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dc.contributor.authorMohammadi, Mahan
dc.contributor.authorNaghdi, Parnaz
dc.contributor.authorJahangard, MohammadAli
dc.contributor.authorYousefe, Alireza
dc.contributor.authorRafiee, Noora
dc.date.accessioned2020-04-30T22:13:57Z
dc.date.available2020-04-30T22:13:57Z
dc.date.issued2017
dc.identifier.issn2277-9531
dc.identifier.doi10.4103/jehp.jehp_218_14
dc.identifier.urihttp://hdl.handle.net/10072/393533
dc.description.abstractIntroduction: Since 2013, in Iran's health care, the contribution of direct payments for health-care services was estimated more than 50 % of all expenditures. In May 2014, Iran's health-care reform was established to improve health services quality and reduce patients' out-of-pocket payments <10% in urban and 5% in rural areas. Therefore, the purpose of this study is to investigate unmet costs (those which are not covered either by the insurance companies nor the recent reform coverage mentioned in Sections 1.2.2 and 1.2.1, Article 6 of the Health Minister Reform Guideline) in the inpatient billings within the first 5 months from the reform implementation. Methods: This study was conducted as a cross-sectional research in the second half of 2014 on the selected hospitals in Isfahan Province. Data were collected by investigating 97,000 inpatients' billing records issued by 28 hospitals affiliated to Isfahan University of Medical Sciences using census method. Results: Findings of the study showed that the average of unmet costs paid by the inpatients constituted 21.8% of the total billing costs in 28 hospitals, and the average unmet costs paid by each patient was 1,903,832 Rials. Conclusion: Considering the definition of unmet cost in the context of health-care reform guideline and hospitals' problems in providing some costly services, drugs, and medical equipment (that were not covered by insurance organizations and the reform scheme) within the obligations of the reform, it is necessary to review these obligations and further interact with insurance companies about expanding the coverage to some costly services required by the patients.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherMedknow
dc.relation.ispartofpagefrom32
dc.relation.ispartofpageto32
dc.relation.ispartofissue1
dc.relation.ispartofjournalJournal of Education and Health Promotion
dc.relation.ispartofvolume6
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchApplied Economics
dc.subject.fieldofresearchcode1117
dc.subject.fieldofresearchcode1402
dc.titleThe proportion of unmet costs considering inpatients billing of selected hospitals, after 2014 Health System reform implementation in Isfahan Province
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationMohammadi, M; Naghdi, P; Jahangard, M; Yousefe, A; Rafiee, N, The proportion of unmet costs considering inpatients billing of selected hospitals, after 2014 Health System reform implementation in Isfahan Province, Journal of Education and Health Promotion, 2017, 6 (1), pp. 32-32
dcterms.licensehttps://creativecommons.org/licenses/by-nc-sa/4.0/
dc.date.updated2020-04-30T03:20:55Z
dc.description.versionVersion of Record (VoR)
gro.rights.copyright© 2017 Journal of Education and Health Promotion. Published by Wolters Kluwer - Medknow. This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
gro.hasfulltextFull Text
gro.griffith.authorMohammadi, Mahan


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