伊朗医疗系统中交通事故受害者的保险范围

IF 0.2 Q4 EMERGENCY MEDICINE
T. Sharifi, R. Dehnavieh, M. J. Sirizi, N. Baghian, S. N. Hekmat
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引用次数: 2

摘要

背景:交通事故伤害是伊朗过早死亡的第二大原因(仅次于缺血性心脏病)。2004年和2010年,议会通过了两项法律(第92条和第36条),规定向交通事故受害者提供免费医疗服务(由第三方保险费提供资金)。目的:本研究探讨了与执行第92条和第36条的问题有关的挑战和复杂性。方法:采用框架分析法进行定性研究。采用滚雪球抽样法选取了36名专家、管理人员和政策制定者。2016年通过半结构化访谈收集数据。数据饱和支持样本量,使用Atlas.Ti5.2软件。结果:在数据分析中确定了四个主要主题,即政策内容、政策背景、政策过程和决策者。在分析历史和立法必要性的过程中,出现了九个次级主题。结论:对基本保险公司和事故受害者强制执行覆盖外财务负担以及提供服务包的普遍化是阻碍实施的最重要挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Insurance Coverage for Traffic Accident Victims in Iran’s Health System
Background: Injuries from traffic accident are the second cause of premature death (after ischemic heart disease) in Iran. In 2004 and 2010, two laws (Articles 92 and 36) were passed by the parliament addressing free health service delivery to victims of traffic accidents (financed by third party insurance premiums). Objectives: The current study explored the challenges and complexities related to problems in the implementation of Articles 92 and 36. Methods: This qualitative study was conducted using the framework analysis method. Thirty-six experts, managers, and policy-makers were selected using snowball sampling. Data was collected through semi-structured interviews in 2016. Data saturation supported the sample size, and Atlas.Ti5.2 software were used. Results: Four main themes were identified in the data analysis namely policy content, policy context, policy processes, and policy makers. Nine sub-themes emerged during the analysis history and the necessity of legislation. Conclusion: Enforcing out-of-coverage financial loads on basic insurance companies and accident victims along with generalization in providing service packages are the most important challenges hampering implementation.
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来源期刊
Trauma monthly
Trauma monthly EMERGENCY MEDICINE-
CiteScore
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