Variables Affecting the Payment Mechanism for Strategic Purchasing in the Indirect Health Section of Iranian Social Security Organization

Abstract

The present study was conducted to define the variables affecting payment mechanism for strategic purchasing in the indirect health section of Social Security Organization, by which the Organization can provide the insured with better services while controlling the cost. 13 variables affecting payment mechanism for strategic purchasing were determined. A questionnaire was prepared based on above variables and completed by experts. The data was analyzed by SPSS and LISREL through confirmatory and exploratory analysis factor. The results indicate that payments mechanism is important in the process of strategic purchasing and three partial dimensions including performance-based payment mechanism, time-based payment system and risk coverage should be considered: 1-performance-based payment system includes variables such as financial incentives for health service providers, prospective payment system and performance-based motives for health service employees. 2-Time-based payment system includes variables such as the time of receiving service. 3. Risk coverage includes variables such as justice and financial protection against disease risk.