Journal of Client-Centered Nursing Care
نشریه مراقبت پرستاری مددجو محور
JCCNC
Medical Sciences
http://jccnc.iums.ac.ir
1
admin
24764132
24764132
10.32598
en
jalali
1394
3
1
gregorian
2015
6
1
1
2
online
1
fulltext
en
Assessment of the Role of Health System Reform Plan in Franchise Reduction for Patients Referred to University Hospitals in Iran
پژوهشي
Research
<p><b>Background:</b> Today health care system is considered as a important organization to achieve equity and improve the performance so it is necessary for policy makers and decision makers improve performance of health care system. This study was performed to evaluate the health care reform program with emphasis to decrease catastrophic payment of patients hospitalized in public hospitals. </p>
<div><b>Methods:</b> 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). </div>
<div><b>Results:</b> 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. </div>
<div><b>Conclusion:</b> As a result, current health care reform plan will increase responsiveness and accessibility and will finally decrease unnecessary expenses in health market.</div>
Franchise reduction, Health reform, Assessment
71
76
http://jccnc.iums.ac.ir/browse.php?a_code=A-10-1-10&slc_lang=en&sid=1
Fereydoon
Khayeri
khayer. f@iums. ac. ir
10031947532846002807
10031947532846002807
Yes
Department of Treatment Supervision, Ministry of Health and Medical Education, Tehran, Iran. , Department of Nursing, School of Nursing & Midwifery, Iran University of Medical Sciences, Tehran, Iran.
Leila
Goodarzi
10031947532846002808
10031947532846002808
No
Organization
Ali
Meshkini
10031947532846002809
10031947532846002809
No
Organization
Ebrahim
Khaki
10031947532846002810
10031947532846002810
No
Organization