جستجوی مقالات مرتبط با کلیدواژه "فرانشیز" در نشریات گروه "پزشکی"

Patient involvement in paying the out-of-pocket medical expenses is common in most countries. According to the instructions of the Urban Family Physician Program in Iran (Version 02), all care services should be provided free of charge. This study aimed to investigate the viewpoints of administrators and executives in Fars and Mazandaran provinces regarding the free provision of services.  This cross-sectional study was conducted in winter 2016. The study population included administrators and experts monitoring the Urban Family Physician Program, as well as representatives of Family Physicians who were selected by the census. The data were collected using a researcher-made questionnaire containing two parts with 20 items. In addition, The reliability and validity of this questionnaire were confirmed using alpha Cronbach at 0.87%. The data were collected from 29 expert panels in cities of Fars and Mazandaran. The obtained data were analyzed in SPSS software (version. 23). P-value less than 0.05 was considered statistically significant.  Out of 635 participants, 49 cases (7.7%) agreed that all services provided by family physicians and health care providers should be free. According to the results, free of charge services include care for chronic diseases (63.7%), basic visits and periodic examinations (48.1%), injections (40.4%), serum therapy (36.6%), bandaging (35.2%), therapeutic visits (22.8%), prescriptions of family physicians (22.6%), laboratory services (17.3%), and radiography and ultrasound services (15.7%).  This study showed that the majority of people disagreed with free of charge services provided by urban family physicians. Therefore, it is suggested to revise franchise systems regarding the provision of some services.

This study aimed to investigate the relationship between hospital cost based on current procedural terminology and patients’ out-of-pocket payment by examining the most common surgical procedures in Oil Company retires, including cataract surgery, coronary angiography, total knee arthroplasty, and total hip replacement. This applied study utilized a descriptive - analytical design. The target population included oil company retires hospitalized in private hospitals in Tehran. The data were collected by examining the medical records archived in the Oil Industry Pension Fund from 2014 to 2015. In total, 920 samples were selected, 459 of which had been gathered before the implementation of Current Procedural Terminology and 461 after its implementation. In the end, the data were analyzed using SPSS V. 20 software by paired t-test and Wilcoxon test. The results of statistical tests showed a significant difference in the direct payment of patients undergoing angiography before and after the implementation of Current Procedural Terminology (P < 0.05). In addition, the Wilcoxon test showed a significant difference in the patient’s franchise for cataract surgery (P = 0.01; Z = -12.07). The health reform plan has increased the out-of-pocket payment in private hospitals. However, it can be reduced by proper monitoring and management.

The importance of considering patients’ satisfaction with the health system development plan has an effective role in management planning. The purpose of this study was to determine the satisfaction rate of hospitalized patients in Tehran’s public hospitals as a reduction in the rate of payment for patients in the health system reform plan.
This was a descriptive cross-sectional study conducted in the first half of 1394. The research community is the patients of the Tehran State hospital. A multi-stage sampling (500 patients) was performed. The data gathering tool was a researcher made questionnaire whose validity and reliability were confirmed. Data analysis was done by SPSS software version 22 using correlation, factor analysis, and Friedman test.
Based on the findings of the research, it can be concluded that reducing the amount of hospitalized patients to make vitality, reducing illness due to the insignificant costs of treatment, and enhancing equity in health is a positive consequence of the program. As a result, the health system development plan plays an important role in patient satisfaction and has reduced the health concerns of people.

Effect of the deductibles on moral hazard has been approved in commercial insurance. But in medical care organizations that strategies are based on non-profitability conditions and major part of costs are funded through governmental supports, this can be different. In this survey evaluated the effect of the deductibles on moral hazard among insured’s of a Healthcare Organization in Tehran. This cross - sectional study was performed among insured’s of military healthcare organization in Tehran. 554 households have been selected from household budgeting survey data from 2010 that filtered based on membership in the Healthcare Organization. For data analysis Eviews software and Minitab statistical software were used. Results showed that there is a negative relationship between moral hazard and deductibles (with significance level of 85%). Also observed that increasing in income and age lead to increasing in moral hazard (with significance level of 90& 95%) but analysis showed that there was no significant relationship between marital status and moral hazard. When insured’s participate in medical losses in case of involving deductibles, it prevents enhancing using of unnecessary medical services by them.

In the absence of medical facilities in Social Security Organization (SSO) hospitals in provinces, the patients will be dispatched to Tehran. This will dissatisfaction and intellectual and emotional tensions and imposes a lot of costs upon SSO for dispatching the patients. The objective of this study is to compare franchise elimination of medical services in hospitals in contract with social security organization in Provinces with costs of patients dispatching to Tehran. The study was done as retrospective and analytical research. The neurosurgical patients dispatched to Tehran were selected for the study (using the census method). The data were collected in information forms. Research finding were analyzed by SPSS software. Among studied provinces, Khuzestan province, with 233 cases, had the highest frequency ofpatients dispatched and Zanjan and Golestan provinces with 2 cases had the lowest frequency. There was a significant difference between average of dispatching costs paid by SSO and the average franchise paid by patients (p<0.001) such that patients dispatching cost was higher than the franchise paid by patients. There was also no significant difference between average dispatching costs and franchise margin among studied provinces. Considering the fact that cost of studied dispatching patients was higher than the franchise paid by them in exchange of medical services from hospitals in contract with SSO, elimination of medical services` franchise and treatment of patients in their provinces could decrease in the SSO costs compared with dispatching them to Tehran.