The experience of purchaser-provider split in the implementation of family physician and rural health insurance in Iran: an institutional approach

Conclusions The implementation of FP and RHI in Iran demonstrated the mixed effects of PPS on health system performance. Our research revealed that PPS did not succeed in changing the status quo, became a reason for fighting, misunderstanding, lack of co-operation and failure of the fragile partnership between the purchaser and provider. We advocate careful contextual preparation prior to large-scale application of PPS during nationwide implementation of FP in Iran as well as other settings.
Source: Health Policy and Planning - Category: Health Management Authors: Tags: Original articles Source Type: research