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Showing 10 results for Mohammadi
Alijavad Karimi, Esfandiar Mohammadi, Mahmoud Mohammadi,
Volume 3, Issue 4 (12-2020)
Volume 3, Issue 4 (12-2020)
Abstract
Introduction: Humans are always at risk of various diseases and inevitably incur high medical costs and hospital costs for recovery and treatment. In order to help people in such cases, various health insurance plans are provided as a basis and complementary, but due to the lack of a single insurer in the presentation, problems have arisen in the field of health insurance. The purpose of this study is to identify the consequences of providing supplementary insurance along with basic insurance by the Social Security Organization of Iran to solve these problems.
Methods: This research was applied in terms of purpose with a combined approach, which was conducted in the qualitative part with a focus on semi-structured interviews in the quantitative part based on exploratory and inferential methods. Its statistical population includes managers and experts in the field of insurance-treatment working in the country's social security organization in 1399, which sampling is done purposefully and in the qualitative section until the categories are saturated (15 samples).
Results: Based on the calculated data, extraction concepts (95 concepts) were classified into 27 sub-categories. The sub-categories were also classified into 5 main categories and thus the consequences of providing supplementary insurance by the Social Security Organization were identified. In the quantitative part, due to the fact that the value of the factor load is above 0.5 and the value of CR indicators is less than 0.7, so the data had a good fit with the factor structure of the theoretical basis of the research and were consistent with them.
Conclusion: According to the findings, the implementation of this plan leads to the possibility of special individual insured and no employer with supplementary health insurance, reducing the treatment costs of the insured and the organization, the possibility of discounts on supplementary premiums and consolidation of health insurance will be.
Methods: This research was applied in terms of purpose with a combined approach, which was conducted in the qualitative part with a focus on semi-structured interviews in the quantitative part based on exploratory and inferential methods. Its statistical population includes managers and experts in the field of insurance-treatment working in the country's social security organization in 1399, which sampling is done purposefully and in the qualitative section until the categories are saturated (15 samples).
Results: Based on the calculated data, extraction concepts (95 concepts) were classified into 27 sub-categories. The sub-categories were also classified into 5 main categories and thus the consequences of providing supplementary insurance by the Social Security Organization were identified. In the quantitative part, due to the fact that the value of the factor load is above 0.5 and the value of CR indicators is less than 0.7, so the data had a good fit with the factor structure of the theoretical basis of the research and were consistent with them.
Conclusion: According to the findings, the implementation of this plan leads to the possibility of special individual insured and no employer with supplementary health insurance, reducing the treatment costs of the insured and the organization, the possibility of discounts on supplementary premiums and consolidation of health insurance will be.
Faezeh Mohammadi, Sina Nematizadeh, Abbas Heydari, Hossein Safarzadeh,
Volume 4, Issue 1 (3-2021)
Volume 4, Issue 1 (3-2021)
Abstract
Introduction: Covi-19 is the most pervasive crises in recent decades that has caused unmissable changes in customer behavior. Increasing patient numbers has created many challenges for health care providers and their staff, reduced referrals to health insurance and consequently lack of access to the care needed, lockdown and fear of infection have made online customer experience a serious issue for providing better health services. The aim of this study was to present a structural-interpretive model of online customer experience in covid-19 period.
Methods: The present study is based on pragmatism. In the qualitative part Meta-Synthesis (MS) which is a kind of review study and in quantitative stage, interpretive structural models have been used and it has done in 2020. In the qualitative section, by systematically reviewing 326 articles, 36 articles were selected and the identified dimensions were used to present the final model, structural-interpretive modeling technique and penetration-dependence analysis.
Results: The findings indicate that, the structure has the dimensions of company experience, health safety experience, website experience, emotional experience, payment experience, product/service experience and security experience. Also, the company’s experience is independent component, emotional experience as dependent component and the other are related components.
Conclusion: Given that the main goal of the health insurance organization is to protect the patient, it is recommended that by utilizing the findings of this research and focusing on the telemedicine approach, improve the online experience of its customers in the time of covid-19.
Methods: The present study is based on pragmatism. In the qualitative part Meta-Synthesis (MS) which is a kind of review study and in quantitative stage, interpretive structural models have been used and it has done in 2020. In the qualitative section, by systematically reviewing 326 articles, 36 articles were selected and the identified dimensions were used to present the final model, structural-interpretive modeling technique and penetration-dependence analysis.
