Zahra Rostami; Amir Ashkan Nasiripour
Abstract
Introduction: Health care reform affects the hospital activities from various ways. According to the important effect of insurance bill deductions on hospitals revenue, this study was aimed to compare the deductions from the insurance bills of Alzahra hospital affiliated to Isfahan University of Medical ...
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Introduction: Health care reform affects the hospital activities from various ways. According to the important effect of insurance bill deductions on hospitals revenue, this study was aimed to compare the deductions from the insurance bills of Alzahra hospital affiliated to Isfahan University of Medical Sciences, Isfahan, Iran, before and after of health care reform.Methods: This descriptive-analytic study was carried out by examining data about insurance bill deductions among 50288 and 51699 inpatient cases in 2013 and 2015, respectively, in Alzahra hospital covered by Social Security Insurance Organization and Health Services Insurance. To data collection, information technology (IT) staff reports and Health Information System reports were used and exported to electronic files. Data were analyzed using t and paired t tests at a significant level of 0.05.Results: The ratio of deductions to total hospital income significantly reduced in 2015 compared to 2013 (P = 0.010). This significant reduction was seen in visiting, anesthesia, surgery, bed-day costs, and para-clinic services. There was a significant increase in load of para-clinic, consulting, anesthesia, surgery, and total services.Conclusion: Insurance bill deductions in Alzahra hospital decreased after health care reform. The most rate of deductions referred to para-clinic services of Social Security Insurance Organization; that was because of great load of documents of this organization or inequity of patients covered by different insurers. But it is necessary to investigate the causes of insurance bill deductions according to insurance types to find approaches to reduce Social Security Insurance Organization bill deductions.
Seyyed Majid Shirzadi; Pouran Raeissi; Amir Ashkan Nasiripour; Seyed Jamaleddin Tabibi
Volume 14, Issue 3 , September 2017, , Pages 130-137
Abstract
Introduction: Considering the importance of the quality of hospital hoteling services in healthcare system’s outcomes, and lack of a valid assessment method for determining and implementing required strategies for evaluation and improvement of the service quality, the aim of the present study was to ...
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Introduction: Considering the importance of the quality of hospital hoteling services in healthcare system’s outcomes, and lack of a valid assessment method for determining and implementing required strategies for evaluation and improvement of the service quality, the aim of the present study was to determine factors affecting the hoteling services quality in public hospitals of Iran.Methods: The present quantitative-qualitative study was conducted in two phases. In the first phase, factors affecting hospitals hoteling services’ quality were extracted from the literature as well as from in-depth interviews with 11 experts (i.e., 6 specialists in healthcare administration and 5 in hoteling industry). In the second phase, the data from the first phase were integrated and a model for improving the quality of hospitals’ hoteling services was designed resulting in a researcher-made questionnaire. The model was validated through qualitative (i.e., expert opinion), and quantitative approaches (i.e., exploratory and confirmatory factor analysis). The data for the factor analysis was collected from 960 patients and specialists in 10 teaching hospitals in 10 different cities across the country. Confirmatory factor analysis and multiple regression were used to analyze the data.Results: The findings of present study indicated that 11 factors (physical, functional, economical, human factor, social welfare services, clinical welfare services, safety, cultural, personnel identification, patient guiding factors, and healthcare services) were able to explain 65.81% of the hoteling services’ quality variances. Based on conformity factor analysis, functional and personnel identification factors with a coefficient of 0.953 and 0.779, respectively, had the highest and lowest impact on improvement of the quality of hoteling services in Iranian teaching hospitals.Conclusion: For the improvement of the hoteling services status of Iranian hospitals and considering the 11 factors found in this study, the functional factor must be emphasized and the technical quality of health services be evaluated in the planning of hoteling services.
Amir Ashkan Nasiripour; Pouran Raeissi; Mohammad Reza Maleki; Mohammad Javad Akbarian Bafghi
Volume 9, Issue 7 , December 2012, , Pages 1158-1168
Abstract
Introduction: The mixed marketing is an important issue in providing the healthcare that the healthcareprovider organizations need it to survive in the contemporary era and have more market shares, revenueand to increase customer service efficiency and effectiveness. The present study aimed to provide ...
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Introduction: The mixed marketing is an important issue in providing the healthcare that the healthcareprovider organizations need it to survive in the contemporary era and have more market shares, revenueand to increase customer service efficiency and effectiveness. The present study aimed to provide apractical model of the factors influencing the mixed marketing in Iranian public hospitals.Methods: This was an applied and analytical study. Considering the field of health care services, 7PService Marketing Mix Model of "Booms and Bitner" was used and the conceptual research model wasdetermined. The dimensions of conceptual model were in the seven dimensions that included theproduction (services), price, place, promotion, physical evidence, processes and peoples. Then, using thelibrary studies, the variables relevant to each dimension were collected. Data collection tool was aquestionnaire that regulated base on five-item Likert scale. The research community was formed frompublic and private hospital administrators in Tehran, and experts of Ministry of Health and MedicalEducation. Data analysis was done through Lisrel version 8.50 and SPSS version 18 and using exploratoryand confirmatory factor analysis.Results: The fit indexes of Lisrel confirmed and acknowledged the healthcare mixed marketing modelwith seven dimensions. The dimensions that had the greatest impact included the place with factor of 0.82and six components affecting it. The price with factor of 0.81 and eight components affecting it were alsoidentified. Meanwhile, other aspects of the research in terms of impact were identified: i.e. "services" withnine components, "promotion" with eight components, "physical evidences" with ten components,"peoples" with eight components and "process" with six components.Conclusion: Healthcare centers can use the mixed marketing service model with confirmed sevendimensions in marketing management through concentration on place and price.
