Evaluation of Factors Affecting the Strategic Purchasing of Medicines in the Iran Armed Forces Health Insurance Organization

Q3 Medicine
Sadra TaheriMaleki, HesamAldin Sharifnia, A. Norouzi, A. Cheraghali
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引用次数: 0

Abstract

Background and Aim: After the World Health Organization (WHO)'s 2000 report, views shifted in that direction of strategic purchasing in medical services. WHO stated that adequate funding for health is an important issue, but financial resources alone cannot lead to universal health coverage. WHO defines "Strategic purchasing" as a measure to maximize the efficiency of countries' health systems to answer these questions: what to buy / from whom to buy/how to buy and for whom to buy. Methods: This study was conducted in four main stages, including to identifying the concept of "strategic purchasing" in the health system using the critical method and review resources, review of strategic purchasing policies in the Iran Armed Forces Health Insurance Organization, identifying the main policy factors of strategic purchasing by insurance from the perspective of experts in this field and finally evaluation of strategic purchasing in insurance and providing solutions and suggestions for its implementation. A validated questionnaire was developed and the Likert technique was used to score the results. Results: The results were presented in sub-categories, which included identifying the concept of "strategic purchasing" in the health system and the Iran Armed Forces Health Insurance Organization, effectiveness and contracting for the supply of medicine with the lowest price and quality of the product is a top priority for policymakers. In response to the four basic questions of strategic procurement, various factors and their contributions were measured. Conclusion: Strategic procurement of health services is very necessary for health insurance organizations. Therefore, it is better to take steps to implement it as soon as possible. In addition to the findings of this study, including determining the factors for the strategic drug purchasing process, one of the most important policy findings of this study in interviews and discussions with experts was that theoretically, we all know what strategic purchasing is and what are the steps involved, but in practice, there is not any plan to implement it or we do not have the ability to implement it due to the existing infrastructure and policies. So, in addition to raising awareness, a proper understanding of the process must be established so that policy-making and implementation can follow, which requires integrated decisions.
评价影响伊朗武装部队健康保险组织战略性采购药品的因素
背景和目的:在世界卫生组织(世界卫生组织)2000年的报告之后,人们的观点转向了医疗服务的战略购买方向。世界卫生组织指出,为卫生提供充足的资金是一个重要问题,但仅靠财政资源无法实现全民卫生覆盖。世界卫生组织将“战略采购”定义为最大限度提高各国卫生系统效率的措施,以回答以下问题:购买什么/从谁那里购买/如何购买以及为谁购买。方法:本研究分四个主要阶段进行,包括使用关键方法和审查资源确定卫生系统中的“战略采购”概念,审查伊朗武装部队健康保险组织的战略采购政策,从该领域专家的角度识别保险战略采购的主要政策因素,最后对保险战略采购进行评估,并为其实施提供解决方案和建议。编制了一份经过验证的问卷,并使用Likert技术对结果进行评分。结果:结果分为几类,其中包括确定卫生系统和伊朗武装部队健康保险组织的“战略采购”概念,以最低价格和质量供应药品的有效性和合同是决策者的首要任务。针对战略采购的四个基本问题,对各种因素及其贡献进行了衡量。结论:医疗服务的战略采购对于医疗保险组织来说是非常必要的。因此,最好尽快采取措施加以实施。除了本研究的发现,包括确定战略药品采购过程的因素外,本研究在与专家的访谈和讨论中最重要的政策发现之一是,理论上,我们都知道什么是战略采购,以及所涉及的步骤,但在实践中,没有任何实施计划,或者由于现有的基础设施和政策,我们没有能力实施。因此,除了提高认识之外,还必须对这一进程有一个适当的理解,以便能够制定政策和执行,这需要综合决策。
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来源期刊
Journal of Military Medicine
Journal of Military Medicine Medicine-Public Health, Environmental and Occupational Health
CiteScore
2.60
自引率
0.00%
发文量
0
期刊介绍: Journal of Military Medicine is a Bimonthly peer-reviewed medical journal covering research and developments in the field of health and medicine in military and crisis settings. The journal was established in 1999. It publishes original research reports, editorials, letters to the editor, and reviews.
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