The present study was conducted to define the variables affecting payment mechanism for strategic purchasing in the indirect health section of Iranian Social Security Organization of Iran, 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 factors. 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.

Background: Today, nursing is getting more complex and specialized and nursing management is of great significance. Nursing managers play an essential role in organizing, providing services, and enhancing the quality of nursing care. For this reason, this study aimed at determining the framework, dimensions, and requirements for selection, training, and recruitment of nursing managers in selected hospitals of different countries to provide a review and comparison of experiences. Methods: A mixed-method design was used to provide a model for selection, recruitment, and training of nursing managers in Iran, 2017. With a comparative study, the variables were identified. A data extraction form was used to collect data and content analysis was used to analyze data in the comparative phase. Finally, the initial questionnaire was compiled and approved by the experts. The final questionnaire was then given to 250 individuals and data were analyzed using factor analysis in Amos software. Results: 50 main items were extracted based on comparative findings in the three main dimensions: selection, training, and recruitment. 17 items were related to selection, 12 to training, and 21 to recruitment. Selection based on human skills of qualified people, teaching specialized principles of nursing management in the nursing university curriculum, and the existence of a planning committee for job analysis had the most impact on the selection, training, and recruitment of nursing managers in hospitals. Conclusions: Professional associations under the supervision of the ministry of health and paying attention to human skills of qualified individuals can play an important role in selecting nursing managers. Therefore, these associations should be used more. Recruitment standards and criteria in the field of nursing management requires more information clarification and factors such as education, organization, and institutionalization should be discussed and localized according to the conditions of different countries.