Comparison of the Charges of 10 Selected Surgeries in Imam Reza Hospital with their Official Global Prices
Background: This descriptive, analytic study aimed to compare the costs of 10 types of Global Budget Payment System (GBPS) surgery in Imam Reza Hospital, Mashhad City, Iran, in 2016 with the prices in the GBPS. Methods: From hospital-discharge data and patients’ bills, we identified 10 types of GBP...
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| Format: | Article |
| Language: | English |
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Gonabad University of Medical Sciences
2020-08-01
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| Series: | Journal of Research & Health |
| Subjects: | |
| Online Access: | http://jrh.gmu.ac.ir/article-1-1804-en.html |
| _version_ | 1819229442886598656 |
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| author | Hosein Ebrahimipour Elahe Pourahmadi Shapour Badiee Aval Alireza Rezazadeh |
| author_facet | Hosein Ebrahimipour Elahe Pourahmadi Shapour Badiee Aval Alireza Rezazadeh |
| author_sort | Hosein Ebrahimipour |
| collection | DOAJ |
| description | Background: This descriptive, analytic study aimed to compare the costs of 10 types of Global Budget Payment System (GBPS) surgery in Imam Reza Hospital, Mashhad City, Iran, in 2016 with the prices in the GBPS.
Methods: From hospital-discharge data and patients’ bills, we identified 10 types of GBPS surgeries performed in Imam Reza hospital. The patients were grouped according to the surgical procedures performed in the 10 GBPS category. Data on hospital charges and cost-to-charge ratios were used to assess charges and costs for specific resources, as well as for the hospitalization overall. The researcher received training from the experts in the field of hospital accounting to learn how to determine the charge of GBPS surgeries.
Results: The results showed that in some surgeries such as hysterectomy, natural delivery, C-section, tonsillectomy, hernia repair, and appendectomy, charges of services were higher than their average prices GBPS and in arteriovenous anastomosis surgery, cholecystectomy, tympanoplasty, and thyroidectomy were lower than average prices GBPS. One of the main goals of Iran’s Ministry of Health in developing GBPS was to provide a unified framework for managing admission and treatment costs in state-owned hospitals. The obtained data were analyzed by the Wilcoxon signed-rank test and the independent samples t test with 0.05 statistical significance. The results of this study and similar works show that most hospitals have completely neglected this aspect of GBPS.
Conclusion: A fact that is reflected in the wide-ranging variations in the charge of GBPS surgeries in different hospitals despite their being paid based on the same rates and guidelines. |
| first_indexed | 2024-12-23T11:13:15Z |
| format | Article |
| id | doaj.art-7d5166dacd5b48d48a50b9d116b7906a |
| institution | Directory Open Access Journal |
| issn | 2423-5717 2423-5717 |
| language | English |
| last_indexed | 2024-12-23T11:13:15Z |
| publishDate | 2020-08-01 |
| publisher | Gonabad University of Medical Sciences |
| record_format | Article |
| series | Journal of Research & Health |
| spelling | doaj.art-7d5166dacd5b48d48a50b9d116b7906a2022-12-21T17:49:17ZengGonabad University of Medical SciencesJournal of Research & Health2423-57172423-57172020-08-01105319328Comparison of the Charges of 10 Selected Surgeries in Imam Reza Hospital with their Official Global PricesHosein Ebrahimipour0Elahe Pourahmadi1Shapour Badiee Aval2Alireza Rezazadeh3 Social Determinants of Health Research Center, Department of Health and Management, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran. Social Determinants of Health Research Center, Department of Health and Management, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran. Department of Complementary and Chinese Medicine, School of Persian and Complementary Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. Social Determinants of Health Research Center, Department of Health and Management, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran. Background: This descriptive, analytic study aimed to compare the costs of 10 types of Global Budget Payment System (GBPS) surgery in Imam Reza Hospital, Mashhad City, Iran, in 2016 with the prices in the GBPS. Methods: From hospital-discharge data and patients’ bills, we identified 10 types of GBPS surgeries performed in Imam Reza hospital. The patients were grouped according to the surgical procedures performed in the 10 GBPS category. Data on hospital charges and cost-to-charge ratios were used to assess charges and costs for specific resources, as well as for the hospitalization overall. The researcher received training from the experts in the field of hospital accounting to learn how to determine the charge of GBPS surgeries. Results: The results showed that in some surgeries such as hysterectomy, natural delivery, C-section, tonsillectomy, hernia repair, and appendectomy, charges of services were higher than their average prices GBPS and in arteriovenous anastomosis surgery, cholecystectomy, tympanoplasty, and thyroidectomy were lower than average prices GBPS. One of the main goals of Iran’s Ministry of Health in developing GBPS was to provide a unified framework for managing admission and treatment costs in state-owned hospitals. The obtained data were analyzed by the Wilcoxon signed-rank test and the independent samples t test with 0.05 statistical significance. The results of this study and similar works show that most hospitals have completely neglected this aspect of GBPS. Conclusion: A fact that is reflected in the wide-ranging variations in the charge of GBPS surgeries in different hospitals despite their being paid based on the same rates and guidelines.http://jrh.gmu.ac.ir/article-1-1804-en.htmlhealth care economicshospital charges |
| spellingShingle | Hosein Ebrahimipour Elahe Pourahmadi Shapour Badiee Aval Alireza Rezazadeh Comparison of the Charges of 10 Selected Surgeries in Imam Reza Hospital with their Official Global Prices Journal of Research & Health health care economics hospital charges |
| title | Comparison of the Charges of 10 Selected Surgeries in Imam Reza Hospital with their Official Global Prices |
| title_full | Comparison of the Charges of 10 Selected Surgeries in Imam Reza Hospital with their Official Global Prices |
| title_fullStr | Comparison of the Charges of 10 Selected Surgeries in Imam Reza Hospital with their Official Global Prices |
| title_full_unstemmed | Comparison of the Charges of 10 Selected Surgeries in Imam Reza Hospital with their Official Global Prices |
| title_short | Comparison of the Charges of 10 Selected Surgeries in Imam Reza Hospital with their Official Global Prices |
| title_sort | comparison of the charges of 10 selected surgeries in imam reza hospital with their official global prices |
| topic | health care economics hospital charges |
| url | http://jrh.gmu.ac.ir/article-1-1804-en.html |
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