Volume 4, Issue 4 (12-2020)
EBHPME 2020, 4(4): 225-233 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Motalehi A R, Roshanian E, Vafaeinasab M R, Saffari M. Examining the Effect of Executing the Health Reform Plan on the Share of Insurances, Franchise, and Health Subsidies in Shahid Sadoughi University of Medical Sciences in Yazd in 2013-2016. EBHPME 2020; 4 (4) :225-233
URL: http://jebhpme.ssu.ac.ir/article-1-287-en.html
URL: http://jebhpme.ssu.ac.ir/article-1-287-en.html
Trauma Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran , E_roshanian1988@yahoo.com
Abstract: (2354 Views)
Background: The Health Reform Plan was begun in 2014 as one of the most significant programs of the Ministry of Health to reduce hospitalization and out-of-pocket costs paid by people. Hence, we consider examining the economic consequences of this plan as one of the research priorities in this field. This study aimed to examine the effect of implementing the Health Reform Plan on the share of basic, supplementary insurances, franchise, and health subsidies from medical expenses in Shahid Sadoughi University of Medical Sciences in Yazd in 2013-2016.
Methods: This study is a descriptive study conducted in a quantitative and cross-sectional method. The study population included patients' bills in hospitals affiliated to Shahid Sadoughi University of Medical Sciences in Yazd. All patient's hospitalization files were examined by the census method. Information was extracted from financial documents and data in the hospital's HIS system. We referred to the basic and supplementary insurance organizations of the province to complete the data. Descriptive statistics and were used to analyze the obtained data by using SPSS16 Software.
Results: Generally, it was specified that the share of basic and supplementary insurances had not changed considerably due to the doubling of the whole costs of patients 'files, and basic insurances will pay on average 76 % of patients' costs. But, the patient's share of out-of-pocket payments has declined from 21 % to 11 %, which the Ministry of Health and Medical Education will pay this 10 percentage through the health subsidy to the affiliated centers.
Conclusion: This study's results explained an increase in patient's health costs and a decrease in patient's out-of-pocket costs. Consequently, it is required to pay attention to methods to increase medical centers' efficiency to reduce health costs. Furthermore, large-scale/macro programs should be designed and implemented at the national level to reduce patient's out-of-pocket payments.
Methods: This study is a descriptive study conducted in a quantitative and cross-sectional method. The study population included patients' bills in hospitals affiliated to Shahid Sadoughi University of Medical Sciences in Yazd. All patient's hospitalization files were examined by the census method. Information was extracted from financial documents and data in the hospital's HIS system. We referred to the basic and supplementary insurance organizations of the province to complete the data. Descriptive statistics and were used to analyze the obtained data by using SPSS16 Software.
Results: Generally, it was specified that the share of basic and supplementary insurances had not changed considerably due to the doubling of the whole costs of patients 'files, and basic insurances will pay on average 76 % of patients' costs. But, the patient's share of out-of-pocket payments has declined from 21 % to 11 %, which the Ministry of Health and Medical Education will pay this 10 percentage through the health subsidy to the affiliated centers.
Conclusion: This study's results explained an increase in patient's health costs and a decrease in patient's out-of-pocket costs. Consequently, it is required to pay attention to methods to increase medical centers' efficiency to reduce health costs. Furthermore, large-scale/macro programs should be designed and implemented at the national level to reduce patient's out-of-pocket payments.
Type of Study: Original article |
Subject:
Health Economics
Received: 2020/06/10 | Accepted: 2020/12/20 | Published: 2020/12/20
Received: 2020/06/10 | Accepted: 2020/12/20 | Published: 2020/12/20
References
1. 1. Rezapour A, EbadiFardAzar F, Arabloo J. Cost analysis of healthcare services of a teaching hospital of Qazvin University of medical sciences. TebVaTazkiey. 2012; 21: 31-9. [In Persian]
2. Report of Challenges for Developing Country in Health Sector. Ministry of Health: Research Center of Parliament; 2008.
3. Dargahi H, Masoori N, Safdari R, Fazaeli S, Yousefi M. Investigating productivity changes in medical records departments of Tehran university of medical sciences hospitals using malmquist index. Director General. 2011; 8(3): 395-404. [In Persia]
4. Rezapour A, Arabloo J, Soleimani MJ, EbadiFardAzar F, Safari H. Microeconomic analysis of healthcare services in Bou Ali Sina university hospital. Int J Hospital Res. 2012; 1(1): 41-50.
