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MR. The Position of Health Insurance in Social Security
system. 1st ed. Tehran: Social Security Research Institute;
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2. 6KL/6LQJK'(VVHQWLDORIWKH86+HDOWK&DUH6\VWHP86$-RQHVDQG%DUWOHWW3XEOLVKHUV
3. :LVH'<DVKLUR1+HDOWK&DUH,VVXHVLQWKH8QLWHG
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10. Vatan Khah S. The comparative Study of Financial
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Secure methods Health Insurance in Industrial Countries
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RI$]DG8QHYHUVLW\>3HUVLDQ@
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Comparative Study Private Health Insurance (Scope, Basis, Strategies, Model). Tehran: Medical Services InsurDQFH2UJDQL]DWLRQ>3HUVLDQ@
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12. 6WDWH 8QLW RI +HDOWK 6\VWHP 5HIRUP +HDOWK 6\VWHP
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14. /RW¿ $ 6RFLDO 6HFXULW\ 2UJDQL]DWLRQ 3UREOHPV DQG
Challenges in Insurance Circle. Tehran: Social Security
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15. International Social Security Association. Current Issues in Healthcare Reform. Geneva: ISSA; 1998.
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16. Dehnavieh R. Design model of Basis Health Insurance
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Insurance in Iran. Tehran: Majlis Research Center; 2007.
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18. Zare H. Health Care Package in Social Security Organization. Tehran: Social Security Research Institute;
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19. Ebrahimipoor H. Design Model for Public Health Insur-
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,QIRUPDWLRQ6FLHQFH,UDQ8QLYHUVLW\2I0HGLFDO6FLHQFHV
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20. Rada R. Information Systems and Healthcare EnterSULVHV86$,*,3XEOLVKLQJ
-d»ÔdËË|»
www.SID.ir
Problems of Health Insurance Systems and the Need for
Implementation of a Reform Approach
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Moghaddasi H.1 / Hosseini A.2 / Asadi F.3 / Esmaeili M.4
Abstract
Introduction: Health care has always been considered as one of the basic needs of human
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communities. Health insurance is the best choice for establishing social justice in health care
settings. Preliminary studies on insurance systems in Iran show that these systems suffer from
serious problems. This study was an attempt to identify system problems and review the necessity
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for adopting a reform in health insurance systems of Iran.
Methods: In this descriptive and exploratory study a questionnaire was used to collect data
by reviewing reliable sources and referring to health insurance organizations and Medical
Universities. The population included 24 university subject specialist informants and managers
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of health insurance organizations. The data were analyzed by SPSS software. The validity and
reliability of the questionnaire were measured by content validity and test-retest method(r=0.84).
Results: The main challenges of health insurance systems were related to the process of integration
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rules and regulations, organizational structures and funding.
Conclusion: Reforming health care and insurance systems stems from both health decision
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making and strategies. It seems that the creation of a coordinated information infrastructure is the
Journal of Health Administration 2011; 14 (44)
11
main challenge for the integration and ultimately the reform of health insurance systems in Iran.
Keywords: Health Insurance Systems Reforms, Problems of Health Insurance System, Information
System
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1. Associate Professor of Health Information Management Department, Faculty of Paramedical, Shahid Beheshti University of Medical
Sciences, Tehran, Iran
2. Assistant Professor of Health Information Management Department, Faculty of Paramedical, Shahid Beheshti University of Medical
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3. Assistant Professor of Health Information Management Department, Faculty of Paramedical, Shahid Beheshti University of Medical
Sciences, Tehran, Iran
4. MSc of Medical Records, Faculty of Paramedical, Shahid Beheshti University of Medical Sciences, Tehran, Iran
www.SID.ir

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