Volume 9, Number 1 (5-2015)                   payavard 2015, 9(1): 67-80 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Chatruz A, Javadinasab H, Amini M K, Biglar M, Goudarzi N, Javad J. A Comparison Of The Cost Of Global Surgery Bills With Approved Tariffs In Hospitals Affiliated To Tehran University Of Medical Sciences. payavard. 2015; 9 (1) :67-80
URL: http://payavard.tums.ac.ir/article-1-5667-en.html

1- Master of Sciences in MBA-Strategic, Vice-Chancellor of Finance, Tehran University of Medical Sciences, Tehran, Iran
2- Master of Sciences in Health Economics, Health Sector Policy Coordination Group, Ministry of Health and Medical Education, Tehran, Iran
3- Master of Sciences in Physic, Vice-Chancellor of Planning and Management Development of Resources, Tehran University of Medical Sciences, Tehran, Iran
4- Pharmacist, Ph.D by Research Student in Pharmaceutical Science, Vice-Chancellor of Planning and Management Development of Resources, Tehran University of Medical Sciences, Tehran, Iran
5- Master of Sciences in Health Services Management, Vice-Chancellor of Finance, Tehran University of Medical Sciences, Tehran, Iran
6- Ph.D Student in Health Information Management, Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran , J.zarei27@gmail.com
Abstract:   (2159 Views)

Background and Aim: One of the perennial questions for hospitals and insurance organizations are the real cost of g lobal surgery. The aim of this study was to compare the cost of global surgery bills with approved tariffs in hospitals affiliated to Tehran University of Medical Sciences Medical Sciences .

Materials and Methods: This was a cross – sectional study . The study population included all hospitalized patient bills eligible for global tariff at nine selected hospitals (include: Imam Khomeini, Shariati, Arash, Fatemeh Alzahra, Zanan, Cancer Institute and Razi) affiliated to Tehran University of Medical Sciences in 2012. Checklist was used for data collection. Data about the real costs of surgical procedures were collected from the patients' bills . Data were analyzed using descriptive statistics in SPSS version 16 software .

Results: The results showed that a total of 90 included global tariff surgical, 68 surgical procedures were performed in nine selected hospitals. Except seven surgical procedures in other cases (61 cases), the real costs of surgical procedures average 3 -312 percent more than approved global tariff. The surgical procedure "Septoplasty" had the most difference with global tariff.

Conclusion: The results showed that surgical global tariff are not real, and lead to the hospitals financial loss. Therefore, it is recommended that to prevent the hospital financial loss in the calculation of the g lobal t ariff factors such as patient age , presence or absence of comorbidity and complication, disease severity, length of stay and inflation rates in country to be considered .

Full-Text [PDF 357 kb]   (1431 Downloads)    
Type of Study: Research | Subject: Hospital Managment
Received: 2015/07/25 | Accepted: 2015/07/25 | Published: 2015/07/25

Add your comments about this article : Your username or email:
Write the security code in the box

Send email to the article author


© 2017 All Rights Reserved | Journal of Payavard Salamat

Designed & Developed by : Yektaweb