Document Type : Original Article
Authors
1 Assistant Professor, Research Center for Modeling in Health, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
2 BSc, Department of Health Services Management, Member of Research Committee, Faculty of Management and Health Informatics, Kerman University of Medical Sciences, Kerman, Iran
3 Master of Health Services Management, Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
Abstract
Introduction: When we achieve to the goals of health system that the people benefit from efficient and effective health care services. Fair services and fair financing, both depend on financing system. So financing information system is very important for making decision and Implementation of justice in health system. According to provincial autonomy and the importance of fair resources allocation, promotion of financing information system is necessary. Thus the purpose of this study was to determine the challenges of establishing of this information system (PHA).Methods: This was a qualitative and cross sectional study. The Community of research is formed by Twenty Eight people of experts and professionals from twelve different organizations of Kerman province. The sampling was determined purposefully according to related responsibility criteria and to collect data focus group approach was used also for completing data, Organizational reports was examined and in order to do Data Analysis, Analysis framework Was applied.Results: To Establish of (PHA) In Kerman Six main challenges and Twenty Two sub- challenges was identified that trustee and legal position, Collaboration and Communication, Manpower, Process, Technology And knowledge were identified consequently. Among all the challenges, the unclear trusteeship status was the most important.Conclusion: According to change model, the Infrastructures for implementation of National health accounts were not appropriate. According to the results of study some solutions for promotion of trusteeship status in Provincial health accounts for establishing of this system, formed the expert Commission of economic and Financial in health council of provinces, was proposed.
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