Volume 2, Issue 3 (12-2019)
Iran J Health Insur 2019, 2(3): 125-133 |
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Ferdosi M, Rezayatmand M R, Barati M. Hospital Resource Was tages in Health Transformation Plan (HTP) and Cos t Containment Approaches: Diagnos tic and Therapeutic Services Tariff. Iran J Health Insur 2019; 2 (3) :125-133
URL: http://journal.ihio.gov.ir/article-1-95-en.html
URL: http://journal.ihio.gov.ir/article-1-95-en.html
1- Health Management and Economics Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
2- Health Management and Economics Research Center, Isfahan University of Medical Sciences, Isfahan, Iran , mbarati92@ymail.com
2- Health Management and Economics Research Center, Isfahan University of Medical Sciences, Isfahan, Iran , mbarati92@ymail.com
Abstract: (4005 Views)
Introduction: Proper tariff setting of health services in addition to reduction the health sector resources wastages, increases the healthcare providers’ incentives in delivering effective services. The purpose of this study was to identify the waste points of HTP hospital resources, and to offer some solutions in medical tariffs setting.
Methods: This is an original applied research conducted employing a content analysis method. In order to identify hospital resources wastages and cost control approaches, PubMed, Irandoc, SID, Google Scholar and Magiran databases were searched with keywords wastage- tariff- Health Transformation- Cost and Cost Control Plan. Related articles were extracted. The nominal group technique was used to classify the wastes, and a focus group discussion with 33 participatants of senior managers and experts of hospitals, insurance organizations and academic members of Isfahan University of Medical Sciences was used to confirm the solutions.
Results: The mos t important wastages caused by diagnostic and Therapeutic services tariffs were disparities in the income levels of some specialists, imbalances in the income of various specialist groups, imbalances in physicians’ earnings versus other medical personnel’s, and induced demand. The most important cost containment strategies included tariff review, reconstructing the health sector financial structures, and reinforcing accurate pricing, reducing induced demands, implementing family physician and referral systems, and tracing health services abuse.
Conclusion: The Iran HTP and any other reform plan in the health system will have its own costs, so that if the wasted resources are not identified and controlled, the success of the plan would be in danger.
Methods: This is an original applied research conducted employing a content analysis method. In order to identify hospital resources wastages and cost control approaches, PubMed, Irandoc, SID, Google Scholar and Magiran databases were searched with keywords wastage- tariff- Health Transformation- Cost and Cost Control Plan. Related articles were extracted. The nominal group technique was used to classify the wastes, and a focus group discussion with 33 participatants of senior managers and experts of hospitals, insurance organizations and academic members of Isfahan University of Medical Sciences was used to confirm the solutions.
Results: The mos t important wastages caused by diagnostic and Therapeutic services tariffs were disparities in the income levels of some specialists, imbalances in the income of various specialist groups, imbalances in physicians’ earnings versus other medical personnel’s, and induced demand. The most important cost containment strategies included tariff review, reconstructing the health sector financial structures, and reinforcing accurate pricing, reducing induced demands, implementing family physician and referral systems, and tracing health services abuse.
Conclusion: The Iran HTP and any other reform plan in the health system will have its own costs, so that if the wasted resources are not identified and controlled, the success of the plan would be in danger.
Type of Study: Research |
Subject:
Special
Received: 2019/08/18 | Revised: 2019/12/14 | Accepted: 2019/11/25 | ePublished: 2019/12/10
Received: 2019/08/18 | Revised: 2019/12/14 | Accepted: 2019/11/25 | ePublished: 2019/12/10
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