Results: The findings indicate that, the structure has the dimensions of company experience, health safety experience, website experience, emotional experience, payment experience, product/service experience and security experience. Also, the company’s experience is independent component, emotional experience as dependent component and the other are related components.
Conclusion: Given that the main goal of the health insurance organization is to protect the patient, it is recommended that by utilizing the findings of this research and focusing on the telemedicine approach, improve the online experience of its customers in the time of covid-19.
Hamid Mohammadi, Shahram Tofighi, Mostafa Rajabi, Hamidreza Izadbakhsh, Bahar Hafezi,
Volume 4, Issue 3 (12-2021)
Volume 4, Issue 3 (12-2021)
Abstract
Introduction: Strategic purchasing in health services has been one of the basic components in improving performance and one of the most important issues in order to improve the health system in the world. Although the Ministry of Health and insurance organizations in Iran sometimes address the issue of strategic purchasing goals, it is not possible to achieve or even implement it due to existing problems. For this purpose, this study was conducted to identify the most important factors affecting the launch of strategic procurement of health services and its implementation in the treatment department of the Social Security Organization and to provide an applicable model.
Methods: This is a qualitative study that was conducted in 2020 to identify the factors affecting the implementation of strategic procurement of health services in the Social Security Organization and provide a local model in two stages. In the first step, semi-structured interviews were used to extract important factors in the field of strategic purchasing. In the second step, the Delphi method was used to determine the approval or non-approval of the factors influencing the strategic purchase in the Social Security Organization.
Results: In this study, 6 subjects and 40 sub-subjects were extracted. The main topics of the research include: target groups, social structure, insurance structure, management and coordination of departments, knowledge and information systems and service providers. The two main issues of interest to experts were the target groups and the structure of insurance. The highest score of consensus among experts on the following topics included health needs assessment and prioritization of target groups, equitable allocation of resources, income level of covered individuals, and strategic purchasing discourse.
Conclusion: According to the model, most attention is paid to the role of target groups and insurance structure as a leader in purchasing health services and a suitable distributor of services. It is important that the Social Security Administration is able to communicate with providers and select the best providers and receive price information through competition in the most appropriate mechanism. Also, with this model, it can strategically purchase the best and most effective services for its insured individuals. The practical model presented in this article can help the development of health systems to overcome the existing obstacles in the implementation of strategic purchasing progress. This model meets the need for knowledge necessary for strategic purchasing of health services.
Methods: This is a qualitative study that was conducted in 2020 to identify the factors affecting the implementation of strategic procurement of health services in the Social Security Organization and provide a local model in two stages. In the first step, semi-structured interviews were used to extract important factors in the field of strategic purchasing. In the second step, the Delphi method was used to determine the approval or non-approval of the factors influencing the strategic purchase in the Social Security Organization.
Results: In this study, 6 subjects and 40 sub-subjects were extracted. The main topics of the research include: target groups, social structure, insurance structure, management and coordination of departments, knowledge and information systems and service providers. The two main issues of interest to experts were the target groups and the structure of insurance. The highest score of consensus among experts on the following topics included health needs assessment and prioritization of target groups, equitable allocation of resources, income level of covered individuals, and strategic purchasing discourse.
Conclusion: According to the model, most attention is paid to the role of target groups and insurance structure as a leader in purchasing health services and a suitable distributor of services. It is important that the Social Security Administration is able to communicate with providers and select the best providers and receive price information through competition in the most appropriate mechanism. Also, with this model, it can strategically purchase the best and most effective services for its insured individuals. The practical model presented in this article can help the development of health systems to overcome the existing obstacles in the implementation of strategic purchasing progress. This model meets the need for knowledge necessary for strategic purchasing of health services.
Mohammad Mehdi Kiani, Khatereh Khanjankhani, Hajar Haghighi, Azam Raoofi, Efat Mohammadi, Alireza Olyaeemanesh, Amirhossein Takian,
Volume 4, Issue 4 (3-2022)
Volume 4, Issue 4 (3-2022)
Abstract
Introduction: Health is one of the main dimensions of social policies that governments adopt with the aim of reducing social inequalities. The economic and political structure in Iran has made the importance government's approach play a more important role in determining health policies. The present study aimed to identify the reforms, laws and policies adopted by the Iranian health system after the Islamic Revolution and the impact of each on the functions of the health system.
Methods: This is a review study that identified the policies of the Iran health system between 1357 and 1399. Data collection was done by manual search on the websites of the relevant organizations. The documents were selected based on Jupp's four dimensions, and 101 documents were finally included. To classify the documents, the six-building block framework of World Health Organization was used.
