Showing 155 results for Type of Study: Research
Keyvan Mortazavi Saraee, Mahmoud Mahmoudzadeh, Hamidreza Izadbakhsh,
Volume 5, Issue 2 (8-2022)
Abstract
Introduction: The Social Security Organization, as the largest social insurance organization in the country, plays an important and decisive role in ensuring the health and dynamism of the society, and one of its most important goals is to provide various insurance and medical services to the covered people. But achieving this goal is possible when the sources and costs and the factors affecting them, which are the prerequisites for providing services and their costs, are accurately and transparently known and analysed.
Method: In this research, by modelling the resources and expenses of the social security organization with the system dynamics method, it has been investigated the effects of the corona disease, as well as forecasting the conditions of this organization in the coming years and providing suggestions to solve its problems.
Results: According to the findings of this research, increasing the insurance premium received from 30 to 35%, as well as increasing the retirement age by 5 years, can increase the resources of this organization and prevent its bankruptcy.
Conclusion: The adoption of the policies proposed in this research, despite their sometimes very high impact, alone cannot provide a useful approach to prevent the bankruptcy of the Social Security Fund. In order to ensure the improvement of the conditions of the fund, it is suggested that in addition to the proposed policies in the field of changing the social security system, as well as adopting more efficient long-term and mid-term policies, some changes should be made in order to choose a suitable approach to overcome the current situation.
Shadi Hajikhani, Somayeh Hessam, Irvan Masoudi Asl, Ali Maher,
Volume 5, Issue 2 (8-2022)
Abstract
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.
Amin Faghfouri Azar, Fatemeh Bakouie, Mohammad Hosein Mahdavi Adeli, Reza Radfar, Mohammad Ali Afshar Kazemi,
Volume 5, Issue 2 (8-2022)
Abstract
Introduction: Health, as an inherent value for humans, plays an important role in improving the happiness of society and the prosperity of individuals, and is often considered as a key component of human capital that leads to greater economic growth. The concept of social capital shows how the social structure of a group can act as a valuable resource for its people to achieve their goals at a lower cost. Considering health as an asset means the decentralization of policies from risk factors to a more comprehensive perspective based on social factors, including social capital, and the upcoming research was conducted on this basis.
Methods: This research was descriptive and correlational. Data analysis was performed through canonical correlation and multiple regression using secondary data collected by Legatum Institute in 2021 and data related to Iran in the period from 2007 to 2020, with the 24th edition of SPSS software.
Results: According to the significance of Pillais and Wilkes tests at a significance level of 5%, the correlation coefficient of social capital and health was determined to be 0.89. According to the structural coefficients, elements of longevity, physical health, mental health, care systems, preventive interventions, and high-risk behavioral factors had the greatest impact on the canonical variable of health, respectively. Based on the standard coefficients, it was found that interpersonal trust has the greatest impact on health, and institutional trust, social networks, civil and social participation, and personal and family relationships as elements of social capital, were placed in the next priorities of impact on health.
Conclusion: Social capital plays an important role in understanding the determinants of health, and it is inevitable to pay special attention to it by policymakers in order to eliminate health inequalities. This is the basis in Iran’s health policy process, which is still facing many challenges, in addition to paying attention to hardware and treatment-oriented strategies, social capital can and should be given special importance as one of the most important determinants of health.
Quomars Samiei, Babak Hajikarimi, Mohammad Mehdi Mozafari,
Volume 5, Issue 3 (10-2022)
Abstract
Introduction: Medical tourism industry is one of the most lucrative industries in world. Insurance increases the comfort of tourists. The development of the tourism industry is accompanied by the growth of insurance services. Increasing the country's foreign exchange earnings through the medical tourism industry; is essential. In this research, we intend to present all the effective components of insurance in the marketing model of medical tourism of the Social Security Organization.
Methods: This research is based on the purpose of applied research, in terms of how to collect data is descriptive-survey and in terms of research approach, is a mixed exploratory method. Which was done in 2021. In qualitative approach using Delphi technique, effective components in medical tourism are identified. In quantitative approach, the research model was finalized using exploratory and confirmatory factor analysis.
Results: The insurance factor affects the marketing of medical tourism. And this factor has five components; Fast and effective redemption of insurance, Full health insurance coverage, Other supplementary insurance services such as travel and theft and Acceptance of international health insurance and the transferability and validity of health insurance in other countries were identified.
Conclusion: Results of this research help the health policy makers of the country to increase their foreign exchange earnings by using this research model. And with regard to the insurance components of the model and effective measures by the government, Insurance companies will reduce the financial and security threats of tourists and ultimately increase the attraction of medical tourists from other countries.
