Modeling people's Empowerment Strategies in the Health Insurance System Based on Z-Number Cognitive Mapping Method

The efficiency and effectiveness of health systems and the amount of health insurance coverage are considered as one of the main components in the development of countries. Empowerment of people in the health system has been introduced as one of the effective and efficient solutions by the World Health Organization. The purpose of this study is to model effective strategies for empowering people in the health insurance system of Iran.

This research is applied in terms of purpose and descriptive-analytical in terms of method and is a qualitative research in terms of tools. In this study, using the tacit knowledge of experts and the method of content analysis, the causal relationships between strategies affecting the empowerment of individuals / insured in the health insurance system were identified. Due to the ambiguity and uncertainty in the statements of experts, the developed method of cognitive numbering has been used for modeling.

Based on the indicators of effectiveness, impressiveness and centrality, effective strategies on empowerment of individuals in the health system were evaluated. Local organization capacity strategy with a score of 2.62 with the highest impact index, rights protection strategy with a score of 2.67 with the highest impact index and participation strategy with a score of 4.91 with the highest centrality index. FCMapper and Pajek software were used to draw and determine the amount of indicators.

Implementation of empowerment approach in health insurance organization of Iran has different dimensions among effective strategies that modeling causal relationships between them can play an effective role in proper implementation of this approach.