Volume 13, Issue 1 (2024)                   J Police Med 2024, 13(1) | Back to browse issues page

Ethics code: IR.SBMU.TEB.POLICE.REC.1402.03


XML Persian Abstract Print


1- ValiAsr Faraja Hospital, Department of Management, Tehran, Iran
2- General Surgery, ValiAsr Faraja Hospital, Tehran, Iran
3- Neurosurgery, Imam Khomeini Hospital Complex, Tehran, Iran
4- Department of Support and Services Management, Institute of Management and Organizational Resources, Policing Sciences and Social Studies Research Institute, Tehran, Iran
5- Research Center for Trauma in Police Operations, Directorate of Health, Rescue & Treatment, Police Headquarter, Tehran, Iran , momadehghan5858@gmail.com
English Extended Abstract:   (199 Views)
Aims: At the core of healthcare economics is cost analysis and pricing for each service unit. The purpose of this study was to calculate the costs of inpatient services covered by the global tariff and compare it with the approved tariff in hospitals in terms of profit and loss.
Materials and Methods: This research is a type of applied research that was carried out in a descriptive-cross-sectional way and a cross-sectional and retrospective manner. The financial statements and files of global inpatient services included in the tariff of diagnostic and therapeutic services were reviewed. The cost allocation method in this research was based on a standard model and conformed to the conditions and requirements of military hospitals. The collected data were analyzed using descriptive and inferential statistics in SPSS 29 software.
Findings: The findings of the study showed that in ValiAsr hospital in Tehran, Iran, the average total tariff or cost related to matricectomyand nail bed, excision of cyst or pilonidal sinus (PNS), excision of cyst and fibroadenoma or other benign or malignant tumor, nasal fracture treatment, open treatment of nasal fracture and the retreatment of radius and ulna fractures was significantly higher than the rate of non-governmental first-class center related to this code. (P<0.001).
Conclusion: There is a significant difference between the costs of Global services and their approved tariffs, and because the actual service costs are high compared to the approved tariffs, ValiAsr and Imam Sajjad hospitals do not benefit from profit.
Article number: e3
Full-Text [PDF 566 kb]   (109 Downloads)    
Article Type: Original Research | Subject: Police Medicine Emergencies
Received: 2023/12/4 | Accepted: 2024/07/14 | Published: 2024/07/29

References
1. Gharibi F, Zarei M. Cost analysis of health care centers of Sanandaj in 2003. Sci J Kurdistan Univ Med Sci. 2003; 7(26): 43-9. https://sid.ir/paper/76426/en
2. Amiri M, Shariati M, Chaman R, Yaghooti A, Bagheri H & Khatibi M. Estimating the costs of services provided by health house and health centers in Shahroud. Know Health 2010;5(2-3):30-6. https://ris.shmu.ac.ir/webdocument/load.action?webdocument_code=2000&masterCode=16000601
3. Mohammad Zadeh M. Najafi B. Health Economics (Persian). Tabriz: Forozeah. 2007: 125.
4. Witter S, Ensor T, Jowett M, Thompson R. Health economic for Developing countries: A practical guide translated by Porreza Abolghasem. Royal Soc Tropical Med Hygiene.2001. https://www.academia.edu/12989534/Health_economics_for_developing_countries_a_practical_guide
5. Bloor K, Maynard A. "Provider payment mechanisms", university of York, 2002: 67, 323.
6. Arab M, Ghiasvand H, Darroudi R, AkbariSari A, Hamidi M & Moghri J. Determination of radiology services cost in selected hospitals affiliated with Tehran university of medical sciences using the activity based costing method in 2010. Hospital. 2012;11(3):27-36. https://web.archive.org/web/20200320182759/http://jhosp.tums.ac.ir/article-1-19-en.pdf
7. Saber Mahani A, Barouni M, Bahrami M, Goodarzi G, Sheikhgholami S, Ebrahimipour Z, et al. Cost price estimation of radiology services in Shafa hospital of Kerman in 2010. Tolooe Behdasht. 2010; 10(1): 50-61. https://www.semanticscholar.org/paper/COST-PRICE-ESTIMATION-OF-RADIOLOGY-SERVICES-IN-2010-Asma-Mohsen/3273a3e80f374c784d70e89bd6f54330b7f2ab27
8. Kuchta D & Zabek S. Activity-based costing for health care institutions. Int Conf Enterprise Systems. 2011. https://manajemenrumahsakit.net/wp-content/uploads/2013/10/Activity-based-costing-for-health-care-institutions.pdf
9. Neyer G, Geva B. Blockchain and payment systems: What are the benefits and costs? J Payments Strategy Systems. 2017;11(3):215-225. https://ideas.repec.org/a/aza/jpss00/y2017v11i3p215-225.html [DOI:10.69554/RPOV9667]
10. Lokhava M, Losa G, Mazières D, Hoare G, Barry N, Gafni E et al. Fast and secure global payments with stellar. Symposium on Operating Systems Principles. 2019.80-96. [DOI:10.1145/3341301.3359636]
11. Zare Askari A, M. Mir Mohammadkhani M, Shahab M R, Ebrahimian A A. Comparison of Global Inpatient Services Costs with Approved Tariffs in Niknafs Obstetrics and Gynecology Hospital in Rafsanjan in 2019: A Descriptive Study. J Babol Univ Med Sci 2022; 20(10) :1117-28. DOI:10.52547/jrums.20.10.1117 [DOI:10.52547/jrums.20.10.1117]
12. Arab M, Zeraati H, Ravangard R, Gholinejad A, Rasooli A. Comparing global-operations reimbursements with their actual costs in the Cancer Institute, Tehran. J School Public Health. 2008;16(1):843. https://searchworks.stanford.edu/articles/aph__43292084
13. 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. http://payavard.tums.ac.ir/article-1-5667-en.html
14. Sarlak N, Ghanbari AM, Moharreri Z. Verification approved tariffs of medical services in comparison with the cost of these services in Qom medical university by ABC approach. J Govern Account. 2015;2(1): 17-30. https://dorl.net/dor/20.1001.1.24234613.1394.2.1.2.4
15. Ebrahimipour H, Pourahmadi E, Badiee Aval S, Rezazadeh A. Comparison of the charges of 10 selected surgeries in Imam Reza hospital with their official global prices. J Res Health. 2020; 10(5):319-28. https://doi.org/10.32598/JRH.10.5.1712.1 [DOI:10.32598/jrh.10.5.1712.1]
16. Madani SM, Taji M. Total cost of selected global surgeries and comparison with accepted fee in Amin hospital in Esfahan city. Homa-ye-Salamat. 2011;7(3):6-9. magiran.com/p854124
17. Investigate the relationship run system payments DRG and reduce the cost of therapy. NPWJM 2019. 6 (21):53-59

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.