Results: The findings of this study are categorized according to the approved policies in the field of health in the 3rd to 12th governments after the Islamic Revolution. Of the 26 policies approved during the years 1360 to 1368 and 31 policies approved from 1369 to 1376, the most cases were related to the service delivery dimension. However, the policies related to governance and leadership had the highest number among the 29 policies approved during the years 1377 to 1384 and 11 policies approved during the years 1385 to 1392.
Conclusion: An overview of the five periods of the development program shows that the attention of health policymakers has shifted from service delivery to governance and leadership; Meanwhile, other functions, especially the health information system, have been neglected during the years 1385 to 1395.
Methods: This is a review study that identified the policies of the Iran health system between 1357 and 1399. Data collection was done by manual search on the websites of the relevant organizations. The documents were selected based on Jupp's four dimensions, and 101 documents were finally included. To classify the documents, the six-building block framework of World Health Organization was used.
Results: The findings of this study are categorized according to the approved policies in the field of health in the 3rd to 12th governments after the Islamic Revolution. Of the 26 policies approved during the years 1360 to 1368 and 31 policies approved from 1369 to 1376, the most cases were related to the service delivery dimension. However, the policies related to governance and leadership had the highest number among the 29 policies approved during the years 1377 to 1384 and 11 policies approved during the years 1385 to 1392.
Conclusion: An overview of the five periods of the development program shows that the attention of health policymakers has shifted from service delivery to governance and leadership; Meanwhile, other functions, especially the health information system, have been neglected during the years 1385 to 1395.
Manal Etemadi, Saeed Shahabi, Mahan Mohammadi,
Volume 4, Issue 4 (3-2022)
Volume 4, Issue 4 (3-2022)
Abstract
Introduction: Given the high expenditure of universal long-term care for elderly and the challenge of financing it for most countries, this article intends to examine leading countries to provide solutions for Iran.
Methods: The present study is a comparative study using domain review and examines the evidence related to the insurance for long-term care in the selected countries in six dimensions: type of insurance, type of membership, contribution rate / premium, inclusion criteria for coverage, the scope of services covered, and ultimately cost sharing through studies reviewed in the electronic databases.
Results: The results in the six countries showed that long-term care insurance requires public sector support in full or partly in combination with the private sector. This insurance’ being consistent with basic insurance coverage, its mandatory nature, the combination of government and individual financing (deduction from salaries or taxes) and the existence of a limited user fee to receive services, have saw in all these countries. The type of coverage is defined either universally or only for the elderly, and finally the scope of services in these insurances is graded based on the degree of dependence, the time required and the place of receiving the service.
Conclusion: In all studied countries, compulsory insurance coverage for long-term care was designed to allow for cross-subsidization. Consolidation and reduction of fragmentation of resources and expansion of integrated risk sharing is an important prerequisite for designing long-term care insurance in Iran. It is necessary to implement of the law requiring supplementary insurance to only cover services outside the basic insurance package and redesign both the basic and complementary insurance packages to determine what can be defined in the form of long-term care insurance package.
Methods: The present study is a comparative study using domain review and examines the evidence related to the insurance for long-term care in the selected countries in six dimensions: type of insurance, type of membership, contribution rate / premium, inclusion criteria for coverage, the scope of services covered, and ultimately cost sharing through studies reviewed in the electronic databases.
Results: The results in the six countries showed that long-term care insurance requires public sector support in full or partly in combination with the private sector. This insurance’ being consistent with basic insurance coverage, its mandatory nature, the combination of government and individual financing (deduction from salaries or taxes) and the existence of a limited user fee to receive services, have saw in all these countries. The type of coverage is defined either universally or only for the elderly, and finally the scope of services in these insurances is graded based on the degree of dependence, the time required and the place of receiving the service.
Conclusion: In all studied countries, compulsory insurance coverage for long-term care was designed to allow for cross-subsidization. Consolidation and reduction of fragmentation of resources and expansion of integrated risk sharing is an important prerequisite for designing long-term care insurance in Iran. It is necessary to implement of the law requiring supplementary insurance to only cover services outside the basic insurance package and redesign both the basic and complementary insurance packages to determine what can be defined in the form of long-term care insurance package.
