Volume 21, Issue 3 (10-2018)
Hakim 2018, 21(3): 173-179 |
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Toosi Z, soori E, zamanian L, fallahinia G. Implementation of the Health System Reform Plan in Two Contexts of “Promoting Vaginal Delivery and Reducing Out-of-Pocket Payment of Hospitalized Patients” in Hospitals Affiliated to Hamadan University
of Medical Sciences. Hakim 2018; 21 (3) :173-179
URL: http://hakim.tums.ac.ir/article-1-1780-en.html
URL: http://hakim.tums.ac.ir/article-1-1780-en.html
1- Hamadan university of medical science. Hamadan. Iran
2- Hamadan university of medical science. Hamadan. Iran ,darman_neonatal@yahoo.com
2- Hamadan university of medical science. Hamadan. Iran ,
Abstract: (3138 Views)
Implementation of the Health System Reform Plan in Two Contexts of “Promoting Vaginal Delivery and Reducing Out-of-Pocket Payment of Hospitalized Patients” in Hospitals Affiliated to Hamadan University
of Medical Sciences
of Medical Sciences
Zahra Toosi 1 2, Elaheh Soori 3 *, Latif Zamanian 4, Gholamhosein Fallahinia 5
1Program Headquarters, Hamadan University of Medical Sciences, Hamadan, Iran
2Health Services Management, Tehran University of Medical Sciences, Tehran, Iran
3Department of Treatment, University of Medical Sciences and Health Services, Hamadan, Iran
4Faculty of Nursing and Midwifery, University of Medical Sciences, Hamadan, Iran
5Internal Nursing and Surgery, Faculty of Nursing, University of
Medical Sciences and Health Services, Hamadan, Iran
Abstract
Background: The increasing costs of health care, the limited capacity of financial systems, and the inefficiency of the traditional health sector practices led to more government investment in health and paved the way for necessary reforms through the implementation of the health system reform plan by the Ministry of Health. The aim of this study was to evaluate the implementation of health system reform plan in two contexts of “promoting vaginal delivery” and “reducing the payment of hospitalized patients” in Hamadan University of Medical Sciences affiliated hospitals in 2014.
Methods: This cross-sectional study was conducted in 2015. Information about the bills of hospitalized patients and the statistics of the delivery type in 15 hospitals was extracted from the registration forms of admitted patients and vaginal delivery data system. The plan was evaluated by comparing the data before and after the implementation of the plan and by concerning the criteria set by the Ministry.
Results: The results showed that the program for promoting vaginal delivery led to a 2.3% decrease in cesarean section cases. In addition, out-of-pocket payment of hospitalized patients in university hospitals dropped to 8.86%.
Conclusions: The implementation of the health care reform plan has been successful in hospitals of Hamadan University of Medical Sciences and has achieved its goals. However, in some cases, it is possible to achieve the full success of the program by taking serious measures to identify and resolve the existing problems.
Keywords: Health System Reforms; Cesarean Section; Out-of-Pocket Payment of Hospitalized Patients
Please cite this article as follows:
Toosi Z, Soori E, Zamanian L, Fallahinia Gh. Investigating the implementation of the health system reforms plan in two contexts of “Promoting Natural Delivery and Reducing Payments for Hospitalized Patients” in Hamadan University of Medical Sciences affiliated hospitals. Hakim Health Sys Res 2018; 21(3): 173-179.
*Corresponding Author: M.Sc., Department of Treatment, University of Medical Sciences and Health Services, Hamadan, Iran. Email: darman_neonatal@yahoo.com
Type of Study: Applicable |
Subject:
General
Received: 2018/02/17 | Accepted: 2019/03/4 | Published: 2019/03/4
Received: 2018/02/17 | Accepted: 2019/03/4 | Published: 2019/03/4
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