Table 4 Ranking of cognitive map variables based on centrality index

Information and education

(Informing the insured)

1-1

Individual factors

4.26

5.96

10.23

25

1-2

Communication factors

8.03

6.02

14.06

19

1-3

Spatial factors

4.19

5.89

10.08

26

1-4

Cultural factors

3.67

6.4

10.07

27

1-5

Social factors

7.54

14.55

22.09

4

Accountability of insured service providers

2-1

Legal and policy factors

8.56

6.74

15.3

18

2-2

Punitive factors

1.51

6.06

7.57

29

2-3

Control factors

6.85

10.07

16.92

13

2-4

Motivational factors (incentives)

3.16

8.3

11.46

24

2-5

Organizational factors

11.25

11.52

22.77

3

Financial protection of the insured

3-1

Health savings accounts

1.91

4.53

6.44

30

3-2

Condition-based cash exchanges

7.08

10.09

17.17

10

3-3

Supply-side subsidies

4.15

4.99

9.14

28

3-4

Demand-side subsidies

4.5

7.94

12.44

23

3-5

Charity attraction in the field of health

7.51

8.67

16.18

14

Protection of insured' rights

(advocacy)

4-1

Drafting the rules

8.35

7.2

15.55

16

4-2

Hospital social workers

14.23

2.82

17.05

11

4-3

Hospital supervisory experts

11.01

3.02

14.03

20

4-4

Virtual social networks

9.7

4.09

13.78

22

4-5

Convince policymakers to legislate

3.39

12.03

15.42

17

Insured participation

5-1

The degree of identity of each individual

8.07

9.53

17.6

9

5-1

The level of self-actualization of each person

13.76

6.12

19.87

6

5-3

Preparation suitable for people

19.29

12.72

32.01

1

5-4

Providing personal and organizational information and feedback

8.62

7.25

15.86

15

5-5

Shared decision making

10.54

12.51

23.05

2

The capacity of local organizations

(Supporting insured)

6-1

Communicating with decision-makers

8.41

9.74

18.14

8

6-2

Forming a supportive coalition

12.05

7.68

19.73

7

6-3

Identification of root barriers

6.58

7.45

14.03

21

6-4

Lobbying with relevant actors

9.51

7.44

16.95

12

6-5

Monitoring and supervision the implementation and effectiveness of laws

9.78

10.14

19.93

5