Journal of Modern Medical

Introduction
Mobile health services provide access to health services for remote and vulnerable people by eliminating time and place limitations. These services are able to solve the lack of medical resources in underdeveloped and developing areas and, as a result, help strengthen health justice [2]. These services have led to the improvement of the quality and efficiency of providing health services, patient satisfaction and outcomes, management of chronic diseases, and facilitating access to health services. By creating new solutions, they increase the efficiency and effectiveness of the health system and help the World Health Organization in achieving health goals [6-9].
The Social Security Organization (SSO) in Iran, as the largest insurance company in the country which covers a large population, is involved in problems such as unbalanced access to prevention and treatment programs, lack of medical resources, and asymmetric growth of demand-supply mismatch [10]. An effective, accessible and economic solution to solve these problems is the use of mobile value-added services in the field of treatment. There are various factors that can affect the efficiency, quality, user satisfaction, and acceptance of these services [11]. The development of an appropriate model of using mobile value-added services in health based on these factors can lead to the promotion of health services. In this regard, this study aims to present a suitable model for using mobile value-added services in health for the SSO in Iran.

Methods
This is a descriptive and cross-sectional study that was conducted in 2022. The study population consists of all information technology experts in treatment management department of the social security organization in Tehran province (n=84). They all were selected using the census sampling method. The data collection tool was a questionnaire designed based on Ahmadi Varzaneh et al.’s study [16], including 62 items rated based on a Likert scale. The reliability of the questionnaire using Cronbach’s α was obtained 0.944. The content validity of the questionnaire was confirmed by five in health information technology. To analyze the data, we used the exploratory factor analysis, descriptive statistics, and statistical tests in SPSS software, version 25. First, Bartlett’s test and KMO coefficient were used to check the suitability of the data for factor analysis. Then, by using principal component analysis and varimax rotation, factors affecting the use of mobile value-added services in the social security organization were identified.

Results
According to the reports, 26.56% of participants had age 20-30 years, 39.06 % aged 30-40 years, and 34.37% aged 40-50 years. Moreover, 29.68% were female and 70.31% were male. Also, 56.25% had a bachelor’s degree, 40.62% master’s degree, and 3.12% PhD degree. The value of KMO was 0.887 and the significance level was less than 0.05, indicating the items were suitable for factor analysis, and the correlation matrix between the items of the questionnaire was non-zero. Based on the total variance explained, 16 factors or indicators corresponding to 62 items extracted from the qualitative model were obtained. These 16 factors explained about 80.16% of the variances. They included perceived benefit, perceived well-being, user values, customer results, society results, organization results, financial and business effects, quality effects, technology infrastructure, reduced fear of technology, learning and empowerment, job-related factors, supports and incentives, attitude, dependability, and risk reduction.

Conclusion
Based on the findings of this research, 16 factors formed the model of mobile value-added services in health for the social security organization. Therefore, the treatment department of the social security organization should take action to properly use these services to increase the satisfaction of the insured people including retirees. This approach is a solution to reduce costs, appropriate distribution of health services, and improve the quality of medical services and the health of Iranian society.

Ethical Considerations

Compliance with ethical guidelines
This study was approved by the Ethics Committee of Isfahan Branch (Khorasgan), Islamic Azad University (Code: IR.IAU.KHUISF.REC.1402.052). Also, the right to anonymity of the questionnaires, to remain anonymous and to keep the information of the participants confidential is preserved.

Funding
The present article was extracted from the doctoral dissertation of Mohammadreza Ahmadi Varzaneh, approved by Department of Information Technology Management, Faculty of Humanities, Isfahan Branch (Khorasgan), Islamic Azad University.

Authors' contributions
Research design: Mohammad Reza Ahmadi Varzaneh, Ali Rashidpour; Data collection, analysis and data analysis: Mohammad Reza Ahmadi Varzaneh. Writing, reading of the final version and review: all authors.

Conflicts of interest
The authors declared no conflict of interest.

Acknowledgements
We are grateful to the information technology experts in the treatment field of the Social Security Organization who helped the authors of this article.




 

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