Volume 19, Issue 3 (11-2020)
jhosp 2020, 19(3): 30-44 |
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Masoudi Asl I, Aboulhallaje M, Rahati M. Hospital financing through the capital market; Explain the underlying factors in financing policy and its ordering. jhosp 2020; 19 (3) :30-44
URL: http://jhosp.tums.ac.ir/article-1-6301-en.html
URL: http://jhosp.tums.ac.ir/article-1-6301-en.html
1- Associate professor in health services management, Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
2- Associate professor in health services management, Ministry of Health and Medical Education, Tehran, Iran.
3- Ph.D. in Health Services Management, Faculty of Management, South Tehran Branch, Islamic Azad University, Tehran, Iran.(*Corresponding Author) email: Mrahati90@yahoo.com
2- Associate professor in health services management, Ministry of Health and Medical Education, Tehran, Iran.
3- Ph.D. in Health Services Management, Faculty of Management, South Tehran Branch, Islamic Azad University, Tehran, Iran.(*Corresponding Author) email: Mrahati90@yahoo.com
Abstract: (2110 Views)
Background: Hospital, as the largest and most important health system unit, has the highest costs. Governments cannot finance all of the costs of this sector, so reforms are inevitable. In this regard, researchers have explained the underlying factors in financing policy and its commanding.
Materials & Methods: This study is a descriptive study done by qualitatively and quantitatively method in 2019. The statistical population included experts from the health sector, the capital market, and the Social Security Organization. A purposive sampling method was used. Data collection tools were receipts and a semi-structured questionnaire for interviews. MAXQDA 11 software was used to analyze the interviews, and the Delphi technique was used for validation. Walt Gilson and Kingdon models were used for policy analysis and commanding.
Results: Underlying factors in policy-making and commanding the financing of hospitals from the capital market are macro-factors (governance and legal, political, social, and economic factors) and micro-factors (stewardship, financing, and technical factors). The financing problem stream of hospitals, the policy flow that includes public-private partnership models, and the political flow that began with sanctions open a window of opportunity to finance hospitals through the capital market.
Conclusion: Upstream documents and development plans allow the privatization of governmental organizations; therefore, in addition to government budgets and dedicated revenues, hospitals can use private-sector financing strategies. In the meantime, easy and inexpensive financing, transparency, and accountability are the capital market characteristics that introduce it as an appropriate strategy.
Materials & Methods: This study is a descriptive study done by qualitatively and quantitatively method in 2019. The statistical population included experts from the health sector, the capital market, and the Social Security Organization. A purposive sampling method was used. Data collection tools were receipts and a semi-structured questionnaire for interviews. MAXQDA 11 software was used to analyze the interviews, and the Delphi technique was used for validation. Walt Gilson and Kingdon models were used for policy analysis and commanding.
Results: Underlying factors in policy-making and commanding the financing of hospitals from the capital market are macro-factors (governance and legal, political, social, and economic factors) and micro-factors (stewardship, financing, and technical factors). The financing problem stream of hospitals, the policy flow that includes public-private partnership models, and the political flow that began with sanctions open a window of opportunity to finance hospitals through the capital market.
Conclusion: Upstream documents and development plans allow the privatization of governmental organizations; therefore, in addition to government budgets and dedicated revenues, hospitals can use private-sector financing strategies. In the meantime, easy and inexpensive financing, transparency, and accountability are the capital market characteristics that introduce it as an appropriate strategy.
Type of Study: Original Article |
Subject:
سیاست گذاری ، برنامه ریزی و رهبری و مدیریت در بیمارستان
Received: 2020/08/15 | Accepted: 2020/12/24 | Published: 2021/01/14
Received: 2020/08/15 | Accepted: 2020/12/24 | Published: 2021/01/14
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