Strategic purchasing in the market of advanced medical equipment: an applied model for developing countries |
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| Institution: | 1. Health Human Resources Research Center, Shiraz University of Medical Sciences, Shiraz, Iran;2. Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran;3. Health Management and Economics Research Center, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran;4. Health Management and Economics Research Center, Department of Medical library and Information Science, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran;5. Department of Health Information Technology, School of Paramedical Sciences, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran;1. Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran;2. Department of Global Health and Public Policy, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran;3. Health Equity Research Centre (HERC), Tehran University of Medical Sciences, Tehran, Iran;1. Health Equity Research Center (HERC), Tehran University of Medical Sciences, Tehran, Iran;3. Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran;5. Community Based Participatory Research Centre, Tehran University of Medical Sciences;6. Knowledge Utilization Research Centre, Tehran University of Medical Sciences;7. Department of Mathematics, Science and Research Branch, Islamic Azad University, Tehran, Iran;8. Health Financing Unit, World Health Organization, Geneva, Switzerland;9. Department of Health Care Management, Sciences and Research Branch, Islamic Azad University, Semnan, Iran;10. Knowledge Utilization Research Center, University Research and Development Center, Tehran University of Medical Sciences, Tehran, Iran;11. Management and Leadership in Medical Education Research Center, Kerman University of Medical Sciences, Kerman, Iran;1. M.Sc. of Health Information Technology, Medical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran;2. Ph.D. Student in Medical Informatics, Health Information Technology Department, Faculty of Management and Medical Informatics, Kerman University of Medical Sciences, Kerman, Iran;3. Ph.D., Associate Professor of Medical Informatics, Medical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran;1. Faculty of Public Health, Universitas Airlangga, Indonesia;2. School of Advanced Technology and Multidiscipline, Universitas Airlangga, Indonesia;3. School of Population Health, Faculty of Medicine and Health Science, University of Auckland, 1010, New Zealand |
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| Abstract: | BackgroundPurchasing health services related to advanced medical equipment is merely based on the decision of the providers in Iran as a developing country in West Asia. This passive process makes health insurance organizations reimburse the bills retrospectively. This study aimed at developing a model for the strategic purchasing of high-tech medical services in Iranian health insurance organizations.MethodsThis was a mixed-method study consisting of a qualitative and a quantitative phase. In the qualitative phase, a scoping study was performed to identify the indicators and strategies of strategic purchasing of high-tech medical services in the world and then the primary model of strategic purchasing of high-tech medical services was developed for Iranian health insurance organizations by an expert panel. In the quantitative phase, the developed model was validated by the Delphi technique.ResultsNarrative analysis of the articles yielded six main dimensions and 36 sub-dimensions of strategic purchasing of high-tech medical services each of which was relevant to one of the five main questions of strategic purchasing. The main dimensions were the position of strategic purchasing in the health system, organization and management, position of internal and external stakeholders, health technology assessment, pricing, and indicators of contracting.ConclusionIn the present model, six applied dimensions were achieved for implementing strategic purchasing in Iranian Health Insurance Organization. The relationship of “stewardship and position of health system” and “Position of health stakeholders” which are responsible for all resource allocation and purchasing mechanism in the health system are emphasized. Simultaneously, the model emphasized “structure and management of the provider organizations” that is important for determining the real needs of the community and managing the correct medical demand. |
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