Designing a Framework for “Iranian Pay for Performance” Program for Non-Medical Workforce in Hospitals

Gray, Serajaddin; Manesh, Alireza Olyaee; Harirchi, Iraj

doi:10.5812/jhealthscope.65472

Cited by 4 publications

(3 citation statements)

References 20 publications

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“…• Considering the quantity and quality of staff performance in merit pays according to the type of activity and expanding the motivation and commitment of the hospital management team for the qualitative and quantitative growth of medical services (11).…”

Section: -1: Pay For Performance In Iranmentioning

confidence: 99%

Agenda setting, Development and Implementation of Pay for Performance Policy in Iran: Analysis of Policy-making Using the Refined Multiple Streams Framework

Gray

Olyaeemanesh

Harirchi

2022

Preprint

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Introduction: Linking payments to results is introduced as a mechanism for increasing accountability. To this end, a policy, called IR-PfP, was implemented in Iran in 2014 as one of the components of the country's Health Transformation Plan. Thus, the present study aimed to report on the steps of agenda setting, development and implementation of this policy.Methodology: The present qualitative study was conducted in 2018 through document analysis and interviews. As for data analysis, the content analysis method with a theory-based approach and MAXQDA10 software were applied.Findings: The results indicated that the Refined Multiple Streams Framework well described the implementation of the policy. The three streams of law enforcement (Politics), shortcomings of the ongoing program (NPS) (Problem) and Pay for Performance mechanism (Policy) were merged with the opening of the first opportunity window, and the second opportunity window led to the incorporation of the next five streams. Therefore, the policy stream was redefined, and the politics and problem streams were respectively strengthened by some events, which were the dominant streams. The program and process streams became very weak due to executive and time limitations.Conclusion: The policy stream followed the politics and problem streams. The multiplicity of opportunity windows was verified, and creation of an institution and two policy groups were the main factors in agenda setting. The combination of all these results, stress the importance of dynamic studying of Iran's health policies.

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Section: -1: Pay For Performance In Iranmentioning

confidence: 99%

Agenda setting, Development and Implementation of Pay for Performance Policy in Iran: Analysis of Policy-making Using the Refined Multiple Streams Framework

Gray

Olyaeemanesh

Harirchi

2022

Preprint

Self Cite

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“…Proper salaries are one of the main strategies to attract and retain the workforce [ 50 ]. Payments in the Iranian health system to non-medical workforces are based on the combination of fixed salaries and performance-based payments, and nurses cannot obtain additional incomes through the provision of private services in government-run healthcare settings [ 51 ]. Studies in Iran have shown that the bulk of the healthcare sector’s expenditures in all healthcare settings is mainly dedicated to physicians [ 50 ].…”

Section: Nursing Profession In Iranmentioning

confidence: 99%

Insecure Employment Contracts during the COVID-19 Pandemic and the Need for Participation in Policy Making

Maleki

Mardani

Vaismoradi

2021

IJERPH

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Job security influences the ability of nurses to provide high-quality nursing care. The Iranian health system has always faced nursing shortages, and the COVID-19 pandemic has worsened this situation. Although nurses have been labelled ‘heroes’ across the globe, many of them have been hired using insecure employment contracts. This commentary aims to describe issues surrounding job contracts for Iranian nurses during the COVID-19 pandemic and discusses how the current situation can be improved. Iranian nurses are at the frontline of the fight against COVID-19 and need to receive better support in terms of job security and dignity. They should participate more in policymaking activities to improve their job condition and prevent the development and implementation of the short-term and insecure job contracts that lead to job insecurity.

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“…Hence, to control resources, insurance organizations use various methods to control and assess the behavior of healthcare providers and patients covered by them (8)(9)(10). One of the methods to control the behavior of healthcare providers is the different ways of payments to healthcare providers that are calculated differently according to provider performance, type of department and department income (11).…”

Section: Iran's Health System Has Experienced Various Reformsmentioning

confidence: 99%

Who Uses The Health Services More? A Descriptive Study of Excessive Users’ Profile and Causes

Ferdosi

Rezayatmand

Abbas³

et al. 2019

Health Scope

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Background: Identifying the causes of health services overutilization is an effective way of preventing misspending of insurance organizations' resources. Objectives: The present study was conducted to identifying demographic factors and the causes of health services overutilization among those insured by the Iran Health Insurance Organization (IHIO). Methods: The present cross-sectional study was conducted in 2017. The study population consisted of excessive users insured by IHIO in Isfahan province, of whom, 175 were randomly selected. Data obtained by the IHIO medical information system, insurance booklets and a data collection form was analyzed in SPSS-22 using descriptive statistics at a significant level of 0.05. Then, they were categorized based on their main referral cause. Results: About 1.2 percent of the people insured by the IHIO in Isfahan province are among the health service over users. Participants' mean age was 50.7 ± 15.8 years. Among them, 56.6 percent were female. Mean frequency of physicians' visits were 16.3 ± 11.7 (more than 10 times greater than others) and the mean of paraclinical services usage was 19 ± 13.08 (more than 12 times greater than others) in the first 8 months of 2017. Mean of all physicians' visits among females was 18.47 ± 14.7 and means of paraclinical services usage among them was 20.63 ± 14.83. The most common causes of health services over utilization among the insured included complicated medical problems (chronic disease 47.42 percent, being elderly 17.14 percent and pregnancy 6.28 percent), health anxiety disorder (HAD) (24 percent), and administrative causes (breaking or missing papers) 2.9 percent. Conclusions: According to the findings, people with complicated and chronic illness account for the majority of the over users. Others with health anxiety are in the next category. Then, identifying the over user group, their demographic characteristics, and their causative categorization can lead to a variety of solutions to suit each category. This study recommends insurance organizations to pay more attention to the service-seeking behaviors of different population groups and to consider utilization review studies as an important research approach.

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Designing a Framework for “Iranian Pay for Performance” Program for Non-Medical Workforce in Hospitals

Cited by 4 publications

References 20 publications

Agenda setting, Development and Implementation of Pay for Performance Policy in Iran: Analysis of Policy-making Using the Refined Multiple Streams Framework

Agenda setting, Development and Implementation of Pay for Performance Policy in Iran: Analysis of Policy-making Using the Refined Multiple Streams Framework

Insecure Employment Contracts during the COVID-19 Pandemic and the Need for Participation in Policy Making

Who Uses The Health Services More? A Descriptive Study of Excessive Users’ Profile and Causes

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