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Stakeholders Analysis of Merging Social Health Insurance Funds in Iran: What Kind of Interests They May Gain or Lose? Publisher Pubmed



Bazyar M1 ; Rashidian A2 ; Sakha MA2 ; Doshmangir L3, 4 ; Rahimi N5 ; Ranjbar M6 ; Sagha Abolfazl SF7 ; Tabatabaei Lotfi SM7 ; Olyaeemanesh A7, 8
Authors
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Authors Affiliations
  1. 1. Department of Public Health, Faculty of Health, Ilam University of Medical Sciences, Ilam, Iran
  2. 2. Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Tabriz Health Services Management Research Center, Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
  4. 4. Social Determinants of Health Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran
  5. 5. Provincial general director of Iran Health Insurance Organization in Ilam, Ilam, Iran
  6. 6. Health Policy Research Center, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
  7. 7. Office for Health Technology Assessment, Health Standards and Tariffs, Ministry of Health and Medical Education, Tehran, Iran
  8. 8. National Institute for Health Research and Health Equity Research Center, Tehran University of Medical Sciences, Tehran, Iran

Source: International Journal of Health Planning and Management Published:2019


Abstract

Iran passed a Law in 2010 to merge all existing health insurance funds physically together. This stakeholder analysis aimed at revealing that what benefits the stakeholders might lose or gain as a result of merging health insurance schemes in Iran, which make them to oppose or support it. This was a qualitative study conducted in 2014. Sixty semi-structured face-to-face interviews were conducted. Purposive and snowball samplings with maximum heterogeneity samples were used for selecting interviewees. Government is not willing to undertake more financial commitment. Existing health insurance schemes like Social Security Organization and minor well-resourced health insurance funds and also worker unions are unwilling to lose their financial and organizational autonomy, to share their benefits with other less privileged groups, or face likely financial challenges in running their health facilities like hospitals. Top managers and workforces are worried to lose their job, salary, or organizational positions. Ministry of Cooperation, Labour, and Social Welfare does not want to lose its control on health insurance schemes. Ministry of Health and Medical Education and Iran Health Insurance Organization are among actors that support the insurance funds merging policy. Successful implementing of consolidation requires taking into account the interests of different stakeholders. © 2018 John Wiley & Sons, Ltd.
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