Table 4 Themes and subthemes related to causes and practical solutions of IPs
Theme | Factors associated with IPs | Proposed practical solution |
|---|---|---|
Modifying, adjusting and applying policy interventions | Implementing proper reforms and programs | Establishing a referral system and family physician program. Eliminating the direct relationship between a patient and a provider. Using Clinical and Ethical Guidelines. Timely yearly notification of tariffs. Increasing the share of health funding from the public budget. |
Trust to the healthcare system | Increasing transparency in processes in the health system. | |
Culture making | Institutionalization of professional ethics. Changing the culture of gratitude through informal payments. | |
Mechanisms of tariffs setting | Rationalization of medical tariffs. Setting medical tariffs based on the total cost. | |
Payment system | Ratification of financing and payment system. Avoiding any payment inequity between different medical groups. | |
Public and private regulations | Preventing the employment of physicians in both public and private sectors (avoiding dual practice). | |
Supervision, Monitoring and Evaluation | Mechanisms of monitoring and supervision | Organizing systematic supervision, monitoring and evaluation. The proper response to patients’ complaints and following up the demand. The role of MoHME’s in supervision. The supportive role, control and supervision of the Medical Council. |
Mechanisms of reward and punishment | Legislation, preventative regulation conforming with the amount of impact. Strict and efficient dealing with offenders and issuing timely warnings. | |
Actors and Stakeholders | Role of actors and stakeholders | The supportive role of insurance organizations from physicians and patients. Using the suggestions and advice of all stakeholders. Professional responsibility. Informing patients and other stakeholders. |
Policy advocacy | Strengthening the role of stewardship, regulation and policymaking of MoHME. Avoiding any discrimination in the medical community. Suitable distribution of resources in the healthcare system. | |
Health Insurance organizations approach | Avoid reimbursement delays in insurance claims. Effective coverage of people. |