Social Security Journal

Social Security Journal

Designing an induced demand model in the health system using a grounded theory approach

Document Type : Original Article

Author
Ph.D. student in health policy , Department of Health Policy, Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
10.22034/qjo.2025.480008.1384
Abstract
Purpose: The aim of the present research is to design an induced demand model in the health system using a grounded theory approach.
Method: This study is exploratory in nature, qualitative in terms of methodology, and practical in terms of its objectives. The study population consists of 8 professors and experts, selected through a field method, using interviews as the primary tool, along with 8 articles and books chosen purposefully and judgmentally.
Findings: Data were analyzed using the grounded theory method, employing the systematic approach of Strauss and Corbin’s theory. The data were categorized into three types of coding: open, axial, and selective, leading to the development of an induced demand paradigm model in the health system. The results identify causal factors (including system challenges, patient challenges, and insurance organization challenges), contextual factors influencing strategies (including psychological factors, education, and culture-building), as well as intervening factors affecting the implementation of strategies (such as increasing prices of medical goods).
The identified strategies for induced demand in the health system include (control and supervision, technology, laws and regulations, information management systems, and payment systems), with outcomes such as (adherence to medical ethics, ease of service provision, and cooperation and participation).
Conclusion: The data analysis revealed that causal, contextual, and intervening factors all influence induced demand. The suggested strategies, including control and supervision, technology, laws and regulations, information management, and payment systems, will lead to outcomes such as adherence to medical ethics, ease of service delivery, and cooperation.
Keywords

  • Receive Date 06 April 2024
  • Revise Date 23 May 2024
  • Accept Date 30 June 2024