The Requirements of Strategic Purchasing of Health Services for Cancer Patients: A Qualitative Study in Iran.

Q2 Nursing

Health Care Manager Pub Date : 2020-01-01 DOI:10.1097/HCM.0000000000000286

Samereh Yaghoubian, Ghahraman Mahmoudi, Mohammad Ali Jahani

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引用次数: 1

Abstract

The strategic purchasing creates dynamics and providers' competitiveness among the internal market of governmental sector with ensuring appropriate payments and promoting quantity-quality of service delivery that lead to improve the health system efficiency. This study aimed to determine the requirements for the strategic purchasing of health services for cancer patients in Iran. As a qualitative research with a framework analysis, this study was conducted in Iran from July 2018 to February 2019. The participants were included some administrating managers, experts, and specialists of insurance selected purposefully by snowball sampling method. The framework analysis of the study included 5 steps. Data were saturated after 21 semistructured interviews. The main findings included 3 main themes (supply management, insurance trusteeship, and financial performance) and 14 subthemes (strategic purchasing infrastructures, practical guidelines, trusteeship structure, service package, service quality, service quantity, role of other organizations and groups, training, establishment of an insurance thought, strategic management, communication, price, efficiency and effectiveness, and resource provision). The strategic purchasing model of health services increases the power of service purchasers and payment based on defined priorities, resulting in providers' coordinating for care provision, enhancement of financial performance and cancer patients' better access to health services, improvement of life quality, and financial protection.

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伊朗癌症患者医疗服务战略购买需求的定性研究

战略采购在政府部门内部市场中创造了动力和供应商的竞争力，确保了适当的支付，促进了服务的数量和质量，从而提高了卫生系统的效率。本研究旨在确定伊朗癌症患者战略性购买保健服务的要求。作为一项具有框架分析的定性研究，本研究于2018年7月至2019年2月在伊朗进行。通过滚雪球抽样的方法，有目的地选取了一些保险管理人员、专家和专家。本研究的框架分析包括5个步骤。经过21次半结构化访谈后，数据趋于饱和。主要研究结果包括3个主题(供应管理、保险托管和财务绩效)和14个副主题(战略采购基础设施、实践指南、托管结构、服务包、服务质量、服务数量、其他组织和团体的作用、培训、保险思想的建立、战略管理、沟通、价格、效率和有效性以及资源提供)。保健服务的战略采购模式增加了服务购买者的权力，并根据确定的优先事项进行支付，从而使提供者能够协调提供护理，提高财务绩效，使癌症患者更好地获得保健服务，改善生活质量，并获得财务保护。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Care Manager HEALTH POLICY & SERVICES-

自引率

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期刊介绍： The Health Care Manager (HCM), provides practical, applied management information for managers in institutional health care settings. It is a quarterly journal, horizontally integrated and cutting across all functional lines, written for every person who manages the work of others in any health care setting. This journal presents practical day-to-day management advice as well as research studies addressing current issues in health care management. Its intent is the strengthening management and supervisory skills of its readers and increasing their understanding of today"s health care environment. HCM is searchable through PubMed.