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Developing a Policymaking Model for Empowering the Insured of the Iran Health Insurance Organization
Masoud Pakniyat Rad, Mohammadbagher Tajeddin, Karam Habibpour Gatabi,
Volume 5, Issue 2 (8-2022)
Abstract
Introduction: The present study seeks to design a health insurance empowerment model so that the insured can achieve an acceptable level of capabilities. The reason for choosing this group of insured persons is their large and considerable population in the country, which now include about 50% of Iran’s population.
Methods: The methodological approach of this research is qualitative and based of the grounded theory, deep and semi-structured interview data retrieval techniques. For data mining, the theoretical coding method was used, which aims to achieve the main and secondary categories in line with the theoretical model setting. The sample number is 15 health insurance experts who were selected purposefully.
Results: The results show that the central phenomenon is community-oriented empowerment, which is based on causal conditions, contextual conditions, intervening conditions and strategies. The most important strategies are the right of the insured to access insurance services and opportunities. In the discussion of background conditions, important elements such as agency, sense of equality and inclusion (integration) and capacity building are emphasized. Also, the findings show that components such as maintaining the rights of the insured, enabling resources and the efficiency and quality of insurance services are considered as causal conditions.
Conclusion: According to the findings of the present study, three main categories of education and information, social participation and social support have been proposed as intervening conditions. Completing the chain of the paradigm model of the present study is based on the data theory method of the Consequences Foundation, which analysed the empowerment in four main sections of social empowerment, cultural empowerment, economic empowerment and psychological empowerment of the insured.

Sociological study of the Empowerment of Insured Persons of Iran Health Insurance Organization: Identifying and Prioritizing Influencing Factors
Masoud Pakniyat Rad, Mohammadbagher Tajeddin, Karam Habibpour Gatabi,
Volume 6, Issue 1 (Spring 2023)
Abstract
Introduction: Despite the importance of the issue of empowerment, insurance organizations in Iran do not seek to empower their insureds due to reasons such as the lack of clarity in the meaning and concept, ignorance of the involved and influential factors, and the lack of scientific and functional status. For this reason, the present study was carried out to identify and prioritize the factors affecting the empowerment of the insured of the Iran Health Insurance Organization.
Methods: This study was conducted using a mixed method with a sequential design (first the qualitative Delphi method and then the quantitative survey method) and the participation of 15 health insurance and empowerment specialists in the Delphi method and the participation of 414 insured people of the health insurance organization. In accordance with each of the mentioned methods, sampling and validation methods were also used. Exploratory factor analysis technique was used to discover factors and Friedman’s test was used to compare factors.
Results: After determining 60 important variables and identifying 10 main factors influencing the empowerment of the insured, which are: self-reliance, job satisfaction, feeling of alienation, social health, decision-making power, health education, access to services health and treatment, quality of life relationships, power of foresight and improvement of the level of health-oriented attitude, it was found that “improvement of the level of health-oriented attitude” and “power of foresight” had the greatest and least effect on the empowerment of Iran’s health insurance policyholders, respectively.
Conclusion: The insured people of the Iran Health Insurance Organization believe that in order to empower the insured people, the level of attitude of all levels involved in this field should be improved and “health-oriented approach” should be replaced by “treatment-oriented” in the society.

Sociological Study on the Quality of Life of Women With Breast Cancer in Tehran: A Grounded Theory
Afrooz Khani, Mohammadbagher Tajeddin, Saied Maadani,
Volume 7, Issue 3 (Autumn 2024)
Abstract
Introduction: This present study aimed to investigate the quality of life for women with breast cancer in Tehran to provide the necessary background for understanding the subject in the context of social and economic conditions and context.
Methods: The current research is a qualitative study and the method used is grounded theory. The sampling method was purposive and judgmental, with in-depth interviews conducted with 18 women with breast cancer. Sampling continued until all categories were saturated and no new and important data were obtained.
Results: The most important strategies that were concluded in the present study are adaptation to the disease, appropriate education and information, and fighting the disease. In discussing the underlying conditions, important components such as: loss of social status, feeling of rejection and social isolation, and immersion in pain and suffering have been emphasized. Also, components such as lack of social and economic support, inefficiency and poor quality of medical and insurance services, and lack of physical and mental health are considered as causal conditions. According to the findings of the present study, two main categories of reduced self-confidence and self-reliance and impaired self-image have been proposed as intervening conditions. Completing the paradigmatic model chain of the present study based on the grounded theory method are the consequences, which have analyzed the quality of life in three major parts: reduced life satisfaction, feeling of social powerlessness, and lack of purpose and meaning in life.
Conclusion: Women with breast cancer experience poor quality of life due to factors such as lack of social and economic support, inefficiency and poor quality of medical and insurance services, and lack of mental and social health.

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