نوع مقاله : مقاله پژوهشی
نویسندگان
1 دانشیار، پزشکی اجتماعی، گروه پزشکی اجتماعی، دانشکده پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران
2 استادیار، اقتصاد سلامت، مرکز تحقیقات مدیریت و اقتصاد سلامت و گروه مدیریت خدمات بهداشتی درمانی، دانشکده مدیریت و اطلاع‌رسانی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران
3 دکتری حرفه‌ای، داروسازی، اداره کل بیمه سلامت استان اصفهان، اصفهان، ایران
4 متخصص بیماری‌های قلب و عروق، مدیریت درمان سازمان تأمین اجتماعی، اصفهان، ایران
5 دانشجوی دکتری، پزشکی عمومی، دانشکده پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران
چکیده
مقدمه: طرح تحول سلامت با هدف محافظت مالی مردم در قبال هزینه‌های سلامت، در سال ۱۳۹۳ اجرا گردید. پژوهش حاضر با هدف مقایسه هزینه‌های مستقیم خدمات سلامت، قبل و بعد از اجرای طرح تحول سلامت انجام شد.روش بررسی: در این مطالعه که از نوع توصیفی- پیمایشی بود، با استفاده از بانک اطلاعاتی موجود در سازمان‌های بیمه‌گر منتخب استان اصفهان (سازمان بیمه سلامت ایران و سازمان بیمه تأمین اجتماعی) و دانشگاه علوم پزشکی اصفهان، کلیه داده‌های مربوط به هزینه‌های مستقیم سلامت که در سال‌های ۱۳۹۲ و ۱۳۹۴ هزینه شده بود، با استفاده از چک‌لیست محقق ساخته جمع‌آوری گردید و در نهایت، در نرم‌افزار Excel مورد تجزیه و تحلیل قرار گرفت.یافته‌ها: پس از اجرای طرح تحول سلامت، هزینه‌ها به میزان 49 درصد در دانشگاه علوم پزشکی اصفهان، 130 درصد در بیمه سلامت، 118 درصد در سازمان تأمین اجتماعی و در مجموع، 92 درصد افزایش داشت.نتیجه‌گیری: به دنبال اجرای طرح تحول سلامت، هزینه‌های مستقیم سازمان‌های بیمه‌گر منتخب و دانشگاه علوم پزشکی اصفهان افزایش یافت. بنابراین، پیشنهاد می‌گردد در صورت تداوم اجرای این طرح، فاز بعدی آن در ارتباط با راهکارهای کنترل هزینه‌های مستقیم سلامت اجرا گردد.
کلیدواژه‌ها
عنوان مقاله [English]
The Comparison of Direct Health Expenditures of Selected Insurance Organizations of Isfahan Province and Isfahan University of Medical Sciences, Iran, before and after Health Care Reform in Years 2013 and 2015
نویسندگان [English]
- Reza Khadivi 1
- Mohammadreza Rezayatmand 2
- Hossein Bank 3
- Ali Etesampor 4
- Nima Ghasemi 5
1 Associate Professor, Community Medicine, Department of Community Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
2 Assistant Professor, Health Economics, Health Management and Economics Research Center AND Department of Healthcare Management, School of Management and Medical Information, Isfahan University of Medical Sciences, Isfahan, Iran
3 PhD, Pharmacy, Isfahan Health Insurance Organization, Isfahan, Iran
4 Cardiologist, Isfahan Social Security Organization, Isfahan, Iran
5 Student of Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
چکیده [English]
Introduction: Health care reform was implemented in Iran in year 2014 to protect people from health-related financial risks. The aim of this study was to compare direct health expenditures before and after the implementation of health care reform.Methods: This was a descriptive survey study, using the databases of selected Insurance Organizations of Isfahan Province (Iran Health Insurance Organization and Social Security Organization) and Isfahan University of Medical Sciences (MUI). All data related to direct health expenditures in years 2013 and 2015 were gathered using a checklist, and analyzed using Excel software.Results: The direct health expenditures experienced 49, 130, and 118 percent of increase in Isfahan University of Medical Sciences, Iran Health Insurance Organization, and Social Security Organization, respectively; the overall increase after implementation of health care reform was 92 percent.Conclusion: After the implementation of the health care reform in Iran, selected Insurance Organizations of Isfahan Province and Isfahan University of Medical Sciences experienced an increase in direct health expenditures. As a result, we suggest the use of different methods for controlling the expenditures of health care reform as its next phase.
کلیدواژه‌ها [English]
- Health Expenditures
- Health Care Reform
- Insurance
- Health
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