A study on the barriers of the implementation of social security act in the area of medical services in Alborz province

Abstract

In this study, an analytical review was done on the historical process and contexts of welfare system and social security in order to analyze and evaluate the main features of this act especially in the area of medical services. It was also attempted to study the executive barriers of the appropriate implementation of social security act in the area of medical services and present appropriate solutions for the current problems and barriers. According to the status of the obtained data, X 2 test was used to test the research hypotheses and finally all 6 research hypotheses were confirmed. The obtained results showed that different factors of infrastructural, equipment, human, credit, tariff, and governmental involvement are the barriers of the appropriate implementation of social security act and affect their  implementation. Also, the result  of Friedman test showed that governmental  involvement with the mean score of 4/92 is in the first place of the barriers of the implementation of social security act in the area of medical services. Then, credit barriers with the mean score of 4/11 are in the second place and tariff barriers with the mean score of 4/01 are in the third place. Also, equipment barriers with the mean score of 2/86 are in the fourth place. According to the respondents, the barrier of infrastructural factors with the mean score of 2/66 is in the fifth place and finally human barriers with the mean score of 2/45 are in the last place of importance.

Keywords: social security, comprehensive system, social security act, barriers of security act