Exploring the changes of physicians' behaviour toward informal payment based on Health Transformation Plan in Iran: A qualitative study

• DOI: 10.1002/hpm.3020
• Publication Date: 2020-07-15T06:24:08Z
• Authors: Minoo Alipouri Sakha; Telma Zahirian Mo...; Hassan Ghobadi; Hamed Zandian
• Keywords: Interviews as Topic; Reimbursement Mechanisms; 03 medical and health sciences; 0302 clinical medicine; Health Plan Implementation; Humans; Iran; Practice Patterns, Physicians'; Qualitative Research; 3. Good health

Summary By implementation of the Health Transformation Plan (HTP), a revised tariff system for healthcare services was executed in Iran. This study explores changes physicians' behaviour facing informal payment (IP) based on HTP We conducted in‐depth semi‐structured interviews with 15 purposefully selected physicians and policy makers to explore (positive, negative no) behaviours without HTP. The were individually face face. conventional content analysis data by MAXQDA ver.10 used. Based results, regardless implemented, market competitiveness could control demand IP. However, unreal tariffs, irregular payments, inflation, expensive comparing income other occupations increase IP as behaviour. explored three patterns behavioural change because implementation: 1—positive four factors; 2—negative two 3—no factors. Various factors influenced towards To combat more efficiently, we recommend strengthening HTP's positive interventions, compensation target income, enhancing supervision, reducing gap among various medical specialities taking systematic approach law offenders.