Designing a health financing model in the Ministry of Health and Medical Education with a donors social participation approach

The health care financing is one of the most important concerns of most governments and the health donors funding play an important role in this field. The purpose of this study is to design a health financing model in the Ministry of Health and Medical Education with the approach of health donors social participation.

This qualitative study was conducted using the basic theory method during 2019 and 2020 at the level of medical universities in the country. Participants in the current study were experts, including university professors and health donors. Sampling was performed by purposive method. Data were collected through unstructured in-depth interviews with experts and continued until the theoretical saturation stage was reached. The data were analyzed based on the paradigm model of Strauss and Corbin.

After analyzing the data, 123 primary codes, 27 sub-categories and 13 main categories were determined in order to be account in designing the health financing model including, motivation for financial assistance to the health system in the community, building trust among health donors, justifying and explaining health system development plans for donors, enabling the visit of health system plans and projects for charities, informing the community about the positive effects of social participation in the health system, positive strengthening of charitable actions, promoting a culture of community participation, religious advice on endowments, legal restrictions on health donors social participation, the economic situation of the society, systematic collection  and appropriate using of financial resources from the health donors , and  improvement of the countrychr('39')s health system.

It can be concluded that improving the motivation of financial assistance to the health system in society with the approach of social participation of health donors will ultimately lead to improving the health system. However, in this regard, sufficient attention should be paid to different strategies, conditions and related contexts according to the findings of this study.