Repository of Research and Investigative Information

Repository of Research and Investigative Information

Hormozgan University of Medical Sciences

Legal and policy requirements of basic health insurance package to achieve universal health coverage in a developing country

(2019) Legal and policy requirements of basic health insurance package to achieve universal health coverage in a developing country. BMC research notes.

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Official URL: https://www.scopus.com/inward/record.uri?eid=2-s2....

Abstract

OBJECTIVES: This study has analyzed the policy-making requirements related to basic health insurance package at the national level with a systematic view. RESULTS: All the documents presented since the enactment of universal health insurance in Iran from 1994 to 2017 were included applying Scott method for assuring meaningfulness, authenticity, credibility and representativeness. Then, content analysis was conducted applying MAXQDA10. The legal and policy requirements related to basic health insurance package were summarized into three main themes and 11 subthemes. The main themes include three kinds of requirements at three level of third party insurer, health care provider and citizen/population that contains 5 (financing insurance package, organizational structure, tariffing and purchasing the benefit packages and integration of policies and precedents), 4 (determining the necessities, provision of services, rules relating to implementation and covered services) and 2 (expanded coverage of population and insurance premiums) sub themes respectively. According to the results, Iranian policy makers should notice three axes of third party insurers, health providers and population of the country to prepare an appropriate basic benefit package based on local needs for all the people that can access with no financial barriers in order to be sure of achieving UHC.

Item Type: Article
Additional Information: cited By 0
Keywords: article; content analysis; developing country; financial management; health care personnel; human; Iran; organizational structure; purchasing; universal health insurance
Subjects: History of Medicine. Medical Miscellany > WZ 305-350 Miscellany Relating to Medicine
Divisions: Research Vice-Chancellor Department > Social Determinants in Health Promotion Research Center
Depositing User: هدی فهیم پور
URI: http://eprints.hums.ac.ir/id/eprint/6703

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