A trend analysis of surgical operations under a global payment system in Tehran, Iran (2005–2015)
Journal Title: Electronic Physician - Year 2018, Vol 10, Issue 3
Abstract
BACKGROUND: Global payment system is a first example of per-case payment system that contains 60 commonly used surgical operations for which payment is based on the average cost per case in Iran. OBJECTIVE: The aim of the study was to determine the amount of reduction, increase or no change in the trend of global operations. METHODS: In this retrospective longitudinal study, data on the 60 primary global surgery codes was gathered from Tehran Health Insurance Organization within the ten-year period of 2005-2015 separately, for each month. Out of 60 surgery codes, only acceptable data for 46 codes were available based on the insurance documents sent by medical centers. A quantitative analysis of time series through Regression Analysis Model using STATA software v.11 was performed. RESULTS: Some global surgery codes had an upward trend and some were downwards. Of N Codes, N83, N20, N28, N63, and N93 had an upward trend (p<0.05) and N32, N43, N81 and N90 showed a significant downward trend (p<0.05). Similarly, all H Codes except for H18 had a significant upward trend (p<0.000). As such, K Codes including K45, K56 and K81 had an increasing movement. S Codes also experienced both increasing and decreasing trends. However, none of the O Codes changed according to time. Other global surgical codes like C61, E07, M51, L60, J98 (p<0.000), I84 (p<0.031) and I86 (p<0.000) shown upward and downward trends. Total global surgeries trend was significantly upwards (B=24.26109, p<0.000). CONCLUSION: The varying trend of global surgeries can partly reflect the behavior of service providers in order to increase their profits and minimize their costs
Authors and Affiliations
Faranak Behzadi Goudari, Arash Rashidian, Mohammad Arab, Mahmood Mahmoudi, Ebrahim Jaafaripooyan
Keywords
Related Articles
- EP ID EP339208
- DOI 10.19082/6506
- Views 69
- Downloads 0
Effect of different gingival margin restorations of class II cavities on microleakage: an in-vitro study.
Microleakage is one of the important contributing factors in the failure of resin restorations. The aim of this study was to determine the effect of the location of the gingival margin (enamel, dentin, or cementum) on na...
Study of Out-of-Pocket Expenditures for Outpatient Imaging Services in Imam-Khomeini Hospital in 2014.
Direct out-of-pocket (OOP) payment is the most inequitable way to pay for healthcare services, and this trend exposes patients and their families to backbreaking financial risks. The aim of this study was to estimate the...
The effect of casein phosphopeptide amorphous calcium phosphate fluoride paste (CPP-ACPF) on oral and salivary conditions of patients undergoing chemotherapy: A randomized controlled clinical trial.
Oral and saliva conditions of patients undergoing chemotherapy is often affected by the medication they receive. Up to now, no appropriate medication that possesses the positive effects of chemotherapy without presenting...
The knowledge of hand hygiene among the healthcare workers of two teaching hospitals in Mashhad
INTRODUCTION: Healthcare-associated infections (HAIs) affect millions of patients worldwide annually. Hand hygiene (HH) has been identified as the single most important factor preventing HAIs. The aim of this study was t...
The Effects of Exposure to Low Frequency Electromagnetic Fields in the Treatment of Migraine Headache: A Cohort Study
INTRODUCTION: Findings have indicated that increased usage of mobile phones may be concomitant with higher rate of headache attacks due to the low radiofrequency electromagnetic fields (RF-EMF). The aim of this study was...