جستجوی مقالات مرتبط با کلیدواژه "diagnostic related groups" در نشریات گروه "پزشکی"

One of the constant questions of hospitals and insurance organizations is the actual tariff of global surgeries. This study aims to compare the actual costs of surgeries in the hospitals affiliated to Birjand University of Medical Sciences (BUMS) with the approved global tariffs.

This is a retrospective study that was conducted in 11 hospitals affiliated to BUMS. The study population includes all global surgery bills in 2021. The criterion for entering the study was the presence of sufficient samples (at least 10 bills) from each of the performed global surgeries. Out of 91 collected global surgical procedures, 57 surgical procedures (equivalent to 63% of all global surgical procedures) met the inclusion criteria. The actual costs of surgeries were extracted from the hospital information system and compared with the government-approved tariffs. Data were analyzed using descriptive statistics in Excel 2016 software.

Based on the results, 52% of examined global surgery procedures, the global income was less than the average actual cost, while in 48% of the cases, the hospitals benefited from the costs of surgery. In 56 surgery cases, the billing cost was 12-139% higher than the approved global tariff, and in 23 cases, the difference was more than 50%.

There is a considerable difference between the actual cost of global surgeries in hospitals affiliated to BUMS and the approved tariffs. Due to the higher actual cost of surgeries, these tariffs have resulted in losses in hospitals.

The mechanism to reimburse the cost of treatment is one of the important factors that directly and indirectly in financial management and cost control, the hospital is impressive. This study was conducted to investigate the relationship run the system of payments, DRG and reduce the cost of treatment in military hospitals in Tehran city is done. A descriptive - analytical Study was conducted at Tehran Military Hospitals in 2018. In this study, first, the actual cost of services and the length of residence of the records were extracted from the hospital information system, then the average cost and residence of the patient for each
surgical procedure were determined and compared with the cost and average of the patient's residence determined in the global system of Iran. Finally, Significance difference between mean cost and average patient's residence was evaluated using t-test in version 16 of SPSS software. About a quarter of the records of patients admitted to the study, the records of global. In the hospitals 64% cases Global, Group actions, etc 16% cases in the group of surgical procedures, and 20% of the cases in Group surgery eye. In 95% records, including the cost of surgery with Global to
benefit the hospital, that 97% of this difference is the cost, were significantly meaningful. According to reduce the duration of stay of patients in Surgery Global, reload in current repayment system and implement a system of repayment prospective for other diagnosis, and surgery is recommended.