Document Type : Original Article
Authors
1 Associate Professor, Health Services Management, Health Services Management Research Center AND Department of Health Services Management, School of Health Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
2 MSc Student, Health Services Management, Department of Health Services Management, School of Health Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
3 General Practitioner, Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
4 BSc, Accounting, Deputy of Health, Tabriz University of Medical Sciences, Tabriz, Iran
Abstract
Introduction: Primary health care is an effective approach to improving public health. Providing optimal care requires supplication of various resources including financial resources. Thus, fraction of revenues of health care centers is one of the main problems in the domain of financial resources management. Therefore, the present study was carried out to identify the bottlenecks on dedicated revenues fractions in health centers. Methods: This qualitative phenomenological study was carried out in East Azerbaijan Province of Iran in 2014. Purposeful sampling method was used for the selection of participants. Focus group discussion and semi-structured interviews were used for data collection. Data collection was carried out based on prepared guidelines and continued until data saturation. The validity of the guidelines was approved by qualitative experts. Data were analyzed using content analysis method. Results: Based on the experiences and perspectives of participants, two main themes were extracted including cash fractions and none-cash fractions. Cash fractions consisted of three sub-themes of discounts fractions, fractions related to deposit of cash revenues by health centers, and registration fractions. None-cash fractions included fractions related to sending documents, fractions in the insurers' reimbursement, and fractions per capita. Conclusion: Fraction of dedicated revenues of health centers occurred in all cash and none-cash revenues and also in all stages of conversion of service into revenue. Therefore, special attention and efforts are required in order to reduce these fractions.
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