Authors

ALI JANATI1, DJAVAD GHODDOOSI-NEJAD2*, LEILA DOSHMANGIR1, ALI IMANI1

Departments

1 Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Tabriz Health Services Research Center , Tabriz University of Medical Sciences, Tabriz, Iran - 2*Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Student Research Committee , Tabriz University of Medical Sciences, Tabriz, Iran * Ali Janati and Djavad Ghoddoosi-Nejad contributed equal and should be considered both as main coauthors.

Abstract

Introduction: To understand the challenges of implementing strategic purchasing of health services in Iran from the viewpoints of experts, policy makers, and decision makers.

Methods: In a qualitative study in 2014-15, one focus group discussion -FGD- and 21 interviewees carried out with policy makers, decision makers and experts. Experts were selected from purchaser organizations of health services in Iran health system. The content analysis method was used to analyze the data.

Results: five important themes emerged after the data were analyzed, i.e., infrastructures of strategic purchasing, stakeholders of purchasing health services, payment system, package of health services, and stewardship of health system.

Conclusion: along-term, well-defined plan, developed with the participation of all stakeholders, is needed for proper implementation of strategic purchasing.

Keywords

purchasing, health services, Iran, payment system, benefit package.