:: Volume 25, Issue 1 (5-2017) ::
Journal of Ilam University of Medical Sciences 2017, 25(1): 169-179 Back to browse issues page
A comparative study of the California book effect and the servicesrelative value on inpatient costs of the common actions in the selected hospitals of ILAM city in September and October 2014
Morad Nasri *
Health insurance Organization of Ilam, Ilam, Iran , morad_nasry@yahoo.com
Abstract:   (5253 Views)

Introduction:  The Iran medical tariff rate system that for the first time was carried out enjoying the California book in 1983, after 30 years had been evolved due to numerous reasons and with compilation and prophecy of relative value book of health services entered to the new stage. The implementation of a new book will affect on the hospitalization expenses of insured persons.

Materials & methods: The population of the study, records of hospitalizedinsuredhealthinsurance organization in the hospitals of the city of Ilam in September and October2014 and were the most common examples of actions that census methods, their data in accordance with the objectives of the studying the Czech records, coded and entered intothecomputerusingSPSS21 softwareanalysiswas performed.

Findings: Totally, the average cost of common surgical procedures95/61percent. In August 7% and  in October 5% of the insured paid their costs; hence, averageshareofa total of74/76% increased. Shareof9percent to87percentinOctober. Respectively, 11% and 5% were covered by subsidy in September and October. 9% of patients in SeptemberandOctoberwas4% ofthe total costs. 1% and2% in October-off costs in September was a commitment paid by the patient. Additionalinsurancecontributionis minimalat(0%) of the costs coverage.

Discussion & conclusions: By implementing the relative value book and prophecy the relevant provisions to it, the final payment share of medical expenses of those insurance pocketsby increasing the Organization share and subsidies help reduce to 5%.

Keywords: California book, Relative value, Costs, Hospital, Ilam
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Type of Study: Applicable |
Received: 2015/07/4 | Accepted: 2016/02/27 | Published: 2017/05/17

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