Challenges of Payment System to Primary Health Care Providers in Iranian Comprehensive Health Centers
Background and purpose: The primary health care program for the suburbs is being implemented in Iran after the Health Transformation Plan where services are delivered with the priority of outsourcing and purchasing services from non-governmental sectors. In this program, different payment methods ha...
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| Format: | Article |
| Language: | English |
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Mazandaran University of Medical Sciences
2023-01-01
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| Series: | Journal of Mazandaran University of Medical Sciences |
| Subjects: | |
| Online Access: | http://jmums.mazums.ac.ir/article-1-18249-en.pdf |
| _version_ | 1797542770954469376 |
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| author | Mohammad Javad Kabir Narges Rafiei Alireza Heidari Saeide Alidoost Zahra Saraili Zeynab Foroughi Zahra Khatirnamani |
| author_facet | Mohammad Javad Kabir Narges Rafiei Alireza Heidari Saeide Alidoost Zahra Saraili Zeynab Foroughi Zahra Khatirnamani |
| author_sort | Mohammad Javad Kabir |
| collection | DOAJ |
| description | Background and purpose: The primary health care program for the suburbs is being implemented in Iran after the Health Transformation Plan where services are delivered with the priority of outsourcing and purchasing services from non-governmental sectors. In this program, different payment methods have been used. This study aimed at addressing the challenges associated with payments made to urban primary health care providers in Iran.
Materials and methods: This qualitative study was conducted using a framework analysis approach through semi-structured interviews with 30 experts and service providers. Data were analyzed using MAXQDA.10 and Gale framework analysis method.
Results: The study showed that lack of proper financing of the program is one of the most important challenges of the payment system. Other challenges included insufficient and late payments to providers, impossibility of recording all activities and inability to exchange data between electronic information registration systems (both horizontally and vertically), improper contracting method, incompatibility of service package volume with the amount of payment, the impossibility of applying the monitoring result on the amount of payment due to paying the minimum amount of labor law payment, and inflexibility of payment instructions.
Conclusion: The payment system for urban primary care providers does not have a suitable structure in various dimensions, including financing, payment, contracting method, data registration system, and monitoring and evaluation system. If these problems continue to exist, providers would leave the service system and the quantity and quality of services are reduced. |
| first_indexed | 2024-03-10T13:35:13Z |
| format | Article |
| id | doaj.art-ce89dfb5b100465a8b8bdca336ec6367 |
| institution | Directory Open Access Journal |
| issn | 1735-9260 1735-9279 |
| language | English |
| last_indexed | 2024-03-10T13:35:13Z |
| publishDate | 2023-01-01 |
| publisher | Mazandaran University of Medical Sciences |
| record_format | Article |
| series | Journal of Mazandaran University of Medical Sciences |
| spelling | doaj.art-ce89dfb5b100465a8b8bdca336ec63672023-11-21T07:39:55ZengMazandaran University of Medical SciencesJournal of Mazandaran University of Medical Sciences1735-92601735-92792023-01-0132216151173Challenges of Payment System to Primary Health Care Providers in Iranian Comprehensive Health CentersMohammad Javad Kabir0Narges Rafiei1Alireza Heidari2Saeide Alidoost3Zahra Saraili4Zeynab Foroughi5Zahra Khatirnamani6 Associate Professor, Health Management and Social Development Research Center, Golestan University of Medical Sciences, Gorgan, Iran PhD in Health Services Management, Health Management and Social Development Research Center, Golestan University of Medical Sciences, Gorgan, Iran Assistant Professor, Health Management and Social Development Research Center, Golestan University of Medical Sciences, Gorgan, Iran PhD in Health Policy, National Agency for Strategic Research in Medical Education, Tehran, Iran MSc Student in Health Services Management, Health Management and Social Development Research Center, Golestan Uni-versity of Medical Sciences, Gorgan, Iran PhD in Health Policy, National Agency for Strategic Research in Medical Education, Tehran, Iran MSc in Biostatistics, Health Management and Social Development Research Center, Golestan University of Medical Sciences, Gorgan, Iran Background and purpose: The primary health care program for the suburbs is being implemented in Iran after the Health Transformation Plan where services are delivered with the priority of outsourcing and purchasing services from non-governmental sectors. In this program, different payment methods have been used. This study aimed at addressing the challenges associated with payments made to urban primary health care providers in Iran. Materials and methods: This qualitative study was conducted using a framework analysis approach through semi-structured interviews with 30 experts and service providers. Data were analyzed using MAXQDA.10 and Gale framework analysis method. Results: The study showed that lack of proper financing of the program is one of the most important challenges of the payment system. Other challenges included insufficient and late payments to providers, impossibility of recording all activities and inability to exchange data between electronic information registration systems (both horizontally and vertically), improper contracting method, incompatibility of service package volume with the amount of payment, the impossibility of applying the monitoring result on the amount of payment due to paying the minimum amount of labor law payment, and inflexibility of payment instructions. Conclusion: The payment system for urban primary care providers does not have a suitable structure in various dimensions, including financing, payment, contracting method, data registration system, and monitoring and evaluation system. If these problems continue to exist, providers would leave the service system and the quantity and quality of services are reduced.http://jmums.mazums.ac.ir/article-1-18249-en.pdfprovider payment systemprimary health careurban comprehensive health centers |
| spellingShingle | Mohammad Javad Kabir Narges Rafiei Alireza Heidari Saeide Alidoost Zahra Saraili Zeynab Foroughi Zahra Khatirnamani Challenges of Payment System to Primary Health Care Providers in Iranian Comprehensive Health Centers Journal of Mazandaran University of Medical Sciences provider payment system primary health care urban comprehensive health centers |
| title | Challenges of Payment System to Primary Health Care Providers in Iranian Comprehensive Health Centers |
| title_full | Challenges of Payment System to Primary Health Care Providers in Iranian Comprehensive Health Centers |
| title_fullStr | Challenges of Payment System to Primary Health Care Providers in Iranian Comprehensive Health Centers |
| title_full_unstemmed | Challenges of Payment System to Primary Health Care Providers in Iranian Comprehensive Health Centers |
| title_short | Challenges of Payment System to Primary Health Care Providers in Iranian Comprehensive Health Centers |
| title_sort | challenges of payment system to primary health care providers in iranian comprehensive health centers |
| topic | provider payment system primary health care urban comprehensive health centers |
| url | http://jmums.mazums.ac.ir/article-1-18249-en.pdf |
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