Aazam Dashti Rahmatabadi, Atoosa Kalantar Hormozi, Ali Delavar, Javad Khodadadi Sange,
Volume 5, Issue 3 (10-2022)
Abstract
Introduction: The prevalence of COVID-19 disease has added additional job stress to medical staff around the world and exacerbated the psychological problems of specialists. On the other hand, creating conditions for creating a synergistic passion for work and family can be a good solution to maintain the health of employees and provide better services to patients in medical centers. The aim of this study is to present a model of Deterrent and Promoter Affecting Synergistic Enthusiasm for Work - Family among Medical Married staff of medical centers under the supervision of Tehran University of Medical Sciences.
Methods: The present study was conducted qualitatively using grounded theory. In order to present the model, in-depth semi-structured interviews with the treatment staff were used. The selection of individuals was purposeful. Theoretical saturation was obtained after 12 interviews.
Results: Data analysis led to finding 6 promoter factors (intrinsic and behavioral characteristics of the individual; core and main family characteristics; characteristics related to work and work environment) and 7 deterrent factors (internal factors Psychology, behavioral habits; family environment, common destructive behaviors; work characteristics, managerial factors, organizational environment) were divided into 3 categories of individual, family and job factors.
Conclusion: Promotion of productivity, human capital and quality of health care services that are affected by the psychological problems of medical staff should be considered by the Ministry of Health and relevant organizations. Hospitals can improve the quality of services provided to the insured by using the presented model, while paying attention to specialists.
Hossein Tulabei Rad, Khalil Ali Mohammadzadeh, Mohammadkarim Bahadori, Mohammad Khammarnia,
Volume 5, Issue 3 (10-2022)
Abstract
Introduction:Implementation of performance-based payment system is considered as an important and effective factor in improving work productivity, which will increase organizational satisfaction and justice. Performance-based payments actually link material rewards to individual, group, or organizational performance, or a combination of the three. The aim was to explain and prioritize the challenges and solutions of the performance-based payment system to the staff of hospitals.
Methods: This study is a qualitative study that was conducted with content analysis approach in 2020 in teaching hospitals of Lorestan. The statistical population was 14 medical and staff members using purposive sampling. The sampling method was purposeful and sampling continued until data saturation. Data analysis was performed using conventional content analysis.
Results: After the process of continuous comparison of data and open, pivotal and selective coding, in 2 main dimensions (organizational factors, individual and internal factors) and 6 sub-dimensions (fair payment system; work quantity; work quality; work based payment And effort; motivation and interest; commitment and commitment) were organized.
Conclusion: Considering the effectiveness of the implementation of performance-based payment plan on the income of hospitals, it can be stated that this plan has a positive effect on the performance of hospital staff and causes them to be more active in hospitals, provide better services and Total improved effectiveness. Therefore, the officials and implementers of the performance-based payment plan in the Ministry of Health and Medical Education are suggested to follow its implementation more widely in other provinces.
Maryam Seyed-Nezhad, Batoul Ahamadi, Mohammad Moradi-Joo, Mohammad Javad Kabir, Alireza Arabi, Samaneh Parsa, Ali Akbari-Sari,
Volume 5, Issue 3 (10-2022)
Abstract
Introduction: Referral system is one of the principles and foundations of primary health care services. One of the most important challenges and problems of the referral system is the lack of public awareness of its nature, services and benefits. The aim of this study was to provide a model for accepting the referral system from the perspective of patients.
Methods: This study was a mixed method that was conducted in three steps in 1400. The first step included the development of a questionnaire, the second step was a survey study, and the third step was the design of the acceptance model of the referral system from the perspective of patients. The statistical population included 384 patients covered by the Rural Insurance Fund referring to the Imam Khomeini Hospital Complex. The data were analyzed using SPSS v20 software. Also, Second-order Confirmatory Factor Analysis (S-CFA) was performed using LISREL v8.5 software.
Results: Cronbach's alpha ratio for the whole questionnaire was 0.85 and intra-cluster correlation coefficient was 0.69. The results of confirmatory factor analysis showed that patient-centeredness, rules and regulations, responsiveness, coordination, security, accessibility, effectiveness, efficiency, personal beliefs and social influence significantly affected the acceptance of the referral system from patients' perspectives.
Conclusion: It is necessary for managers and policy makers before and during the implementation of the referral system to consider the factors affecting the acceptance of the referral system from the perspective of patients. For the appropriate implementation of the referral system, special attention should be paid to all the influencing factors so that patients can easy and convenient access health services anywhere and anytime.
