نوع مقاله : علمی و پژوهشی
نویسندگان
1 دانشجوی کارشناسی ارشد حقوق عمومی، دانشکده‌ی حقوق و علوم سیاسی، دانشگاه مازندران، بابلسر، ایران،
2 دکتری تخصصی حقوق عمومی، دانشیار گروه حقوق، دانشکده‌ی حقوق و علوم سیاسی، دانشگاه مازندران، بابلسر، ایران، (نویسنده‌ی مسئول)،
3 دکتری تخصصی حقوق خصوصی، مدرس مدعو، دانشکده‌ی حقوق و علوم سیاسی، دانشگاه مازندران، بابلسر، ایران،
چکیده
کلیدواژه‌ها
موضوعات
عنوان مقاله [English]
نویسندگان [English]
Regulation of Physician tariffs setting refers to the mechanisms that determine the prices of physician services and plays an important role in ensuring fair pricing. The purpose of this article, which was conducted using a descriptive-analytical method, was to conduct a comparative study of the regulation of the process of determining physicians' tariffs in Iran and Canada, identify challenges, and provide solutions in this field. In Iran, the Supreme Health Insurance Council (SHIC) is required to review the relative value and determine the health service tariffs for all providers of health, treatment, and diagnostic services, before the next year's budget is approved by the Council of Ministers, and submit the matter to the Council of Ministers for approval after approval by the National Planning and Budget Organization. In Canada, tariffs are determined through a participatory process between provincial governments and medical associations, and both play an equal role . Among the important challenges in the tariff setting process in Iran are the imbalance in the composition of the Supreme Insurance Council, the unreality of tariffs, and the differences in tariffs for different sectors and specialties. It is suggested that in Iran, the composition of the SHIC members should be balanced, as in Canada, and representatives of the demand and supply sides are equally present, and that important factors such as the global price of medical costs, inflation rate, etc. should be taken into account when determining tariffs. It is also necessary to align the tariffs of different sectors and specialties.
کلیدواژه‌ها [English]
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