5. Faridfar N, Alimohammadzadeh K, Seyedin SH. The impact of health system reform on clinical, paraclinical and surgical indicators as well as patients' satisfaction in Rasoul-e-Akram hospital in 2013 to 2014. Razi J Med Sci. 2016; 22(140): 92-9. [In Persian]
6. Sadeghi N, Zaree H. The impact of the funding on improving hospital performance. Quarterly Monitoring of 0.2009. 16: 145-135. [In Persian]
7. Aghlmand S, Pour Reza A. Total Quality Management: A comprehensive strategy for health reform. Sixth International Conference of Quality Managers. 2005. [In Persian]
8. Mosadegh Rad A. To what extent health reform plan economically for the benefit of the state and the people?. Available from URL: http://tums. isna. ir/ Default. aspex? NSID= 5&SSLID= 46&NID=15676. November 5, 2014. [In Persian]
9. Izadkhah M. National health concerns, fears and hopes about the implementation of the healthcare reform mean? Monthly Trust, 43. 2014. [In Persian]
10. Khayeri F, Goodarzi L, Meshkini A, Khaki E. Evaluation of the National Health Care Reform Program from the Perspective of Experts. J ClientCentered Nurs Care. 2015; 1(1): 37-46.
11. Yardim MS, Cilingiroglu N, Yardim N. Financial protection in health in Turkey: the effects of the Health Transformation Programme. Health Policy Plan. 2014; 29(2): 177-92. [DOI:10.1093/heapol/czt002]
12. Wees PJ, Zaslavsky AM, Ayanian JZ. Improvements in health status after Massachusetts health care reform. Milbank Quarterly. 2013; 91(4): 663- 89. [DOI:10.1111/1468-0009.12029]
13. Dadgar R, Jahani M, Mahmoudi G. The impact of health system reform plan on the hospital's performance indicators of Lorestan University of Medical Sciences. yafte. 2017; 19 (2) :93-102
14. Tousignant M, Hébert R, Desrosiers J, Hollander MJ. Economic evaluation of a geriatric day hospital: cost‐benefit analysis based on functional autonomy changes. Age and Ageing. 2003; 32(1): 53-9. [DOI:10.1093/ageing/32.1.53]
15. Dawes DE. 150 years of Obamacare. JHU Press; 2016.
16. Cumming J. Integrated care in New Zealand. International journal of integrated care. Int J Integr Care. 2011; 11(10): 138. doi: 10.5334/ ijic.678. [DOI:10.5334/ijic.678]
17. Health Security Act of 1993: Hearings Before the Committee on ..., Parts 1-4. By United States, United States. Congress. House. Committee on Natural Resources. Subcommittee on Native American Affairs, United States. Congress. House. Committee on Ways and Means, United States. Congress. Senate. Committee on Labor and Human Resources.
18. Kheiri F, Gudarzi L, Meshkini A, Khaki A. Reduce the amount paid by patients admitted in hospitals. Proceedings of the National Congress on declaration of Eleventh government implantation in the field of health; 2015 May 5-6; Iran, Tehran.
19. Heydarian N, Shaghayegh V. The Impact of the Health Transformation Plan on the Payment of Patients' Pockets in Selected Government Hospitals in Isfahan. Scientific Journal of the Medical System Organization of the Islamic Republic of Iran. 2015; 33(3): 187-94.
20. Yazdanpanah A, Norouzi Z. Comparison of direct payment from the pockets of hospitalized patients before and after the implementation of the health transformation plan in Shiraz Namazi Hospital in 2014. Islamic Azad University. Marvdasht Unit - Research Institute. 2005.
21. Zare K, Hoshmandi GH. The impact of the implementation of the pay out of pocket books relative value of health services insured health insurance organizations in the private laboratories Bushehr [dissertation]. Shiraz: Azad University of Shiraz; 2016.
22. Cutler DM, Davis K, Stremikis K. The impact of health reform on health system spending. 1st ed. New York: Center for American Progress and the Common Wealth Fund; 2010.
23. Ebrahimnejad Gorji AA, Jadidi R, Delavari S. Comparison of costs and quality of inpatient services before and after the Health reform plan. Nursing Development in Health. 2016; 7(1): 5-14. [In Persian]
24. Rahmany K, Barati M, Ferdosi M, Rakhshan A, Nemati A. Strategies for reducing expenditures in Iran's health transformation plan: A qualitative study. Med J Islam Repub Iran. 2018; 32(1): 591-7. [DOI:10.14196/mjiri.32.102]
25. Doshmangir L, Sajadi HS, Ghiasipour M, Aboutorabi A, Gordeev VS. The effect of Iranian health system reform plan on payments and costs of coronary artery bypass surgery in private hospitals of Iran. BMC Public Health. 2020; 12(3): 539-53. [DOI:10.1186/s12889-020-8432-3]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
