Health services package and the actual cost of medical services

Abstract:
With the expansion of knowledge in different sectors, specifically health sector, we are witnessing the progression, increase, and the import of the novel technology in health sections, medical and diagnostic sectors throughout the country. The receivers of the medical and diagnostic services are also after getting the best and the newest kind of services. On the other hand, the financial resources of the health sector are limited, whereas, demands are infinite. Therefore, the essentiality of the efficient use of the financial resources and the progression of all social strata’s health level is highlighted to pay more attention to the two missing links of the health sector; 1. to deliver the kind of health services package, capable of providing health to all social strata, 2. To evaluate the medical and diagnostic services and also their actual cost. Through the execution of these two processes, all the beneficiaries of the health sector, including: the policy holders, people, the insured, the service providers (physicians, etc...) and the service purchasers (the insurer organizations) would take benefit.
Language:
Persian
Published:
فصلنامه بیمه سلامت, Volume:17 Issue: 52, 2014
Page:
34
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