Javad Sajjadi Khasraghi, Mahmoud Salesi, Mohammad Meskarpour Amiri, Mohammad Mohammadian, Javad Khosmanzar, Manaf Abdi,
Volume 5, Issue 3 (10-2022)
Volume 5, Issue 3 (10-2022)
Abstract
Introduction: The COVID-19 caused many changes in the performance and productivity of health service providers. The purpose of this study was to investigate the effects of the COVID-19 pandemic on the financial and performance indicators of one of the hospitals in Tehran.
Methods: This historical cohort study was conducted in the first 6 months of 2018 as the pre-pandemic period and the first 6 months of 2019 as the post-pandemic period. 13 performance indicators of inpatient departments; 9 operational indicators of the whole hospital and 3 financial indicators were included in the study. The data were received in a pre-designed Excel form from the statistics unit and quality improvement unit of the hospital, and after entering SPSS and checking their normality, they were analyzed with Wilcoxon's non-parametric test.
Results: Average indices of bed circulation (P=0.028), discharged patients (P=0.028) and hospitalized patients (P=0.046) were significantly reduced. The index of death before 24 hours (P=0.027) and after 24 hours (P=0.028) and ED discharge (P=0.028) also increased significantly. The average profit of the hospital at the current price and the actual price had increased significantly (P=0.028). Total current income increased, but real income decreased, which were not significant. Current and real costs were also reduced, only the real cost reduction was significant (P=0.028).
Conclusion: The COVID-19 had a significant impact on the hospital's financial and performance indicators. It’s necessary for hospital managers to have an appropriate model for the development of services and the sustainability of resources during a crisis.
Methods: This historical cohort study was conducted in the first 6 months of 2018 as the pre-pandemic period and the first 6 months of 2019 as the post-pandemic period. 13 performance indicators of inpatient departments; 9 operational indicators of the whole hospital and 3 financial indicators were included in the study. The data were received in a pre-designed Excel form from the statistics unit and quality improvement unit of the hospital, and after entering SPSS and checking their normality, they were analyzed with Wilcoxon's non-parametric test.
Results: Average indices of bed circulation (P=0.028), discharged patients (P=0.028) and hospitalized patients (P=0.046) were significantly reduced. The index of death before 24 hours (P=0.027) and after 24 hours (P=0.028) and ED discharge (P=0.028) also increased significantly. The average profit of the hospital at the current price and the actual price had increased significantly (P=0.028). Total current income increased, but real income decreased, which were not significant. Current and real costs were also reduced, only the real cost reduction was significant (P=0.028).
Conclusion: The COVID-19 had a significant impact on the hospital's financial and performance indicators. It’s necessary for hospital managers to have an appropriate model for the development of services and the sustainability of resources during a crisis.
Rajabali Daroudi, Abdoreza Mosavi, Omid Emami, Ali Akbarisari, Amin Mohammadi,
Volume 5, Issue 4 (12-2022)
Volume 5, Issue 4 (12-2022)
Abstract
In recent decades, due to the increasing health expenditures and resource constraints, the economic evaluation studies results have been increasingly used to prioritize health interventions and resource allocation in most countries, especially in high-income countries. Economic evaluation studies allow health system policymakers and decision makers, including physicians, to select the most appropriate intervention scientifically and systematically by comparing the costs and consequences of different treatment interventions. In Iran, The results of economic evaluation studies are used to decide on the arrival of new drugs in the country as well as insurance coverage for medical interventions since a decade ago. However, many researchers and clinical professionals still do not have enough information about the types of economic evaluation studies and the principles of conducting these studies. In this article, while defining economic evaluation studies, the difference between these studies and other studies in health sector is stated. Then the main types of economic evaluation studies including cost-effectiveness, cost-utility and cost-benefit are described and the differences between these methods are expressed. Finally, the general principles of conducting economic evaluation studies in the health sector are explained.
Understanding these principles and their implementation by researchers, while improving the quality of economic evaluation studies, provides the opportunity for policy makers and decision makers in health system to compare the results of these studies with each other and their findings to make decisions about the allocation of resources between different health interventions
Rahim Radmehr, Yousef Mohammadi Moghadam, Marzieh Mohammadi, Hassan Soltani,
Volume 6, Issue 3 (Autumn 2023)
Volume 6, Issue 3 (Autumn 2023)
Abstract
Introduction: Electronic human resource management includes electronic tools that enable human resource managers to manage human resource data and information and also provide the possibility for the beneficiaries to have access to specific information and tasks of human resources through the Internet. Therefore, this research was conducted to identify the effective factors of electronic human resources management in the Iranian Health Insurance Organization using the fuzzy Delphi approach.