Javad Sajjadi Khasraghi, Mahmoud Salesi, Mohammad Meskarpour Amiri, Mohammad Mohammadian, Javad Khosmanzar, Manaf Abdi,
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.
Somayeh Abedian, Mohammadreza Sanaei, Ahmad Rahchamani,
Volume 5, Issue 4 (12-2022)
Abstract
Hospital management issues have been one of the most important concerns of governments. These challenges involve medical staff and health policymakers more than ever during crises such as the Covid-19 epidemic. Lack of hospital beds and special-care facilities, medical staff shortage, and immediate reduction of drug inventory are among the most important problems in critical situations. Designing technological management solutions and using existing potentials to evaluate the condition of hospitals at the macro level can greatly reduce the incidence of such problems.
In this study, an attempt is made to prevent the aforementioned problems using a technological solution in HISs, where a directorial analysis in evaluating the facilities and limitations of medical centers on the one hand, and the architecture of the HER, on the other hand, is performed. Establishing an online system for sending and receiving the live status of beds in the HIS and HER systems is the first step, and adopting macro-management approaches to use the available treatment capacities for optimal patient coverage is the second step.
This system is launched nationally based on the current platform of Iran's EHR at a low cost. Collecting patient data during the stages of admission, treatment, and discharge, while facilitating the monitoring of the hospital beds, helps to enrich the content of the EHR, as well as the launch of online management-monitoring dashboards. Patient status monitoring, bed vacancy, and the discharge rate of hospitals could be monitored offline and lately, and we improved it by providing a novel model.
Mehdi Farahpour, Khalil Alimohammadzadeh, Seyed Mojtaba Hosseini,
Volume 5, Issue 4 (12-2022)
Abstract
Javad Sajjadi Khasraghi, Mahmood Salesi, Mohammad Meskarpour Amiri,
Volume 5, Issue 4 (12-2022)
Abstract
Background: The outbreak of the Covid-19 pandemic has had a devastating effect on the provision and receipt of health services around the world. The present study was conducted with the aim of investigating the effects of this disease on referrals and services of one of the hospitals in Tehran.
Methods: In this historical cohort study, the number of referrals and services in 26 hospital departments in the first 6 months of 2018 and the first 6 months of 2018 were investigated and analyzed. The data in the form of a pre-designed Excel form received from the statistics unit and quality improvement unit of the hospital were entered into SPSS software version 26 and analyzed using non-parametric Wilcoxon test.
Results: The load of referrals and services of the studied hospital was reduced by 30 percent during the Covid-19 epidemic. The highest rate of decrease was related to clinics and clinics (55/07 percent) and the lowest rate of decrease was related to emergency services (7/67 percent). CT scan services and referrals increased by 84/5 percent on average. These changes were statistically significant.
Conclusion: The reduction of the burden of referrals and services of the studied hospital is evaluated as medium to high. Healthcare providers should monitor hospital activity and develop strategies to mitigate the indirect effects of the COVID-19 pandemic resulting from reduced overall hospital activity
Aliakbar Gerami Sadeghian, Zohreh Javanmard,
Volume 5, Issue 4 (12-2022)
Abstract
Introduction: One of the effective ways to improve the quality-of-care services is to prevent the wastage of resources in health-treatment centers and hospitals by identifying the relevant causes. This study was conducted with the aim of investigating the type, causes, and amount of health insurance deductions in the teaching hospitals of Ferdows city.
Methods: The current descriptive research is a study that was conducted in 2021 in two teaching hospitals in Ferdows city. The research population included the inpatient and outpatient medical records of these two hospitals. The data collection tool was a checklist made by the researchers, confirming its validity. The collected data were analyzed using Excel software and descriptive statistics.
Results: Most deductions and their causes in the reviewed cases are respectively related to the laboratory (due to the absence of a technical officer), and consumables (due to the lack of insurance commitment for some equipment and price increase requests). The lowest deductions in the investigated cases are related to medicine (due to the request for an excessive amount of medicine), anesthesia (due to the demand for an additional amount of anesthesia), and prosthetics (due to the request for an additional price). Findings showed that in both hospitals, the highest number of deductions are related to inpatient cases.
Conclusion: Correct information in medical files and also the presence of the technical officer in different hospital departments play important roles in reducing hospital deductions. Therefore, a proper decision and policy should be made in this regard.
Shaghayegh Vahdat, Asieh Khaleghi, Arsalan Gholami, Korosh Soltanieh Zanjani, Farhad Lotfi,
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.
