The Interaction between Insurance Organizations and Health System: The Insurance Mechanism based on Game Theory

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PAKDAMAN MOHSEN; Shafiei Milad; GERAVANDI SARA; HEJAZI ALI; Abdi Farhad

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Journal: Year:2019 | Volume:8 | Issue:1 Page(s): 18-28

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Title

The Interaction between Insurance Organizations and Health System: The Insurance Mechanism based on Game Theory

Author(s)

Keywords

Game Theory

Health System

Insurance Organizations

Insurance Mechanism

Abstract

Introduction: In order to achieve the highest level of effective interaction between the Insurance Organizations and the Health System, efforts should be made to identify existing communication challenges for policymakers and decision makers. The present study was conducted to identify interactive behaviors aimed at designing an Insurance Mechanism based on Game Theory to cover the existing gaps. Methods: This study consisted of two phases of qualitative and quantitative. In the qualitative phase, data were collected and classified by a semi-structured interview with a number of insurance professionals in Insurance Organizations and the Health System. In the quantitative phase of the study, interactive behaviors between the two organizations were studied. Finally, with the help of Gambit software, the Insurance Mechanism was designed. Results: In the qualitative phase, the data were collected in three main categories: behavioral and communicative, structural and financial and deductibles and 11 sub-categories. In the quantitative phase, 35 optimal interactive behavioral strategies were delineated. Conclusion: The best behavioral strategy for interaction between Insurance Organizations and Health System, to fill gaps in insurance system and to improve the interaction between the two organizations, was introduced in the form of 35 strategies to provide an Insurance Mechanism.

Cites

Determining the amount and causes of insurance deficits in selected Teaching and non-Teaching hospitals affiliated to Iran University of Medical Sciences

References

Factors Affecting Health Expenditures of Households in Iran: Application of Ordered Probit Model

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APA: Copy

PAKDAMAN, MOHSEN, Shafiei, Milad, GERAVANDI, SARA, HEJAZI, ALI, & Abdi, Farhad. (2019). The Interaction between Insurance Organizations and Health System: The Insurance Mechanism based on Game Theory. JOURNAL OF COMMUNITY HEALTH RESEARCH, 8(1), 18-28. SID. https://sid.ir/paper/344301/en

Vancouver: Copy

PAKDAMAN MOHSEN, Shafiei Milad, GERAVANDI SARA, HEJAZI ALI, Abdi Farhad. The Interaction between Insurance Organizations and Health System: The Insurance Mechanism based on Game Theory. JOURNAL OF COMMUNITY HEALTH RESEARCH[Internet]. 2019;8(1):18-28. Available from: https://sid.ir/paper/344301/en

IEEE: Copy

MOHSEN PAKDAMAN, Milad Shafiei, SARA GERAVANDI, ALI HEJAZI, and Farhad Abdi, “The Interaction between Insurance Organizations and Health System: The Insurance Mechanism based on Game Theory,” JOURNAL OF COMMUNITY HEALTH RESEARCH, vol. 8, no. 1, pp. 18–28, 2019, [Online]. Available: https://sid.ir/paper/344301/en

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