Presenting and Explaining the Strategic Model for Promoting Insurance Policies in Iran’s Health System

Today, health insurance plays an important role in improving the health of society and the level of well-being of people. Moreover, the World Health Organization also pursues important goals to improve the state of health and public health in countries. In our country, health insurances have shortcomings, many of which are related to policy issues and defects in the strategic management of such insurances, which require correction and improvement. In this regard, this article has been prepared with the aim of presenting and explaining a strategic model for the promotion of insurance policies in Iran’s health system.

which is developmental-applicative in terms of its purpose and is placed in the group of analytical and cross-sectional studies. In the qualitative phase, using the topic analysis method to design the research model, 26 academic and executive experts in the field of health insurance were interviewed in a targeted manner, and in the quantitative phase, structural equation modeling and Smart PLS software were used. The sample size was calculated using Cochran’s formula and 186 managers and professionals active in the field of health insurance were randomly asked for their opinions with a questionnaire.

After analyzing and coding the responses, findings including five strategies for improving macro management in health insurance, improving insurance services, improving insurance justice, managing resources and using a sustainable approach were identified, which form the basis of the designed model of variables related to drivers, factors They are contextual, strategies and consequences. The data analysis of these findings with the structural equation modeling method showed that the components of the research model were approved and all the estimated path coefficients were significant.

In the end, the results obtained from the different stages of the research indicate that by providing the interests of the beneficiaries and also considering all the variables influencing the policy making, it is possible to take a path towards improvement and improvement in the policy making process of health insurance in the country.