Challenges of implementation: Strategic purchasing in Iran Health Insurance Organization

Ali Reza Kalantari, Mohammad Jafari Sirizi, Mohammad Hossein Mehrolhassani and Reza Dehnavieh

International Journal of Health Planning and Management, 2019, vol. 34, issue 1, e875-e884

Abstract: Background Strategic purchasing has been introduced as a key strategy for solving the problems faced by insurance companies. In Iran, the government has mandated the Iran Health Insurance Organization (IHIO) to implement this strategy. However, there are serious challenges to achieving that. The present study aims to identify these challenges. Methods In this qualitative study, a semi‐structured interview was conducted on 27 health managers and experts at the national level. The dimensions of the A. Preker model were used to analyze the data. Results Challenges of strategic purchasing in the IHIO were categorized into five concepts—political economy, policy design, organizational structure, organizational environment, and management capacity; within these concepts, 22 challenges were identified. Conclusions Improving strategic purchasing in Iran requires adopting a coherent approach and taking into account all the affecting factors. By revising some policies, and modifying and defining the rules needed to solve the infrastructural problems, the success of strategic purchasing can be obtained.

Date: 2019
References: View references in EconPapers View complete reference list from CitEc
Citations:

Downloads: (external link)
https://doi.org/10.1002/hpm.2704

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:bla:ijhplm:v:34:y:2019:i:1:p:e875-e884

Ordering information: This journal article can be ordered from
http://www.blackwell ... bs.asp?ref=0749-6753

Access Statistics for this article

International Journal of Health Planning and Management is currently edited by Calum Paton

More articles in International Journal of Health Planning and Management from Wiley Blackwell
Bibliographic data for series maintained by Wiley Content Delivery ().