Qualitative analysis of national documents on health care services and pharmaceuticals` purchasing challenges: evidence from Iran
Abstract Background Iranian health sector encountered many challenges in resource allocation and health service purchasing during the past decades, the aim of this study was to determine the main challenges of the present process of health service purchasing for national policymakers and other devel...
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doaj-9ffd675345d840f99e1a1d177c9192c42020-11-24T22:01:13ZengBMCBMC Health Services Research1472-69632018-06-011811910.1186/s12913-018-3261-0Qualitative analysis of national documents on health care services and pharmaceuticals` purchasing challenges: evidence from IranPeivand Bastani0Mahnaz Samadbeik1Rassoul Dinarvand2Sara Kashefian-Naeeini3Soudabeh Vatankhah4Health Human Resources Research Center, School of Management and Medical Informatics, Shiraz University of Medical SciencesSocial Determinants of Health Research Center, Lorestan University of Medical SciencesDepartment of Pharmaceutical Sciences, Faculty of Pharmacy, Tehran University of Medical SciencesDepartment of English, Faculty of Paramedical Sciences, Shiraz University of Medical SciencesDepartment of Health Service Management, School of Management and Medical Informatics, Iran University of Medical SciencesAbstract Background Iranian health sector encountered many challenges in resource allocation and health service purchasing during the past decades, the aim of this study was to determine the main challenges of the present process of health service purchasing for national policymakers and other developing countries with the same setting. Methods It was a qualitative study carried out via the complete content analysis of all relevant national documents from 2007 to 2014. In order to retrieve the related documents, we searched the official websites related to the Ministry of Health and Medical Education, four main Iranian insurance organizations, the Health Committee of the Parliament Profile, strategic vice president’s site and Supreme Insurance Council. After recognition of documents, their credibility and authenticity were evaluated in terms of their publication or adjustment. For the analysis of documents, the four step-Scott method was used applying MAXQDA version 10. Results Findings illustrated that health service purchase challenges in the country can be classified in 6 main themes of policy-making, executive, intersectional, natural, legal and informational challenges with 26 subthemes. Furthermore, 5 themes of Basic Benefit Package, Reimbursement,Decision making, Technology and Contract are considered as the main Challenges in pharmaceutical purchasing area containing 13 relevant subthemes. Conclusions It seems that according to documents, Iran has faced many structural and procedural problems with the purchase of the best health interventions. So it is highly recommended to consider consequences derived from the present challenges and try to use these evidences in their policy making process to decrease the existed problems and move to better procurement of health interventions.http://link.springer.com/article/10.1186/s12913-018-3261-0Qualitative document analysisHealth care servicesPharmaceuticalsPurchasingInsurance companiesIran |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Peivand Bastani Mahnaz Samadbeik Rassoul Dinarvand Sara Kashefian-Naeeini Soudabeh Vatankhah |
spellingShingle |
Peivand Bastani Mahnaz Samadbeik Rassoul Dinarvand Sara Kashefian-Naeeini Soudabeh Vatankhah Qualitative analysis of national documents on health care services and pharmaceuticals` purchasing challenges: evidence from Iran BMC Health Services Research Qualitative document analysis Health care services Pharmaceuticals Purchasing Insurance companies Iran |
author_facet |
Peivand Bastani Mahnaz Samadbeik Rassoul Dinarvand Sara Kashefian-Naeeini Soudabeh Vatankhah |
author_sort |
Peivand Bastani |
title |
Qualitative analysis of national documents on health care services and pharmaceuticals` purchasing challenges: evidence from Iran |
title_short |
Qualitative analysis of national documents on health care services and pharmaceuticals` purchasing challenges: evidence from Iran |
title_full |
Qualitative analysis of national documents on health care services and pharmaceuticals` purchasing challenges: evidence from Iran |
title_fullStr |
Qualitative analysis of national documents on health care services and pharmaceuticals` purchasing challenges: evidence from Iran |
title_full_unstemmed |
Qualitative analysis of national documents on health care services and pharmaceuticals` purchasing challenges: evidence from Iran |
title_sort |
qualitative analysis of national documents on health care services and pharmaceuticals` purchasing challenges: evidence from iran |
publisher |
BMC |
series |
BMC Health Services Research |
issn |
1472-6963 |
publishDate |
2018-06-01 |
description |
Abstract Background Iranian health sector encountered many challenges in resource allocation and health service purchasing during the past decades, the aim of this study was to determine the main challenges of the present process of health service purchasing for national policymakers and other developing countries with the same setting. Methods It was a qualitative study carried out via the complete content analysis of all relevant national documents from 2007 to 2014. In order to retrieve the related documents, we searched the official websites related to the Ministry of Health and Medical Education, four main Iranian insurance organizations, the Health Committee of the Parliament Profile, strategic vice president’s site and Supreme Insurance Council. After recognition of documents, their credibility and authenticity were evaluated in terms of their publication or adjustment. For the analysis of documents, the four step-Scott method was used applying MAXQDA version 10. Results Findings illustrated that health service purchase challenges in the country can be classified in 6 main themes of policy-making, executive, intersectional, natural, legal and informational challenges with 26 subthemes. Furthermore, 5 themes of Basic Benefit Package, Reimbursement,Decision making, Technology and Contract are considered as the main Challenges in pharmaceutical purchasing area containing 13 relevant subthemes. Conclusions It seems that according to documents, Iran has faced many structural and procedural problems with the purchase of the best health interventions. So it is highly recommended to consider consequences derived from the present challenges and try to use these evidences in their policy making process to decrease the existed problems and move to better procurement of health interventions. |
topic |
Qualitative document analysis Health care services Pharmaceuticals Purchasing Insurance companies Iran |
url |
http://link.springer.com/article/10.1186/s12913-018-3261-0 |
work_keys_str_mv |
AT peivandbastani qualitativeanalysisofnationaldocumentsonhealthcareservicesandpharmaceuticalspurchasingchallengesevidencefromiran AT mahnazsamadbeik qualitativeanalysisofnationaldocumentsonhealthcareservicesandpharmaceuticalspurchasingchallengesevidencefromiran AT rassouldinarvand qualitativeanalysisofnationaldocumentsonhealthcareservicesandpharmaceuticalspurchasingchallengesevidencefromiran AT sarakashefiannaeeini qualitativeanalysisofnationaldocumentsonhealthcareservicesandpharmaceuticalspurchasingchallengesevidencefromiran AT soudabehvatankhah qualitativeanalysisofnationaldocumentsonhealthcareservicesandpharmaceuticalspurchasingchallengesevidencefromiran |
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1725840929735049216 |