Investigating the Effectiveness of the Health Services Relative Value Implementation on Out of Pocket Payment of Insured People Covered by the Health Insurance Organization in Selected Hospitals of Bushehr Province in 2014
Journal Title: مجله راهبردهای مدیریت در نظام سلامت - Year 2018, Vol 2, Issue 4
Abstract
Background: Most of the reforms that have taken place in world health systems are aimed at increasing the efficiency, quality, and control of costs. By implementing the health system reform plan, the actual plan of medical services tariffs by communicating the relative value of health services instruction on October 2014 was started. One of the most important goals of the reform plan was to reduce out of pocket payment. This study was conducted to determine the amount of out of pocket payment of insured people covered by the health insurance organization in the selected hospitals in Bushehr province. Methods: The present analytical study was conducted on insured people hospitalization cases of health insurance organization in selected hospitals affiliated to Bushehr University of Medical Sciences (Persian Gulf Martyrs Hospital, Shahid Ganji Hospital) in July, August, January, and February 2014 as the statistical population and the most common services used as the statistical sample. The data were collected using a researcher-made checklist and investigating the hospital records coded and analyzed by SPSS 20 software. Results: According to the results of the study, the average cost of the patient's share was 1050835 Rials in July, August to 611631 Rials in January, and February, which decreased by 42.00 %. The results of the study show that by implementing the relative value of services instruction, the share of the health insurance organization increased from 79.00 % to 84.00 % and the share of the patient's payments decreased from 8.00 % to 4.00 %. Conclusion: The results of the study show that the government has been able to achieve one of the goals of the health reform plan, which is reducing the out of pocket payment, by increasing health resources
Authors and Affiliations
Houshang Golzar, Saeid Tahmasebi, Morad Alizadeh
Keywords
Related Articles
- EP ID EP291525
- DOI -
- Views 89
- Downloads 0
Situation of Organizational Culture and its Relationship with Organizational Commitment and Entrepreneurial Potential in Selected Hospitals of Shiraz University of Medical Sciences in 2015-2016
Background: The operation of an organization can be improved by organizational culture and commitment. Further, culture is one of the most basic tools for development of entrepreneurial. This study was aimed to examine t...
Evaluating the Efficiency of Intensive Care Unit Departments in Hospitals Affiliated with Yazd University of Medical Sciences Using Data Envelopment Analysis
Background: Despite the resources allocated to hospitals, there is a gap between resources at hand and those needed in hospitals. This study aimed to evaluate the efficiency of intensive care unit departments of hospital...
An Investigation on Entrepreneurship Status of Healthcare Management Students in Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Background: The role of entrepreneurship as an important economic phenomenon is obvious. Since each community is involved in the production of wealth as well as development of technology, and productive employment, speci...
Correlation of Leadership Style with Job Satisfaction and Happiness among the Staff of Petroleum Industry Health Organization
Background: Expert human resources have a key role in development of the community; among the multiple factors influencing this development, the community leaders who are organizing the resources have the most prominent...
Effect of Aging on Health Expenditure and Gross Domestic Product in Selected Countries by A Dynamic Panel Approach
Background: An increase in the aging population can affect economic growth and Gross Domestic Product (GDP) by reducing labor supply, reducing productivity, and increasing burden on the population. The current study aime...