Policy analysis of the protection of Iranian households against catastrophic health expenditures: a qualitative analysis

Table 5 The effective factors in the failure of CHE reduction policies in the category of actors

Theme	Sub theme	Category	Subcategory
Actors	Conflict of interest	Clinical perspective in Iran health system	The presence of the majority of physicians in all policy making and decision-making authorities
			Physician authority
			Professional bias of physicians in legislation and implementation
		Model of policy making	Lack of a unique decision maker stewardship for health system
			General policy patterns in the country
			Priority of specialized and curative care in policy making
			Ignoring the scientific bases of policy making
	Power arrangement	Health service provider behavior	Healthcare provider profitability
			Improper distribution of power
			System design based on the interests of service providers
			Strong provider lobby
		Health market behavior	The difference in payment in the public and private sector of the market
			The role of the market in increasing induced demand
			Expansion of informal payments
			Privatization in the health system
			The inability of the government to regulate the health market
			Non-participation of the provider in the health market risk

ISSN: 1472-6963