Sudeh Bagheri Rizi, Mohammad Ahmadi, Mahtab Shahbazi, Rohollah Javadi,
Volume 6, Issue 1 (6-2023)
Abstract
Introduction: The implementation of the family physician program in Iran Health Insurance Organization will change the payment system, reduce payments at the first level of service provision, and create a referral system. This study has been conducted with the aim of investigating the factors influencing the adoption of the referral system and the family physician of health insurance, including the adoption of the referral system, the creation of infrastructure and reforms, management factors, public interests, appropriate health system policies, appropriate health insurance structure and satisfaction.
Methods: The current research is descriptive and correlational in terms of applied purpose and data collection method. 184 people were included in the study by census. The data collection tool is a questionnaire with closed questions. After confirming the face validity and construct validity and reliability of the research instrument (Cronbach’s alpha 0.848), data analysis was performed using structural equation modeling (PLS-SEM).
Results: The findings of this research showed that the insurance structure in the health system was the most influential factor on the acceptance of the referral system and the family physician, and the effect path coefficient was estimated at 0.231. In addition to these policies included in the guidelines of the family physician program, infrastructure and reforms in society, management factors, public interest and satisfaction are other factors that have been confirmed to have an effect on the adoption of the family physician and referral system.
Conclusion: According to the findings, in addition to the appropriate health insurance structure, management and satisfaction factors are more important in accepting the referral system and the family physician. It seems that the insurance structure can create a sense of justice for people regarding health insurance because the plan of the referral system and family physician is based on necessities such as establishing proper access to the people of the country, equality in benefiting from health and treatment services, as well as the purposefulness of providing services and productivity. It is formed from the available human resources.
Fatemeh Asadnejad, Karamallah Daneshfard, Reza Najafbeigi,
Volume 6, Issue 1 (6-2023)
Abstract
Introduction: Today, health insurance plays an important role in improving the health of society and the level of well-being of people. Moreover, the World Health Organization also pursues important goals to improve the state of health and public health in countries. In our country, health insurances have shortcomings, many of which are related to policy issues and defects in the strategic management of such insurances, which require correction and improvement. In this regard, this article has been prepared with the aim of presenting and explaining a strategic model for the promotion of insurance policies in Iran’s health system.
Methods: which is developmental-applicative in terms of its purpose and is placed in the group of analytical and cross-sectional studies. In the qualitative phase, using the topic analysis method to design the research model, 26 academic and executive experts in the field of health insurance were interviewed in a targeted manner, and in the quantitative phase, structural equation modeling and Smart PLS software were used. The sample size was calculated using Cochran’s formula and 186 managers and professionals active in the field of health insurance were randomly asked for their opinions with a questionnaire.
Results: After analyzing and coding the responses, findings including five strategies for improving macro management in health insurance, improving insurance services, improving insurance justice, managing resources and using a sustainable approach were identified, which form the basis of the designed model of variables related to drivers, factors They are contextual, strategies and consequences. The data analysis of these findings with the structural equation modeling method showed that the components of the research model were approved and all the estimated path coefficients were significant.
Conclusion: In the end, the results obtained from the different stages of the research indicate that by providing the interests of the beneficiaries and also considering all the variables influencing the policy making, it is possible to take a path towards improvement and improvement in the policy making process of health insurance in the country.
Davood Danesh Jafari, Samira Ghanbari, Hamid Amadeh,
Volume 6, Issue 1 (6-2023)
Abstract
Introduction: Financing is strongly believed to be the main function of any health system and insurance organizations play a critical role in the health financing system of all countries. Accordingly, in order to enable the insurance companies to take steps towards meeting the assigned goals, creation of a balance in the budget and also financial management of their resources and expenses are needed. Therefore, the current research is conducted with the purpose of analyzing the factors affecting the budget balance of health insurance organizations.
Methods: This research which is considered an experimental study has used the monthly data of premium, coinsurance, treatment, and overhead costs, and the number of services purchased by the Iran Health Insurance Organization during 2008 - 2019, and the vector error correction model (VECM) to analyze short and long-run relationships, estimate parameters and predict relationships. In addition, the approach of the present research in the selection of variables is based on the mediating role of this organization in the expenditure reimbursement, behavior management, and the purchasing of healthcare services.
Results: The results indicated that in the long term, the insured's coinsurance and the premium paid to the Iranian Health Insurance Organization have a negative effect on the budget deficit, respectively -0.27 and -0.9. In contrast, the budget deficit is positively impacted by treatment and overhead costs with a coefficient of 2.41 and 0.67 and the number of services purchased by Iran Health Insurance Organization with a coefficient of 139576.
Conclusion: According to the findings of this study, the health insurance organization can use strategies such as increasing premiums and coinsurances, reducing treatment and overhead costs, and also the number of purchased services, to control and minimize its budget deficit.
