Executive Instruction for the Payment Mechanism of Outpatient Services in the Electronic Referral System in Iran

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Kabir Mohammad Javad; Heidari Alireza; Moeini Sajjad; Khatirnamani Zahra; Rafiei Narges; Moradi Tayebeh; Moradi Tayebeh

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Journal Paper

Paper Information

Journal: Payesh Year:2023 | Volume:22 | Issue:2 Page(s): 185-197

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Title

Executive Instruction for the Payment Mechanism of Outpatient Services in the Electronic Referral System in Iran

Author(s)

Keywords

Executive Instruction

Payment Mechanism

Outpatient Services

Specialist Physician

Electronic Referral System

Abstract

Objective: The payment system of Specialist Physicians has significant effects on the country's health costs and the provision of medical care at a fair, sufficient and high-quality level. This study was conducted to design the payment system's implementation guidelines for providing specialized services in the Electronic Referral System. Methods: A qualitative study was conducted in 2021. The participants were hospital managers, top managers and experts in charge of health, treatment and development departments of Ministry of Health and Golestan University of Medical Sciences, Health Insurance Organization of Golestan province, Specialist Physicians and faculty members. Fourteen focus group discussion and six in-depth individual interviews were conducted. The content analysis method was used to analyze the data. Results: The requirements for the establishment of an efficient and effective payment system were classified into 6 main themes (legal, political, managerial, executive, economic, cultural and social) and 32 subcategories. The executive mechanism was classified into 3 main themes (executive structure, executive process and monitoring and evaluation method) and 16 subclasses. Conclusion: The implementation of the designed instruction can lead to increasing the access and benefit of services, improving the quality of providing specialized services, cost management and finally increasing the satisfaction of service providers and receivers.

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APA: Copy

KABIR, MOHAMMAD JAVAD, HEIDARI, ALIREZA, Moeini, Sajjad, Khatirnamani, Zahra, Rafiei, Narges, & MORADI, TAYEBEH. (2023). Executive Instruction for the Payment Mechanism of Outpatient Services in the Electronic Referral System in Iran. PAYESH, 22(2 ), 185-197. SID. https://sid.ir/paper/1038148/en

Vancouver: Copy

KABIR MOHAMMAD JAVAD, HEIDARI ALIREZA, Moeini Sajjad, Khatirnamani Zahra, Rafiei Narges, MORADI TAYEBEH. Executive Instruction for the Payment Mechanism of Outpatient Services in the Electronic Referral System in Iran. PAYESH[Internet]. 2023;22(2 ):185-197. Available from: https://sid.ir/paper/1038148/en

IEEE: Copy

MOHAMMAD JAVAD KABIR, ALIREZA HEIDARI, Sajjad Moeini, Zahra Khatirnamani, Narges Rafiei, and TAYEBEH MORADI, “Executive Instruction for the Payment Mechanism of Outpatient Services in the Electronic Referral System in Iran,” PAYESH, vol. 22, no. 2 , pp. 185–197, 2023, [Online]. Available: https://sid.ir/paper/1038148/en

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