Methods: The current research, which was carried out in 2023, has a mixed approach and an inductive paradigm. The statistical population of the research in the qualitative and quantitative part are academic experts and (senior) managers of the health insurance organization in Tehran province, and 30 of them were selected as sample members based on the principle of theoretical saturation. The data collection tool in the qualitative part of the research is a semi-structured interview and in the quantitative part, a fuzzy Delphi questionnaire. In this research, to analyze the data in the qualitative part, the content analysis method and coding approach using MAXQDA software was used and in the quantitative part, the fuzzy Delphi method was used. The validity and reliability of the interview were confirmed using content validity and intra-coder inter-coder reliability and the validity and reliability of the questionnaire were confirmed using content validity and inconsistency rate.
Results: The results of the qualitative part indicate the identification of 15 factors as effective factors in electronic human resources management in Iran's health insurance organization. On the other hand, the results of the quantitative part using the fuzzy Delphi approach show that human resources architecture, structure and process reform, integration of human resources processes, reduction of administrative bureaucracy, the existence of financial support, and the creation of a suitable culture as the most important factors on the effective management of electronic human resources in Iran's health insurance organization.
Conclusion: The application of electronic human resources management in the current changing conditions helps the health insurance organization more than ever in achieving its goals and agility.
Methods: The current research, which was carried out in 2023, has a mixed approach and an inductive paradigm. The statistical population of the research in the qualitative and quantitative part are academic experts and (senior) managers of the health insurance organization in Tehran province, and 30 of them were selected as sample members based on the principle of theoretical saturation. The data collection tool in the qualitative part of the research is a semi-structured interview and in the quantitative part, a fuzzy Delphi questionnaire. In this research, to analyze the data in the qualitative part, the content analysis method and coding approach using MAXQDA software was used and in the quantitative part, the fuzzy Delphi method was used. The validity and reliability of the interview were confirmed using content validity and intra-coder inter-coder reliability and the validity and reliability of the questionnaire were confirmed using content validity and inconsistency rate.
Results: The results of the qualitative part indicate the identification of 15 factors as effective factors in electronic human resources management in Iran's health insurance organization. On the other hand, the results of the quantitative part using the fuzzy Delphi approach show that human resources architecture, structure and process reform, integration of human resources processes, reduction of administrative bureaucracy, the existence of financial support, and the creation of a suitable culture as the most important factors on the effective management of electronic human resources in Iran's health insurance organization.
Conclusion: The application of electronic human resources management in the current changing conditions helps the health insurance organization more than ever in achieving its goals and agility.
Rahim Radmehr, Yousef Mohammadi Moghadam, Marzieh Mohammadi, Hassan Soltani,
Volume 7, Issue 2 (Summer 2024)
Volume 7, Issue 2 (Summer 2024)
Abstract
Introduction: Electronic human resources management can be implemented in the organization with different intentions and goals. In other words, cost reduction, optimal use of human resources, and high ability to change and innovate can be examples of electronic human resource management goals. The current research was carried out with the aim of developing electronic human resource management scenarios in Iran's health insurance organization.
Methods: In terms of orientation, the current research is applied, which falls under the category of exploratory research, and its methodology is mixed. The statistical population includes academic experts and managers of health insurance organizations in Tehran province, 30 of them were selected as sample members using the purposeful sampling method and based on the principle of theoretical adequacy. In the qualitative part, research indicators were obtained through literature review and interviews with experts. In the quantitative part, a questionnaire was used in order to prioritize the indicators, and the consensus index, importance and dispersion of the coefficient of changes were used to compile the scenarios.
Results: The findings of this research are presented in two parts, qualitative and quantitative. The first part includes the identification of the key components of electronic human resources management, and 15 components are determined in this section, respectively, human resource architecture with an importance index (100) and consensus index (0.66) and structure and process modification with an importance index (95). and the consensus index (0.43) were identified as the two main components and the basis of electronic human resource management scenarios in Iran's health insurance organization. Also, the second part of the results shows that 1) Tsunami of change (indicating the possibility of modifying the structure and process and architecture of human resources), 2) Cloud without rain (refers to a situation where the organizational structure is efficient but human resources are ineffective), 3) Silent volcano It indicates a situation where the structure and resources of the organization are inefficient) and 4) the land in danger of drought (refers to a situation in which the structure of the organization is inefficient but the human resources of the organization are efficient), the scenarios of electronic human resource management in health insurance
Conclusion: The results showed that human resource architecture and structure and process modification are the most important drivers of electronic human resource management and the basis of electronic human resource management scenarios in Iran's health insurance organization. One of the most important solutions that can be used to improve and apply human resources architecture is job analysis and matching. Also, if necessary, the organizational structure should be modified to apply the necessary improvements in processes and decisions.
