Volume 5, Issue 4 (10-2021)
EBHPME 2021, 5(4): 253-258 |
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Farhadi S, Fazaeli A A, Mohammadi Y. The Effect of Health Transformation Plan on Out-of-Pocket Payments of the Hospitalized Patients in Hamedan, Iran. EBHPME 2021; 5 (4) :253-258
URL: http://jebhpme.ssu.ac.ir/article-1-344-en.html
URL: http://jebhpme.ssu.ac.ir/article-1-344-en.html
Department of Health Management & Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran , afazaeli83@gmail.com
Abstract: (1199 Views)
Background: Out-of-Pocket (OOP) payment is categorized among the critical indicators of health system financing. Given the high hospitalization costs of the hospitals, the ministry of health has attempted to implement Health Transformation Plan (HTP) in Iran to reduce OOP. The purpose of this paper is to show the effects of HTP on OOP payments of the hospitalized patients in Hamedan, Iran.
Methods: This descriptive-analytical study was carried out on 587 patients in the educational hospitals of Hamedan. The data obtained before and after implementing the HTP was from 2013 to 2015. Data analysis was performed using SPSS16.
Results: In this study, each patient's expenditures increased by 32.2 % in 2015, compared to before the implementation of the HTP. Therefore, the health insurance organization's coverage of OOP payments decreased to 8.3 % of the total costs by a 20.2 % reduction in 2015, compared to before the implementation of the plan.
Conclusion: According to the study, HTP and government health subsidies were adequate, but the total hospitalization costs had an upward trend in all funds.
Methods: This descriptive-analytical study was carried out on 587 patients in the educational hospitals of Hamedan. The data obtained before and after implementing the HTP was from 2013 to 2015. Data analysis was performed using SPSS16.
Results: In this study, each patient's expenditures increased by 32.2 % in 2015, compared to before the implementation of the HTP. Therefore, the health insurance organization's coverage of OOP payments decreased to 8.3 % of the total costs by a 20.2 % reduction in 2015, compared to before the implementation of the plan.
Conclusion: According to the study, HTP and government health subsidies were adequate, but the total hospitalization costs had an upward trend in all funds.
Type of Study: Original article |
Subject:
Health Economics
Received: 2021/05/17 | Accepted: 2021/10/22 | Published: 2021/10/22
Received: 2021/05/17 | Accepted: 2021/10/22 | Published: 2021/10/22
References
1. 1. Fazaeli AA, Fazaeli AA, Hamidi Y, Moeini B, Valinejadi A. Analysis of Iranian household financial participation in the health system: Decomposition of the concentration index approach. Koomesh. 2018: 358-68.
2. Rahmani H, Asiabar AS, Niakan S, Hashemi SY, Faramarzi A, Manuchehri S, et al. Burden of esophageal cancer in Iran during 1995-2015: Review of findings from the Global Burden of Disease studies. Medical Journal of the Islamic Republic of Iran. 2018; 32: 55.
3. Ramezanian M, Haghdoost AA, Mehrolhassani MH, Abolhallaje M, Dehnavieh R, Najafi B, et al. Forecasting health expenditures in Iran using the ARIMA model (2016-2020). Medical Journal of the Islamic Republic of Iran. 2019; 33: 25.
4. Ghahramani S, Lankarani KB. Inpatient out-of-pocket in Iran after health transformation plan. International Journal of Health Policy And Management. 2018; 7(9): 877.
5. Harirchi I, Hajiaghajani M, Sayari A, Dinarvand R, Sajadi HS, Mahdavi M, et al. How health transformation plan was designed and implemented in the Islamic Republic of Iran?. International Journal of Preventive Medicine. 2020; 11.
6. Piroozi B, Rashidian A, Moradi G, Takian A, Ghasri H, Ghadimi T. Out-of-Pocket and informal payment before and after the health transformation plan in Iran: Evidence from hospitals located in Kurdistan, Iran. International Journal of Health Policy and Management. 2017; 6(10): 573.
7. Ahmadnezhad E, Murphy A, Alvandi R, Abdi Z. The impact of health reform in Iran on catastrophic health expenditures: Equity and policy implications. The International Journal of Health Planning and Management. 2019; 34(4): e1833-e45.
8. Abdi Z, Hsu J, Ahmadnezhad E, Majdzadeh R, Harirchi I. An analysis of financial protection before and after the Iranian Health Transformation Plan. Eastern Mediterranean Health Journal. 2020; 26(9): 1025-33.
9. Alipour V, Zandian H, Yazdi-Feyzabadi V, Avesta L, Moghadam TZ. Economic burden of cardiovascular diseases before and after Iran's health transformation plan: Evidence from a referral hospital of Iran. Cost Effectiveness and Resource Allocation. 2021; 19(1): 1-10.
10. Mosadeghrad AM. Iran: Iran's Health Transformation Plan. Health Systems Improvement Across the Globe: Success Stories from 60 Countries: CRC Press; 2017. p. 309-16.
11. Seyedin H, Afshari M, Isfahani P, Sharifkazemi K, Morshedi M, Akbari A. Out of Pocket payment by inpatients after health sector evolution plan and its effecting factors: A report of Iran. Shiraz E-Medical Journal. 2020; 21(8).
12. Tabari-Khomeiran R, Delavari S, Rezaei S, Rad EH, Shahmoradi M. The effect of Iranian health system reform plan on payments and costs of coronary artery bypass surgery in private hospitals of Iran. International Journal of Human Rights in Healthcare. 2019.
13. The Central Bank of Iran (CBI).Foreign Exchange Rates.Available from URL:https:// www.cbi.ir/exrates/rates_en.aspx. Last access: 30 August, 2021.
14. Moradi-Lakeh M, Vosoogh-Moghaddam A. Health sector evolution plan in Iran; equity and sustainability concerns. International Journal of Health Policy and Management. 2015; 4(10): 637.
15. Rad EH, Yazdi-Feyzabad V, Yousefzadeh-Chabok S, Afkar A, Naghibzadeh A. Pros and cons of the health transformation program in Iran: Evidence from financial outcomes at the household level. Epidemiology and Health. 2017; 39.
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