文章基本信息

标题：Payment system of urban family physician programme in the Islamic Republic of Iran: is it appropriate?
本地全文：下载
作者：Leila Doshmangir ; Arash Rashidian ; Amirhossein Takian 等
期刊名称：Eastern Mediterranean Health Journal
印刷版ISSN：1020-3397
出版年度：2018
卷号：24
期号：7
页码：611-617
DOI：10.26719/2018.24.7.611
出版社：World Health Organization
摘要：Background : The payment system is pivotal in implementing policies in the health sector. Equitable access to healthcare is the main principle of the payment system. Aims : This study aimed to investigate aspects of the payment system in the urban family physician programme (FPP) in the Islamic Republic of Iran. Methods : This was a qualitative study. We obtained data from key informants and both formal and grey literature. We used content analysis for data analysis. Results : A range of concepts was explored related to the payment system of the FPP. By merging similar expressions, we categorized the findings into four main themes including: payment method, payment criteria and incentives, payment process and amount of payment. Conclusions : FPP is required to follow convenient implementation methods. The mechanisms of payment in the health sector are weak and have no transparency. A blurred combination of criteria makes an unclear process for determining the payment mechanisms. It is recommended that the opinions of key stakeholders be taken into consideration prior to developing payment mechanisms and financial incentives.
关键词：family physicians; healthcare access; Iran; payment system; urban area