نوع مقاله : مقاله پژوهشی
نویسنده
کارشناس ارشد، مهندسی صنایع، باشگاه پژوهشگران جوان و نخبگان، واحد خمین، دانشگاه آزاد اسلامی، خمین، ایران
چکیده
مقدمه: درمان غیر مستقیم، یکی از روش‌های ارایه خدمات درمانی به بیمه‌شدگان سازمان تأمین اجتماعی می‌باشد که از طریق خرید خدمات از مراکز دولتی و خصوصی صورت می‌گیرد و در واقع، بخشی از خدمات درمانی برون‌سپاری محسوب می‌شود. هدف از انجام تحقیق حاضر، رتبه‌بندی مناطق مختلف ایران از نظر میزان برون‌سپاری خدمات درمانی و فعالیت درمان غیر مستقیم سازمان تأمین اجتماعی بود.روش بررسی: این مطالعه به روش توصیفی- مقطعی انجام شد. داده‌های مورد نیاز با مراجعه به وب‌سایت سازمان تأمین اجتماعی و دانلود سالنامه آماری سال 1395 به دست آمد. همه استان‌های کشور به همراه منطقه کاشان، با در نظر گرفتن شش شاخص به ازای جمعیت تحت پوشش درمان هر منطقه و با به کارگیری یکی از جدیدترین روش‌های تصمیم‌گیری چند شاخصه به نام ارزیابی محصول جمع شده با وزن (Weighted Aggregated Sum Product Assessment یا WASPAS)، رتبه‌بندی شدند.یافته‌ها: نسبت تعداد کل مراکز درمانی طرف قرارداد به جمعیت تحت پوشش درمان هر منطقه به دلیل کسب بیشترین وزن، مهم‌ترین شاخص تشخیص داده شد. در تمام مناطق تحت بررسی، شیوه ارایه خدمات درمانی به صورت غیر مستقیم وجود داشت، اما بیشترین و کمترین عملکرد به ترتیب به استان‌های سیستان و بلوچستان و بوشهر اختصاص یافت.نتیجه‌گیری: سازمان تأمین اجتماعی از شیوه درمان غیر مستقیم (خرید خدمات درمانی و عقد قرارداد با مراکز دولتی و خصوصی) به عنوان یک راهبرد جهت افزایش دسترسی بیمه‌شدگان به منابع درمانی و جایگزین نمودن آن با توسعه و ساخت و ساز مراکز ملکی در تمامی مناطق ایران (البته به طور غیر یکسان) استفاده نموده است.
کلیدواژه‌ها
عنوان مقاله [English]
Ranking Different Regions of Iran in Terms of the Level of Health Services Outsourcing and Indirect Care Activities of the Social Security Organization via Using Multiple Attribute Decision Making Method in Year 2016
نویسنده [English]
- Abbas Jahangiri
MSc, Industrial Engineering, Young Researchers and Elite Club, Khomein Branch, Islamic Azad University, Khomein, Iran
چکیده [English]
Introduction: Indirect treatment is one of the methods of providing health care for customers in social security organization through the purchase of services from public and private centers. In this way, a portion of the health care is outsourced. The purpose of this study was to rank different regions of Iran in terms of the level of health services outsourcing and indirect care activities of the Social Security Organization.Methods: In this descriptive sectional study, the required data were obtained by referring to the Social Security Organization website and downloading the Statistical Yearbook of 2016. Then, indirect treatment performance of that organization in all provinces, as well as Kashan area, was evaluated and compared with each other using six indicators for covered population in each area. Evaluation was carried out using one of the newest multiple attribute decision making methods, namely Weighted Aggregated Sum Product Assessment (WASPAS).Results: The ratio of the number of contracted-out treatment centers to the population covered by insurance in each region was recognized as the most important indicator due to having the highest weight. There was provision of indirect healthcare services form in all studied regions; but the highest performance was observed in Sistan and Baluchestan Province, while the worst performance was observed in Bushehr Province.Conclusion: Social Security Organization has used indirect care method (purchasing health services and contracting with public and private centers) as a strategy to increase the accessibility of medical resources to insured customers, and to replace development and construction of proprietary centers in all regions of Iran with outsourcing (with different amount of outsourcing in different regions).
کلیدواژه‌ها [English]
- Social Security
- Outsourcing
- Decision Making
- Contract Services
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