Network governance theory as basic pattern for promoting financial support system of the poor in Iranian health system

نویسندگان

چکیده

Abstract Background The share of out-of-pocket payments in Iranian families has the greatest burden on poor and lead to an impoverishment caused by catastrophic health expenditures. In order improve access public resources, it is necessary create a better governance system effective policy-making. purpose this study network effectiveness design financial protection for poor, based theory. Methods We are using quantitative method framework conjunction with Social analysis (SNA) strategy. To draw optimal network, we conducted interviews experts focusing arrangement relationship among different institutions. research sample was purposefully selected. used UCINET software data NetDraw networks. Results article, proposed following characteristics: First, problem density relationships several central institutions isolation other have been solved. Second, our model, distributed balanced manner all network. Third, number participants reduced consensus people support policies achieved Forth, executive organizations keep their positions upper not at position, so that power favor more governance. However, increase efficiency coherent decision-making, establish “core” include most others. Conclusion result revealed usefulness as tool proposing By strengthening main actors, organized management can be achieved. actors from levels, policy-making implementation. also clarify tasks identifying covering costs. From academic perspective, showed adequacy policy sciences. Governance model follows shared-governance pattern due its high density, low centralization distance. source changes system. It structural condition provide universal coverage.

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ژورنال

عنوان ژورنال: BMC Health Services Research

سال: 2021

ISSN: ['1472-6963']

DOI: https://doi.org/10.1186/s12913-021-06581-3