The study of the possibility of eliminating franchise in selected medical centers under insurance contract affiliated to medical sciences universities and other centers regarding service grading

Abstract

Competitive atmosphere of organizations is struggling against major challenges in the present decade. Due to increasingly developments in activity environments of organizations, rapid changes in markets, and promotion of competitiveness culture, it is felt the need using the patterns which not only have the ability of evaluating the current condition of the organization, recognizing the deeply-rooted issues and organizational harms (disadvantages), and identifying improvable areas, but also building an accurate basis in order to plan strategic planning. The present study aimed to investigate the possibility of eliminating franchise in selected Medical Centers under insurance contract in Social Security, and it is done in collaboration with managers and experts of healthcare managements of Social Security of Elam, Ardabil, South Khorasan province, Khuzestan, Semnan, Kurdistan, Kohkilooyeh and Boyer Ahmad cities, and Tehran. The results indicated that, in present conditions, the elimination of franchise cannot meet the interests of insurer. Because the management method of franchise as a major and efficient tool in the field of health economy reduces indiscriminate increase of unnecessary costs, therefore its elimination is not on the benefit of Healthcare Services providers of the country.