Behrooz Pouragha; Abolghasem Pourreza; Ali Hasanzadeh; Mohammad Sadrollahi; Khalil Ahvazi
Volume 10, Issue 2 , July 2013
Abstract
Introduction: Medicine is an inseparable link of health chain; a flaw in health process for high expenditures of the medicine or inappropriate access shall certainly bring higher costs in the mentioned procedure. The present study aimed to evaluate the impact of the households’ income, geographical ...
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Introduction: Medicine is an inseparable link of health chain; a flaw in health process for high expenditures of the medicine or inappropriate access shall certainly bring higher costs in the mentioned procedure. The present study aimed to evaluate the impact of the households’ income, geographical access, patients’ direct payment, physician's visit and insured' inpatient rate on the amount of medicine utilization in the pharmacies contracted with the Social Security Organization (SSO). Methods: This was a descriptive and analytical study. The bank data in 1988-2009 from SSO's provincial branches were used to evaluate the impact of the above mentioned elements on drug utilization rate. The study subjects included 24 million individuals under coverage of the organization appearing before the direct and indirect health section to receive medicine during the mentioned years. We analyzed the data using linear fixed-effects models by EViews Software. Results: The findings of the study showed that the specialist's visit (β=0.37), inpatient rate in indirect health section (β=0.17), geographical access (β=0.17), GP's visit (β=0.16) and out of pocket (OOP) payment (β= -0.12) had the highest impact on drug utilization, respectively. The households’ income (P=0.927; β= -0.005), inpatient rate (P=0.076; β= 0.033) and physician's visit in direct health section (P=0.577, β= 0.026) had not significant effect on the medicine utilization in the contracted pharmacies. Conclusion: Drug provision is of high importance in away that any growth in the price does not play an avoiding role in its consumption, which may cause catastrophic costs for some households. The SSO's policy makers shall ponder about the upright distribution in order for better healthcare services utilization. Keywords: Social Security; Drug Costs; Utilization
Mahmood Nekoeimoghadam; Ali Hasanzadeh; Vahid Yazdifeyzabadi
Volume 5, Issue 1 , March 2008
Abstract
Abstract Introduction: Management information systems are an effective factor in improvement of managers' decision-making procedure. This study investigates the relationship between establishment of management information systems and organizational structure in governmental offices in the city of Kerman. ...
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Abstract Introduction: Management information systems are an effective factor in improvement of managers' decision-making procedure. This study investigates the relationship between establishment of management information systems and organizational structure in governmental offices in the city of Kerman. Methods: This is a cross-sectional study and the study population includes experts working in the governmental offices in the city of Kerman. The size of sample was 385 experts based on cluster sampling method. Data were collected by a questionnaire comprised of two sections of management information systems and organizational structure (formality, complexity and centralization). The questionnaire was valid with 83% for management information system and 82% for organizational structure using content validity method. The reliability was 92% and 88% respectively by test-retest technique and correlation coefficient. Data were analyzed by entering to SPSS software and using Spearman's rank correlation, Kendall tau correlation coefficient and Log linear Model. Results: There was a significant direct relationship between management information systems and centralization variable with correlation coefficients (Kendall 408/0 and Spearman 309/0). The relationship between management information systems and formality variable was significant but inverse with correlation coefficients of Kendall 0.314 and Spearman 0.238. Conclusion: The establishment of management information system in governmental offices increased the centralization of decision-making in management levels and the horizontal complexity, and decreased organizational formalities and hierarchy. Keywords: Management Information Systems; Government Agencies; Administrative Structures
