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Network analysis of Iranian’s health insurance ecosystem before and after the introduction of universal health insurance law

引用

Global health Research and Policy 2023年第1期8卷 379-391页

作者： Rohaneh Rahimisadegh Somayeh Noori Hekmat Mohammad Hossein Mehrolhassani Mohammad Jafari Sirizi health Services Management Research Center Institute for Futures Studies in HealthKerman University of Medical SciencesKermanIran health Foresight and Innovation Research Center Institute for Futures Studies in HealthKerman University of Medical SciencesKermanIran Department of health Management Policy and EconomicsFaculty of Management and Medical Information SciencesKerman University of Medical SciencesKermanIran National Center for health insurance Research TehranIran

Introduction The policy-making process in health reform is challenging due to the complexity of organizations,overlapping roles,and diversity of *** present study aims to investigate and analyze the network of actors in the Iran health insurance ecosystem regarding the laws before and after the adoption of the universal health insurance(UHI).Methods The present study was done by sequential exploratory mixed method research,consisting of two distinct *** the qualitative phase,the actors and issues pertaining to the laws of the Iranian health insurance ecosystem from 1971 to 2021 were identified through a systematic search of the laws and regulations section of the Research Center of the Islamic Legislative Assembly *** data was analyzed in three steps using directed content *** the quantitative phase,in order to draw the communication network of the actors in Iran’s health insurance ecosystem,the data related to the nodes and links of the networks was *** communication networks were drawn using Gephi software and the micro-and macro-indicators of network were calculated and *** There were 245 laws and 510 articles identified in the field of health insurance in Iran from 1971 to *** of the legal comments were on financial matters and credit allocation,and the payment of *** number of actors before and after the enactment of the UHI law was 33 and 137,*** Ministry of health and Medical Education and the Iran health insurance Organization were found the two main actors in the network before and after the approval of this *** Adopting a UHI law and delegating various legal missions and tasks,often with support to the health insurance organization,have facilitated the achievement of the law ***,it has created a poor governance system and a network of actors with low *** on the results of the study,it is suggested to reduce actor

关键词： health insurance Ecosystem Actors Network analysis universal health insurance law Iran

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