic Health Records, Administrative Processes, Reimbursement Mechanisms
Type of Study: Short Communication |
Subject:
Special
Received: 2024/12/23 | Revised: 2025/08/10 | Accepted: 2025/04/30 | ePublished: 2025/06/8
Received: 2024/12/23 | Revised: 2025/08/10 | Accepted: 2025/04/30 | ePublished: 2025/06/8
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