Methods: In terms of orientation, the current research is applied, which falls under the category of exploratory research, and its methodology is mixed. The statistical population includes academic experts and managers of health insurance organizations in Tehran province, 30 of them were selected as sample members using the purposeful sampling method and based on the principle of theoretical adequacy. In the qualitative part, research indicators were obtained through literature review and interviews with experts. In the quantitative part, a questionnaire was used in order to prioritize the indicators, and the consensus index, importance and dispersion of the coefficient of changes were used to compile the scenarios.
Results: The findings of this research are presented in two parts, qualitative and quantitative. The first part includes the identification of the key components of electronic human resources management, and 15 components are determined in this section, respectively, human resource architecture with an importance index (100) and consensus index (0.66) and structure and process modification with an importance index (95). and the consensus index (0.43) were identified as the two main components and the basis of electronic human resource management scenarios in Iran's health insurance organization. Also, the second part of the results shows that 1) Tsunami of change (indicating the possibility of modifying the structure and process and architecture of human resources), 2) Cloud without rain (refers to a situation where the organizational structure is efficient but human resources are ineffective), 3) Silent volcano It indicates a situation where the structure and resources of the organization are inefficient) and 4) the land in danger of drought (refers to a situation in which the structure of the organization is inefficient but the human resources of the organization are efficient), the scenarios of electronic human resource management in health insurance
Conclusion: The results showed that human resource architecture and structure and process modification are the most important drivers of electronic human resource management and the basis of electronic human resource management scenarios in Iran's health insurance organization. One of the most important solutions that can be used to improve and apply human resources architecture is job analysis and matching. Also, if necessary, the organizational structure should be modified to apply the necessary improvements in processes and decisions.
Behrouz Yari, Fatemeh Ahmadi, Mojtaba Moradpour, Rahmatollah Mohammadipour,
Volume 7, Issue 3 (Autumn 2024)
Volume 7, Issue 3 (Autumn 2024)
Abstract
Introduction: The financial management information system plays a vital role in the decision-making of managers of organizations. This system collects, organizes, and processes data and information related to the organization and provides them to managers in a usable form. Of course, these systems are in need of integration for optimal effectiveness.
Methods: In this study, a mixed method (qualitative-quantitative) was used to collect data. In the qualitative part, after conducting interviews with 18 experts and analyzing the data obtained from the interviews, 19 components were identified and extracted. Then, in the quantitative part, a mixed method of fuzzy interpretive structural modeling was used for modeling. The data in this part was also collected with the help of a self-interaction matrix and then analyzed with the help of MATLAB software.
Results: After analyzing the data, a four-level model was obtained, in which the component of integrated updating of subsystems was the most effective component, and the eight components of speed of financial information circulation, reduction or elimination of financial and administrative bureaucracy, cost management, time and action management, advanced financial and management reporting, management of accounting procedures and processes, liquidity management, and financial modeling were the most effective components of the model.
Conclusion: The integration of financial management information systems in the health insurance organization depends largely on the integrated updating of its dependent subsystems. Subsystems such as: complete audit program, financial and operational system interactions, advanced financial accounting system, decision support system, ensuring data security, and financial data integrity.
Methods: In this study, a mixed method (qualitative-quantitative) was used to collect data. In the qualitative part, after conducting interviews with 18 experts and analyzing the data obtained from the interviews, 19 components were identified and extracted. Then, in the quantitative part, a mixed method of fuzzy interpretive structural modeling was used for modeling. The data in this part was also collected with the help of a self-interaction matrix and then analyzed with the help of MATLAB software.
Results: After analyzing the data, a four-level model was obtained, in which the component of integrated updating of subsystems was the most effective component, and the eight components of speed of financial information circulation, reduction or elimination of financial and administrative bureaucracy, cost management, time and action management, advanced financial and management reporting, management of accounting procedures and processes, liquidity management, and financial modeling were the most effective components of the model.
Conclusion: The integration of financial management information systems in the health insurance organization depends largely on the integrated updating of its dependent subsystems. Subsystems such as: complete audit program, financial and operational system interactions, advanced financial accounting system, decision support system, ensuring data security, and financial data integrity.
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