جستجوی مقالات مرتبط با کلیدواژه « خدمات سلامت » در نشریات گروه « علوم اجتماعی »

One of the most important challenges in the relationship between physician and patient or the relationship between physician and patient and service providers is induced demand. Inducing the provision of care or the sale of unnecessary services to clients of the health system, which is accompanied by the exercise of power by service providers, is called induced demand.

The study was conducted as a systematic review with a qualitative approach, based on which scientific databases such as SID, Iranmedex and Magiran were searched and examined using the keywords "induced demand" and "induced demand in health". The search of articles was carried out by applying a ten-year time limit (2009-2010) and articles that had time matching and content consistency with the research topic were included in the study and analyzed.

Findings were categorized into four categories: causes, challenges, plans and solutions. Studies have shown that factors such as underlying causes, structural causes due to lack of proper policy-making, social causes resulting from advertising and the atmosphere of society play a role in creating induced demand. Also, the lack of proper structure in insurance organizations and the existence of supplementary insurance are other causes of induced demand.

According to the systematic review, reforming payment methods to physicians, creating electronic health records, modifying tariffs and increasing awareness and information in the community can be mentioned as effective solutions to reduce induced demand in the health system.

The aim of this study was to investigate the cost of economic health in patients with the COVID-19. One of the problems in our country during the outbreak of a disease is the high amounts of out-of-pocket and direct payments, and as a result, the possibility of heavy health costs, especially in low-income households. At a time when the emphasis is on reducing communication and maintaining social distance, the problem of employing manpower has affected the economy. With the outbreak of the COVID-19, the increase in the unemployment rate on one hand, and in the living costs on the other, are causing low-income households to face economic problems. Considering that the economy is a branch of the social system, the present paper is a cross-sectional study in which 400 patients were selected from all patients admitted to hospitals affiliated to Iran University of Medical Sciences, using two-stage random sampling method. A questionnaire was used to collect data, and the SPSS software was used to analyze the data. The results showed that among the 12 variables studied, 7 variables were proved to have a significant relationship with high health costs and out-of-pocket payments. These seven variables are: the family head's gender, living in a urban areas, the other household members' illnesses, home ownership, the income level, the coverage of supplementary insurance, and the number of household members. It seems that the lack of careful attention to the designing of appropriate health mechanisms based on the country’s economic, social, demographic conditions and also the epidemiological patterns of COVID-19, is one of the most important causes of inefficiency of the Iranian health services in supporting patients.