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1- Department of Health Services Administration, South Tehran Branch, Islamic Azad University, Tehran, Iran
2- Department of Health Services Administration, South Tehran Branch, Islamic Azad University, Tehran, Iran , somayehh59@yahoo.com
3- Department of Healthcare Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
4- Department of Healthcare Management, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Abstract:   (273 Views)
Introduction: Basic and supplementary insurances play an important role in achieving universal health coverage. In developing countries, complementary insurances have many structural and organizational problems and inadequacies. The present study was conducted with the aim of investigating the factors affecting the service packages of supplementary medical insurance.
Methods: The current research is of a qualitative type with a framework analysis method that was carried out in 1400. 11 experts of the insurance organization and experts in the health system were selected as the research samples by the purposeful sampling method. MAXQDA software was used for data analysis.
Results: The dimensions of the complementary insurance model of treatment in Iran based on the analysis of the opinions of experts and experts in Iran include five main dimensions: "laws and regulations, coverage of services, strengthening and creating a competitive market, developing standards for the use of services and treatment guidelines; Development of complementary insurances.
Conclusion: Based on the findings, efforts to develop a comprehensive package of complementary treatment services in the country in order to increase people's access should be considered by policy makers and the financial capacity to manage and finance universal health coverage should be increased. It is expected that with the scientific development of supplementary medical insurance, it will contribute greatly to universal health coverage in the country.

Type of Study: Research | Subject: Special
Received: 2022/06/11 | Revised: 2022/10/1 | Accepted: 2022/08/17

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