The Comparison of Direct Costs Paid by Inpatients before and after Implementing Health System Transformation Plan in Hashtrood and Mianeh Hospitals

Background and Objectives: Since 2014, the "health system transformation plan" was designed and implemented in order to solve some of the problems in Iranian health system. One of the goals of this plan is to reduce direct payments by inpatients. This study aimed to compare the direct pay...

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Main Authors: Somayeh Hessam, Javad Babaie, Taha Rostami
Format: Article
Language:fas
Published: Tabriz University of Medical Sciences 2018-01-01
Series:Taṣvīr-i salāmat
Subjects:
Online Access:https://doh.tbzmed.ac.ir/PDF/doh-195.pdf
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author Somayeh Hessam
Javad Babaie
Taha Rostami
author_facet Somayeh Hessam
Javad Babaie
Taha Rostami
author_sort Somayeh Hessam
collection DOAJ
description Background and Objectives: Since 2014, the "health system transformation plan" was designed and implemented in order to solve some of the problems in Iranian health system. One of the goals of this plan is to reduce direct payments by inpatients. This study aimed to compare the direct payments by inpatients, before and after implementing the transformation plan. Material and Methods: In this analytical-descriptive study, 1351 cases were selected (all cases). Direct costs paid by the inpatients were extracted from medical records and then analyzed using SPSS v.19 software and applying Uman-Whitney test. Results: The overall level of direct costs paid by inpatients before and after implementing the transformation plan has been decreased from 704 286 to 491815 Rials. A statistical relationship was observed between implementing the plan and the reduction of direct costs; but in detailed costs, there was no change. Conclusion: Health system transformation plan reduced the direct costs paid by inpatients; but in detailed costs, there was no reduction in some parts. Cooperation between hospitals is necessary to continue the plan.
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spelling doaj.art-9ad36e17636240eea68ef99e099198892022-12-21T20:34:02ZfasTabriz University of Medical SciencesTaṣvīr-i salāmat2008-90582423-66402018-01-0183161168DOH_286_20180904084400The Comparison of Direct Costs Paid by Inpatients before and after Implementing Health System Transformation Plan in Hashtrood and Mianeh HospitalsSomayeh Hessam0Javad Babaie1Taha Rostami2Department of Health Services Administration, Islamic Azad University, Shiraz, IranDepartment of Health Services Management, Iranian Center of Excellence in Health Management, School of Health Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, IranHashtrood Health Center. Tabriz University of Medical Sciences, Tabriz, Iran. Background and Objectives: Since 2014, the "health system transformation plan" was designed and implemented in order to solve some of the problems in Iranian health system. One of the goals of this plan is to reduce direct payments by inpatients. This study aimed to compare the direct payments by inpatients, before and after implementing the transformation plan. Material and Methods: In this analytical-descriptive study, 1351 cases were selected (all cases). Direct costs paid by the inpatients were extracted from medical records and then analyzed using SPSS v.19 software and applying Uman-Whitney test. Results: The overall level of direct costs paid by inpatients before and after implementing the transformation plan has been decreased from 704 286 to 491815 Rials. A statistical relationship was observed between implementing the plan and the reduction of direct costs; but in detailed costs, there was no change. Conclusion: Health system transformation plan reduced the direct costs paid by inpatients; but in detailed costs, there was no reduction in some parts. Cooperation between hospitals is necessary to continue the plan.https://doh.tbzmed.ac.ir/PDF/doh-195.pdfhealth transformation planpatients billinpatientdirect costs
spellingShingle Somayeh Hessam
Javad Babaie
Taha Rostami
The Comparison of Direct Costs Paid by Inpatients before and after Implementing Health System Transformation Plan in Hashtrood and Mianeh Hospitals
Taṣvīr-i salāmat
health transformation plan
patients bill
inpatient
direct costs
title The Comparison of Direct Costs Paid by Inpatients before and after Implementing Health System Transformation Plan in Hashtrood and Mianeh Hospitals
title_full The Comparison of Direct Costs Paid by Inpatients before and after Implementing Health System Transformation Plan in Hashtrood and Mianeh Hospitals
title_fullStr The Comparison of Direct Costs Paid by Inpatients before and after Implementing Health System Transformation Plan in Hashtrood and Mianeh Hospitals
title_full_unstemmed The Comparison of Direct Costs Paid by Inpatients before and after Implementing Health System Transformation Plan in Hashtrood and Mianeh Hospitals
title_short The Comparison of Direct Costs Paid by Inpatients before and after Implementing Health System Transformation Plan in Hashtrood and Mianeh Hospitals
title_sort comparison of direct costs paid by inpatients before and after implementing health system transformation plan in hashtrood and mianeh hospitals
topic health transformation plan
patients bill
inpatient
direct costs
url https://doh.tbzmed.ac.ir/PDF/doh-195.pdf
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