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Khayeri F, Goodarzi L, Meshkini A, Khaki E. Assessment of the Role of Health System Reform Plan in Franchise Reduction for Patients Referred to University Hospitals in Iran. JCCNC 2015; 1 (2) :71-76
URL: http://jccnc.iums.ac.ir/article-1-41-en.html

Methods: This study is a descriptive cross-sectional design which was done from 8 May 2014 to 2 Sept. 2014. A sample of hospitals included 197 hospitals out of 550 hospitals affiliated to 57 universities of medical sciences which were selected randomly and were visited by experts. The main tool of this study was a standard checklist prepared by experts of headquarters of Minstry of Healh and Medical Education (MoHMD). 

Results: Out of the entire hospitals studied, 79% were public and 21% were private. The highest mean and standard deviation was related to referral chain (2.71±0.53) as the most favorable dimension and the least mean and standard deviation was related to two dimensions of education and information of staff personnel (2.37±0.67) as the most unfavorable dimension. The results of study also indicated that there is statistical, significant correlation between dimension of informing personnel and type of hospitals. The difference in mean of sections scores was significant except for the dimension of investigating health documents at universities. 

Conclusion: As a result, current health care reform plan will increase responsiveness and accessibility and will finally decrease unnecessary expenses in health market.