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The role of contractual arrangements in improving health sector ...

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Islamic Republic <strong>of</strong> Iran<br />

Annex 1<br />

QUESTIONNAIRE<br />

1. Do you have any contract(s) for <strong>health</strong> care purchas<strong>in</strong>g from private <strong>sector</strong>? If yes,<br />

would you please specify the services <strong>in</strong> this respect?<br />

2. How do you choose your private <strong>sector</strong> partner for contract<strong>in</strong>g out? Based on previous<br />

familiarity, colleagues’ advice, bidd<strong>in</strong>g, good reputation or else?<br />

3. How do you pay for services purchased from private <strong>sector</strong>? Fee for service, global, per<br />

unit, or else?<br />

4. Have you ever experienced problems/difficulties (legally or adm<strong>in</strong>istratively) <strong>in</strong><br />

conduct<strong>in</strong>g contracts with private <strong>sector</strong> (such as delay on payments and so on)? If yes<br />

how did you solve the problem(s)? Through referr<strong>in</strong>g them to the court, arbitrary, or<br />

other ways?<br />

5. Do you use any evaluation process for services purchased from and delivered by private<br />

<strong>sector</strong>? How? What is your <strong>in</strong>strument and who does (do) conduct the process?<br />

6. How renew<strong>in</strong>g <strong>of</strong> contracts takes place? On what conditions/circumstances?<br />

7. How and when a contract is nullified?<br />

8. Which part <strong>of</strong> the contract (university or private <strong>sector</strong>) ga<strong>in</strong>s more pr<strong>of</strong>it/benefit from<br />

contract<strong>in</strong>g processes?<br />

9. What was/were the consequences <strong>of</strong> out-sourc<strong>in</strong>g and purchas<strong>in</strong>g services from private<br />

<strong>sector</strong>? Decrease <strong>in</strong> unit cost, <strong>in</strong>crease <strong>in</strong> accessibility, <strong>in</strong>crease <strong>in</strong> quality <strong>of</strong> services,<br />

<strong>in</strong>crease equity, or else?<br />

10. Is there any specific team/group or unit <strong>in</strong> your university responsible for contract<strong>in</strong>g<br />

out and purchas<strong>in</strong>g services from private <strong>sector</strong>? If yes, please expla<strong>in</strong> more about its<br />

structure <strong>in</strong> terms <strong>of</strong> its personnel work and educational experience.<br />

11. On the whole what is your prediction about the future <strong>of</strong> this process (out sourc<strong>in</strong>g and<br />

contract<strong>in</strong>g out <strong>of</strong> <strong>health</strong> care services?<br />

102

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