关键词: Efficiency Grounded theory Health system Iran Price transparency

来  源:   DOI:10.1016/j.hpopen.2024.100120   PDF(Pubmed)

Abstract:
Insufficient price transparency has emerged as a pivotal contributor to patient dissatisfaction, escalating costs, and diminished productivity within Iran\'s health system. This study aims to delineate and elucidate a definition of price transparency, identify suitable strategies, and present the outcomes associated with establishing a health system that embraces transparent pricing while also addressing the challenges ahead. Employing a quantitative-qualitative research design, data were extracted from a semi-structured interviews with stakeholders. A purposive sampling method, encompassing sequential and snowball techniques, was employed to capture the perspectives of all stakeholders involved in the issue of price transparency in Iran. The interview data were analyzed using the grounded theory approach was classified into three categories: price transparency before, during, and after the receipt of healthcare services. Our findings reveal the causes of low price transparency, strategies to address the issue, and the consequences associated with increased levels of transparency. Ultimately, we contend that health systems can significantly enhance efficiency, patient satisfaction, and the performance of health insurance by adopting transparent pricing for health services, thus obviating the need for resource-intensive restructuring efforts.
摘要:
价格透明度不足已成为导致患者不满的关键因素,不断升级的成本,并降低了伊朗卫生系统内的生产力。这项研究旨在描述和阐明价格透明度的定义,确定合适的策略,并介绍与建立卫生系统相关的成果,该卫生系统既要透明定价,又要应对未来的挑战。采用定量-定性研究设计,数据是从与利益相关者的半结构化访谈中提取的。目的抽样方法,包括顺序和雪球技术,被用来捕捉参与伊朗价格透明度问题的所有利益相关者的观点。使用扎根理论方法分析的访谈数据分为三类:价格透明度之前,during,在接受医疗服务后。我们的发现揭示了低价格透明度的原因,解决这个问题的策略,以及与提高透明度相关的后果。最终,我们认为卫生系统可以大大提高效率,患者满意度,以及通过对医疗服务采用透明定价来实现医疗保险的绩效,从而消除了资源密集型重组工作的需要。
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