Mohsen Pakdaman - مرکز تحقیقات مدیریت و سیاستگذاری سلامت، گروه مدیریت خدمات بهداشتی درمانی، دانشکده بهداشت، دانشگاه علوم پزشکی شهید صدوقی یزد، یزد، ایران
Milad Shafiei - گروه مدیریت خدمات بهداشتی، دانشکده بهداشت، دانشگاه علوم پزشکی شهید صدوقی یزد، یزد
Sara Geravandi - گروه مدیریت بهداشت و اقتصاد، دانشکده بهداشت، دانشگاه علوم پزشکی تهران، تهران
Ali Hejazi - گروه پزشکی اجتماعی، دانشکده پزشکی، دانشگاه علوم پزشکی خراسان شمالی، بجنورد، ایران
Farhad Abdi - گروه مدیریت خدمات بهداشتی، دانشکده بهداشت، دانشگاه علوم پزشکی شهید صدوقی یزد، یزد

Introduction: In order to achieve the highest level of effective interaction between the insurance organizations and the health system, efforts should be made to identify existing communication challenges for policymakers and decision makers. The present study was conducted to identify interactive behaviors aimed at designing an insurance mechanism based on game theory to cover the existing gaps. Methods: This study consisted of two phases of qualitative and quantitative. In the qualitative phase, data were collected and classified by a semi-structured interview with a number of insurance professionals in insurance organizations and the health system. In the quantitative phase of the study, interactive behaviors between the two organizations were studied. Finally, with the help of Gambit software, the insurance mechanism was designed. Results: In the qualitative phase, the data were collected in three main categories: behavioral and communicative, structural and financial and deductibles and ۱۱ sub-categories. In the quantitative phase, ۳۵ optimal interactive behavioral strategies were delineated. Conclusion: The best behavioral strategy for interaction between insurance organizations and health system, to fill gaps in insurance system and to improve the interaction between the two organizations, was introduced in the form of ۳۵ strategies to provide an insurance mechanism.

Game theory, Health system, Insurance organizations, Insurance mechanism, تئوری بازی, نظام سلامت, سازمان های بیمه گر, موانع ارتباطی, مکانیزم بیمه ای