Abstract
The present study was conducted to define the variables affecting payment mechanism for strategic purchasing in the indirect health section of Social Security Organization, by which the Organization can provide the insured with better services while controlling the cost. 13 variables affecting payment mechanism for strategic purchasing were determined. A questionnaire was prepared based on above variables and completed by experts. The data was analyzed by SPSS and LISREL through confirmatory and exploratory analysis factor. The results indicate that payments mechanism is important in the process of strategic purchasing and three partial dimensions including performance-based payment mechanism, time-based payment system and risk coverage should be considered: 1-performance-based payment system includes variables such as financial incentives for health service providers, prospective payment system and performance-based motives for health service employees. 2-Time-based payment system includes variables such as the time of receiving service. 3. Risk coverage includes variables such as justice and financial protection against disease risk.
Highlights
Studies in the health field show that almost half of the health resources are allotted to 4% of population who are hospitalized annually (Hasanzade & Fakhimzade, 2007)
It consider as the second main producer and the greatest purchaser of health services throughout the country. 45% of resources are consumed for delivering services in direct health section and the 55% remainder is spent for indirect health section. 37% of total credit in indirect health section is spent for in-patient services and more that 70% of resources are allocated to these patients
According to the above statistics, more that 55% of health costs of the Organization are spent for delivering services to the insured through purchasing health services in indirect health section, which in return necessitates the existence of consolidated management in purchasing services (Statistical Indicators of Health Department, 2008)
Summary
Studies in the health field show that almost half of the health resources are allotted to 4% of population who are hospitalized annually (Hasanzade & Fakhimzade, 2007). Iranian Social Security Organization has allocated the significant portion of Iranian health market. It consider as the second main producer and the greatest purchaser of health services throughout the country. According to the above statistics, more that 55% of health costs of the Organization are spent for delivering services to the insured through purchasing health services in indirect health section, which in return necessitates the existence of consolidated management in purchasing services (Statistical Indicators of Health Department, 2008). At present, purchasing services in the Social Security Organization is carried out with regard to the definite annual budget and medical bills, but the growing costs of health services and the necessity of delivering necessary and qualified health services manifest the role of strategic purchasing process more than ever. The www.ccsenet.org/ibr management of scarce resources in an effective way is one of the most important interfering mechanisms in health section
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