The Extra Cost of Granting Autonomy to Public Hospitals
Background: Reform of structure and improvement of healthcare providing system especially in hospitals are among the most important priorities of health systems. Granting autonomy to university hospitals is a recommended in this regard. The aim of this study was to determine the costs and credits im...
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| Format: | Article |
| Language: | fas |
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Isfahan University of Medical Sciences
2012-03-01
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| Series: | مجله دانشکده پزشکی اصفهان |
| Subjects: | |
| Online Access: | http://jims.mui.ac.ir/index.php/jims/article/view/1583 |
| _version_ | 1797710692755701760 |
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| author | Saeed Manavi Saeideh Babashahy Ali Akbari Sari |
| author_facet | Saeed Manavi Saeideh Babashahy Ali Akbari Sari |
| author_sort | Saeed Manavi |
| collection | DOAJ |
| description | Background: Reform of structure and improvement of healthcare providing system especially in hospitals are among the most important priorities of health systems. Granting autonomy to university hospitals is a recommended in this regard. The aim of this study was to determine the costs and credits imposed to the system by granting autonomy to public hospitals.
Methods: To calculate the necessary funding, two components of physician fee and hotelling were accounted. The available statistics and documentations including the number of regular and special beds of public hospitals, occupied bed coefficient, the extra cost of hotelling due to granting autonomy, relative value unit, and the annual number of health services in country were extracted from the Ministry of Health and Medical Education and insurance organizations. Then, due to study modeling the amount of increased costs and funding of granting autonomy to hospitals was estimated.
Findings: The estimated cost of physician fee for procedures was about 7,026 billion IR Rials and cost of hotelling was nearly 8,140 billion IR Rials before granting autonomy to public hospitals. In autonomy condition of hospitals, the annual surplus cost of 27,881 billion IR Rials was required including 15,669 billion IR Rials for physician fees and 12,211 billion IR Rials for hotelling.
Conclusion: In the condition of granting autonomy to public hospitals, the extra funding was about 28,000 billion IR Rials which must be paid by the Ministry of Health and Medical Education and insurance organizations. |
| first_indexed | 2024-03-12T06:54:57Z |
| format | Article |
| id | doaj.art-4071a131078b47f79bc5dea1612576a4 |
| institution | Directory Open Access Journal |
| issn | 1027-7595 1735-854X |
| language | fas |
| last_indexed | 2024-03-12T06:54:57Z |
| publishDate | 2012-03-01 |
| publisher | Isfahan University of Medical Sciences |
| record_format | Article |
| series | مجله دانشکده پزشکی اصفهان |
| spelling | doaj.art-4071a131078b47f79bc5dea1612576a42023-09-03T00:04:33ZfasIsfahan University of Medical Sciencesمجله دانشکده پزشکی اصفهان1027-75951735-854X2012-03-0129170861The Extra Cost of Granting Autonomy to Public HospitalsSaeed Manavi0Saeideh Babashahy1Ali Akbari Sari2Department of Health Management, Ministry of Health and Medical Education, Tehran, IranDepartment of Health Economics, Ministry of Health and Medical Education, Tehran, IranAssistant Professor, Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, IranBackground: Reform of structure and improvement of healthcare providing system especially in hospitals are among the most important priorities of health systems. Granting autonomy to university hospitals is a recommended in this regard. The aim of this study was to determine the costs and credits imposed to the system by granting autonomy to public hospitals. Methods: To calculate the necessary funding, two components of physician fee and hotelling were accounted. The available statistics and documentations including the number of regular and special beds of public hospitals, occupied bed coefficient, the extra cost of hotelling due to granting autonomy, relative value unit, and the annual number of health services in country were extracted from the Ministry of Health and Medical Education and insurance organizations. Then, due to study modeling the amount of increased costs and funding of granting autonomy to hospitals was estimated. Findings: The estimated cost of physician fee for procedures was about 7,026 billion IR Rials and cost of hotelling was nearly 8,140 billion IR Rials before granting autonomy to public hospitals. In autonomy condition of hospitals, the annual surplus cost of 27,881 billion IR Rials was required including 15,669 billion IR Rials for physician fees and 12,211 billion IR Rials for hotelling. Conclusion: In the condition of granting autonomy to public hospitals, the extra funding was about 28,000 billion IR Rials which must be paid by the Ministry of Health and Medical Education and insurance organizations.http://jims.mui.ac.ir/index.php/jims/article/view/1583Hospital AutonomizationCostIran |
| spellingShingle | Saeed Manavi Saeideh Babashahy Ali Akbari Sari The Extra Cost of Granting Autonomy to Public Hospitals مجله دانشکده پزشکی اصفهان Hospital Autonomization Cost Iran |
| title | The Extra Cost of Granting Autonomy to Public Hospitals |
| title_full | The Extra Cost of Granting Autonomy to Public Hospitals |
| title_fullStr | The Extra Cost of Granting Autonomy to Public Hospitals |
| title_full_unstemmed | The Extra Cost of Granting Autonomy to Public Hospitals |
| title_short | The Extra Cost of Granting Autonomy to Public Hospitals |
| title_sort | extra cost of granting autonomy to public hospitals |
| topic | Hospital Autonomization Cost Iran |
| url | http://jims.mui.ac.ir/index.php/jims/article/view/1583 |
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