Medhi Farhadi, Seyed Mojtaba Hosseini, Ali Maher,
Volume 6, Issue 1 (6-2023)
Abstract
Introduction: Due to the very weak coverage of basic treatment in the dental insurance sector, such services are considered as luxury services for people and the indicators of oral and dental health in Iran are not very favorable. With regard to the supplementary excess treatment coverage by commercial insurances, in this research, the factors affecting the use of dental services were investigated.
Methods: The research method was descriptive, analytical and cross-sectional, the statistical population of the present study included patients referred to Tehran clinics in 2022. The sample size in this study was equal to 383 people who were selected by cluster sampling method. The information was collected through a questionnaire and the data were analyzed at the level of descriptive and inferential statistics, one population and binomial t-tests and Friedman’s test.
Results: There is a relationship between insurance coverage of dental services and oral health of people (P=0.000; t=23.99). There is a relationship between the amount of patients' out-of-pocket payments for dental services and oral health status (P=0.000; t=16.117). The amount of insurance payment for dental services has an effect on the amount of use of dental services (P=0.000; t=29.73). The demographic characteristics of the insured (DMFT index, age, gender, education level, marital status) have an effect on the use of dental services (P=0.000; t=33.04).
Conclusion: Due to the relationship between insurance coverage, payment amount, age and education level of people with oral and dental health, the officials and practitioners of oral and dental health should consider appropriate decision and policy regarding this matter.
Masoud Pakniyat Rad, Mohammadbagher Tajeddin, Karam Habibpour Gatabi,
Volume 6, Issue 1 (6-2023)
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.
Keyvan Mortazavisaraei, Mahmood Mahmoodzadeh, Hamidreza Izadbakhsh,
Volume 6, Issue 1 (6-2023)
Abstract
Introduction: In crisis situations, when production and economic growth are faced with negative impulses, the increase in unemployment causes the loss or reduction of income of many people. The unemployment insurance fund prevents the poverty of the unemployed by making regular payments, and through the job search mechanism, it can cause the unemployed to re-enter the labor market. Therefore, unemployment insurance plans are important tools in the economy to deal with crises.
Methods: In this research, by modeling the resources and expenses of the social security organization with the system dynamics method, the effects of the COVID-19 disease on the unemployment insurance fund and also forecasting the conditions of this organization in the coming years have been investigated. Investigations were carried out in the form of 3 scenarios: “current conditions of the unemployment insurance fund without government assistance”, “current conditions of the unemployment insurance fund with government assistance” and “help to the company to maintain human resources”.
Results: According to the findings of this research, the scenario of helping the company to maintain human resources, i.e. paying 50% of the unemployment allowance from the fund and paying the other 50% from the employer, i.e. accepting the dual conditions of unemployment and employment at the same time, can Put the unemployment insurance fund in a better position compared to the other two scenarios.
Conclusion: The findings showed that the rules of unemployment insurance in the country are generous and the mechanism of monitoring the process of employment of the beneficiaries is not designed efficiently. Also, the investigations of this study generally show that if the goal is to maintain the human resources of the companies, the situation of the unemployment fund will be in a more favorable condition.
Sohrab Osta, Behrooz Badpa,
Volume 6, Issue 2 (9-2023)
Abstract
Introduction: Performance evaluation is the basis of many decisions and plans that can lead to the success of the organization, and efficiency is considered a very suitable criterion for evaluating the performance of companies and organizations. Based on this, the purpose of this research is to investigate the performance of agencies and counter offices of the contracting party of the Health Insurance Organization by measuring efficiency using the technique of data envelopment analysis.
Methods: In this study, the data of the representative offices and counter branches of the contracting government of Iran Health Insurance Organization in Ilam province, Iran in the third quarter of 2021 were analyzed. For data analysis, non-radial data envelopment analysis model was used, in which evaluation indicators were selected using confirmatory factor analysis method and using Smart PLS software. The SBM model was used to determine the efficiency, and finally, the Super-SBM method was used to rank the efficient units.
Results: The research showed that among the examined units, during the evaluation period, 4 units had efficient performance and 12 ineffective units, among the efficient units, the unit with the best performance was determined and among the inefficient units, the unit with the worst performance was determined.
Conclusion: In the evaluation period, the number of inefficient units was more compared to efficient units. It is recommended to measure the efficiency and productivity of the counter offices and branches of health insurance contracting parties in different cities of Iran, especially the provincial centers, on an annual basis, so that by providing practical solutions, the situation of the agencies and offices can be improved. It is also necessary for them to be fully aware of their expectations and to be more responsive to their clients.
