Factors affecting health services strategic purchasing for breast cancer patients: a mixed study in Iran
Abstract Background Inappropriate ways of health services purchasing for cancer patients can be challengeable and costly and seriously affect the access to health services and outcomes. This study aimed at Factors affecting health services strategic purchasing for breast cancer patients. Methods As...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-10-01
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| Series: | Cost Effectiveness and Resource Allocation |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12962-021-00324-1 |
| _version_ | 1818838201648807936 |
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| author | Samereh Yaghoubian Mohammad Ali Jahani Zeynab Farhadi Ghahraman Mahmoudi |
| author_facet | Samereh Yaghoubian Mohammad Ali Jahani Zeynab Farhadi Ghahraman Mahmoudi |
| author_sort | Samereh Yaghoubian |
| collection | DOAJ |
| description | Abstract Background Inappropriate ways of health services purchasing for cancer patients can be challengeable and costly and seriously affect the access to health services and outcomes. This study aimed at Factors affecting health services strategic purchasing for breast cancer patients. Methods As a mixed study, this research was conducted in Iran in 2020. In the qualitative phase, 21 specialists and professionals in the field of health services purchasing were purposefully selected and interviewed. After data saturation, interviews were analyzed with the framework analysis and a structured questionnaire was made based on these analyses. 400 breast cancer patients were selected by randomized sampling and completed the questionnaire. Data were analyzed with SPSS23 in p < .05. Results The highest mean rate of the three main categories belonged to “insurance trusteeship” (4.71 ± .35), followed by “supply management” (4.48 ± .27) and “financial performance” (4.48 ± .37). There were significantly differences between the mean rates of the main categories and the cut-off point (p < .001). In addition, “insurance trusteeship” ranked first (2.58), followed by financial performance (1.77) and supply management (1.65). Conclusion Of main components in health services strategic purchasing for breast cancer patients, insurance trusteeship, supply management, and financial performance ranked first to third, respectively. Therefore, healthcare policy-makers should consider the placement of insurance trusteeship and coordinate between purchasers and providers for making reform in the health system. |
| first_indexed | 2024-12-19T03:34:38Z |
| format | Article |
| id | doaj.art-efca0955cd6c4409a694a87f0f27fd41 |
| institution | Directory Open Access Journal |
| issn | 1478-7547 |
| language | English |
| last_indexed | 2024-12-19T03:34:38Z |
| publishDate | 2021-10-01 |
| publisher | BMC |
| record_format | Article |
| series | Cost Effectiveness and Resource Allocation |
| spelling | doaj.art-efca0955cd6c4409a694a87f0f27fd412022-12-21T20:37:25ZengBMCCost Effectiveness and Resource Allocation1478-75472021-10-011911810.1186/s12962-021-00324-1Factors affecting health services strategic purchasing for breast cancer patients: a mixed study in IranSamereh Yaghoubian0Mohammad Ali Jahani1Zeynab Farhadi2Ghahraman Mahmoudi3Medical and Health Services Administration, Hekmat Hospital, Mazandaran Social Security OrganizationSocial Determinants of Health Research Center, Health Research Institute, Babol University of Medical SciencesSocial Determinants of Health Research Center, Health Research Institute, Babol University of Medical SciencesHospital Administration Research Center, Sari Branch, Islamic Azad UniversityAbstract Background Inappropriate ways of health services purchasing for cancer patients can be challengeable and costly and seriously affect the access to health services and outcomes. This study aimed at Factors affecting health services strategic purchasing for breast cancer patients. Methods As a mixed study, this research was conducted in Iran in 2020. In the qualitative phase, 21 specialists and professionals in the field of health services purchasing were purposefully selected and interviewed. After data saturation, interviews were analyzed with the framework analysis and a structured questionnaire was made based on these analyses. 400 breast cancer patients were selected by randomized sampling and completed the questionnaire. Data were analyzed with SPSS23 in p < .05. Results The highest mean rate of the three main categories belonged to “insurance trusteeship” (4.71 ± .35), followed by “supply management” (4.48 ± .27) and “financial performance” (4.48 ± .37). There were significantly differences between the mean rates of the main categories and the cut-off point (p < .001). In addition, “insurance trusteeship” ranked first (2.58), followed by financial performance (1.77) and supply management (1.65). Conclusion Of main components in health services strategic purchasing for breast cancer patients, insurance trusteeship, supply management, and financial performance ranked first to third, respectively. Therefore, healthcare policy-makers should consider the placement of insurance trusteeship and coordinate between purchasers and providers for making reform in the health system.https://doi.org/10.1186/s12962-021-00324-1Cancer of breastPatientsHealth servicesPurchase |
| spellingShingle | Samereh Yaghoubian Mohammad Ali Jahani Zeynab Farhadi Ghahraman Mahmoudi Factors affecting health services strategic purchasing for breast cancer patients: a mixed study in Iran Cost Effectiveness and Resource Allocation Cancer of breast Patients Health services Purchase |
| title | Factors affecting health services strategic purchasing for breast cancer patients: a mixed study in Iran |
| title_full | Factors affecting health services strategic purchasing for breast cancer patients: a mixed study in Iran |
| title_fullStr | Factors affecting health services strategic purchasing for breast cancer patients: a mixed study in Iran |
| title_full_unstemmed | Factors affecting health services strategic purchasing for breast cancer patients: a mixed study in Iran |
| title_short | Factors affecting health services strategic purchasing for breast cancer patients: a mixed study in Iran |
| title_sort | factors affecting health services strategic purchasing for breast cancer patients a mixed study in iran |
| topic | Cancer of breast Patients Health services Purchase |
| url | https://doi.org/10.1186/s12962-021-00324-1 |
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