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Parivash Heidari Orejlo, Shaghayegh Vahdat, Hassan Soltani,
Volume 5, Issue 1 (3-2022)
Volume 5, Issue 1 (3-2022)
Abstract
Introduction: In today’s societies, “health” is the inalienable right of all members of society and indicators showing health in society are important factors in showing the level of development of the country. The purpose of this study is to determine and prioritize the factors affecting financing in Iran.
Methods: This descriptive research is a survey method and in terms of implementation process, it has been done qualitatively and quantitatively. In this research, first with a qualitative approach and by theoretical and library studies, the financing model in the world health system was examined and then by comparative comparison and determining the points of difference and commonality, the main factors were identified. Then, using the opinion of experts, the researcher proceeded to prioritize the factors.
Results: To investigate the research hypotheses, because the dimensions and components affecting health financing did not have the same rankings, as a result, prioritization was done in the field of contextual factors, instrumental factors, content factors and structural factors. The results showed that the central tax system with 4.451 points, the budgeting system with 4.420 points and the formulation of the financing plan with 4.368 points are the most influential components, respectively.
Conclusion: In the study of the studied countries and financing models and frameworks, the variables that had the highest frequency in the financing system included the variables of tax axis, integrated financial fund, subsidies, financial participation and protection of investment risks. It shows the emphasis of the mentioned models on the tax view along with investment. The results of this study show that in Iran, despite the existing insurance system, creating a mechanism in the tax system, budgeting system and formulating a financing plan with respect to sanctions and creating restrictions in the investment system in the health sector has the most importance and rank.
Methods: This descriptive research is a survey method and in terms of implementation process, it has been done qualitatively and quantitatively. In this research, first with a qualitative approach and by theoretical and library studies, the financing model in the world health system was examined and then by comparative comparison and determining the points of difference and commonality, the main factors were identified. Then, using the opinion of experts, the researcher proceeded to prioritize the factors.
Results: To investigate the research hypotheses, because the dimensions and components affecting health financing did not have the same rankings, as a result, prioritization was done in the field of contextual factors, instrumental factors, content factors and structural factors. The results showed that the central tax system with 4.451 points, the budgeting system with 4.420 points and the formulation of the financing plan with 4.368 points are the most influential components, respectively.
Conclusion: In the study of the studied countries and financing models and frameworks, the variables that had the highest frequency in the financing system included the variables of tax axis, integrated financial fund, subsidies, financial participation and protection of investment risks. It shows the emphasis of the mentioned models on the tax view along with investment. The results of this study show that in Iran, despite the existing insurance system, creating a mechanism in the tax system, budgeting system and formulating a financing plan with respect to sanctions and creating restrictions in the investment system in the health sector has the most importance and rank.
Shaghayegh Vahdat, Asieh Khaleghi, Arsalan Gholami, Korosh Soltanieh Zanjani, Farhad Lotfi,
Volume 5, Issue 4 (12-2022)
Volume 5, Issue 4 (12-2022)
Abstract
Abstract
Introduction: Lack of financial protection in health is known as a disease of health systems. Households suffer not only from the burden of disease but also from the burden caused by the destruction and economic poverty, in other words, facing back-breaking costs and poverty caused by financing their health. The aim of the current research is to investigate the impact of different dimensions of inequality on the financial financing of household health.
method: This is a descriptive, cross-sectional, and applied study, which examines the impact of inequality on the financing of household health expenses. The research tool is the financing inequality questionnaire (2008) by Saito. All out-of-pocket costs related to inpatient care, outpatient care, diagnostic tests, and medical expenses due to illness have been estimated for one year. Experts have confirmed validity and reliability.
Findings: The dimensions of inequality among households in Tehran are higher than the average (1.329), which has a significant impact on the financing of household health expenses. The direct effect of justice on the financing of household health expenses is rejected. With the increase in the back-breaking cost, equal opportunity, economic status, insurance coverage, and financing of household health expenses increases. According to P<0.001 and P=0.005, the age of the head of the household is not related to justice and gender in the financing of household health expenses.
Conclusion: There is a direct relationship between back-breaking expenses, equal opportunity, economic status, insurance coverage, and financing of household health expenses.
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.
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