AIMS This study aimed to describe the current situation with regard to dental care provided under social insurance in Iran in qualitative terms and to assess it critically with regard to equity and efficiency. METHODS After a thorough review of the relevant literature, a template of topics, which included population coverage, range of treatment provided, contracting mechanisms, fees, level of...

In the conditions of market infrastructure for the transformation of medical services, there is an objective need to build effective insurance protection of the population against risks associated with loss of health. Using a systematic approach, the problem of combining compulsory and voluntary health insurance is investigated, a theoretical conceptualization of the concept of “financial mecha...

payment mechanism health insurance is a serious challenge for policy makers, access to health, continuing care, need to technology, huge expenses a considerable part of health funds is collected. therefore organizing and designing appropriate policies for organizing, financing, payment mechanism for providers and role of diagnostic related groups system. in this study, our main objective study ...

introduction: neglecting to define important criteria in developing a basic health insurance package and to notice their real roles will result in defining a package which is politically unacceptable, non-economical, technically inefficient or mixed of them. therefore development of basic health insurance package should be according to appropriate composition of influential criteria. this study...

BACKGROUND Many countries striving to achieve universal health insurance coverage have done so by means of multiple health insurance funds covering different population groups. However, existence of multiple health insurance funds may also cause variation in access to health care, due to the differential revenue raising capacities and benefit packages offered by the various funds resulting in i...