Jamileh Vahidi, Amirhossein Takian, Mostafa Amini Rarani, Moeeni Maryam,
Volume 3, Issue 3 (10-2020)
Abstract
Introduction: The patients ‘satisfaction with health service is one of the five indicators of quality evaluation in health care programs. This study aimed to identify the attributes related to the non-satisfaction of insurance coverage among patients visited to dental clinics.
Methods: In the framework of a qualitative study conducted in Tehran city, six private and public dental clinics were selected in regions with variant socio-economic status. Face-to-face interviews with the head of household or their spouses who visited to selected dental clinics were carried out and sampling continued until saturation. Data collection lasted from October until February 2018. Thematic analysis was used for content analysis and MAXQDA12 software was applied for data analys
Results: 54 interviews were conducted and overall 14 codes were extracted. Peculiarity and non-peculiarity attributes were identified as two main attributes related to dissatisfaction of the basic and complementary health insurance. To more detail, both basic and complementary insured interviewees expressed dissatisfaction with high premiums, inadequate service packages, as well as rarity of contract centers. Moreover, the interviewees with basic insurance were highly dissatisfied with quality of health services, and those of complementary coverage were dissatisfied with reimbursement system of insurance.
Conclusion: The findings suggest that in order to improve the level of satisfaction with insurance coverage, it is necessary for policy makers to consider the affordability of insurance coverage, insurance packages, and also the quality of health services provided by insurers.
Atefeh Najafi Shahkoohi, Faezeh Eslamipour, Saeid Sadeghian, Maryam Moeeni,
Volume 4, Issue 4 (3-2022)
Abstract
Introduction: Dental insurance package provided with health system is related to promotion of dental health, and reduction of burden of dental diseases. The purpose of this study is to investigate the willingness to pay of households for children's dental insurance coverage with using the open-ended question technique.
Methods: The present study is a cross-sectional survey. Sample size included 496 head of household or their spouses who had at least one 6-12 years old child and visited to selected dental clinics in Isfahan city in the year of 2020. An online /paper & pencil self-completion questionnaire was filled in by each respondent.The open-ended question technique was used to estimate the willingness to pay of respondents. Stata11 software was used to process the data.
Results: The mean of monthly WTP per each child in the scenarios with ceiling reimbursement was 285782.2 Rial. The highest and lowest WTP for those scenarios averaged 44365.8 Rial and 195819.7 Rial, respectively. The mean of monthly WTP per each child in the scenarios without ceiling reimbursement was 246926.2 Rial. The highest and lowest WTP for these scenarios averaged 345319.2 Rial and 165629 Rial, respectively.
Conclusion: The findings indicated that households value pediatric dental insurance packages differently considering the attributes of each dental package. Thus, policy-makers and health insurers need to pay special attention to households’ valuation for pediatric dental insurance coverage.
Mozhgan Nezamzadeh Ezhieh, Shirin Nosratnejad, Maryam Moeeni,
Volume 5, Issue 2 (8-2022)
Abstract
Introduction: Awareness of benefiting from health services and its determinants is important for health care planning. In Andersen’s behavioral model, predisposing and enabling factors and factors related to need explain the use of health services. The purpose of this study is to identify the factors related to the use of inpatient services in Iran based on the mentioned model.
Methods: The present study is a secondary analysis study that was conducted based on the data of the national survey of the use of health services in 2008 and 2015. The number of sampled people was 8326 in 2008 and 5684 in 2015. Logit regression was used to examine the factors related to the use of health services.
Results: Female patients (OR=1.48, P<0.01), older patients (OR=0.01, P<0.05), patients whose needs were diagnosed by doctors or medical personnel (OR=1.98, P<0.01), patients whose head of household had higher than diploma education (OR=1.65, P<0.01), and residents of disadvantaged areas of the country (OR=1.42, P<0.05) were more likely to benefit from inpatient services. The chance of benefiting from inpatient services was higher in 2015 than in 2008 (OR=2.15, P<0.01).
Conclusion: Andersen’s Behavioral Model of Health Services can be a suitable the theoretical framework to explain the determinants of the use of inpatient health services in Iran. It is suggested that the 3 categories of factors constituting this behavioral model should be continuously considered in policies related to the use of inpatient services.
