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Najibi, Maryam, Dehghan, Hajar, Jafari, Abdosaleh, Hoseinpour, Tayebe, Rezaee, Rita. (1394). A study of the problems between basic insurance organizations and teaching hospitals of Shiraz University of Medical Sciences as viewed by the staff of income hospitals and representative of the insurer’s organization in 2013. سامانه مدیریت نشریات علمی, 2(3), 82-88.
Maryam Najibi; Hajar Dehghan; Abdosaleh Jafari; Tayebe Hoseinpour; Rita Rezaee. "A study of the problems between basic insurance organizations and teaching hospitals of Shiraz University of Medical Sciences as viewed by the staff of income hospitals and representative of the insurer’s organization in 2013". سامانه مدیریت نشریات علمی, 2, 3, 1394, 82-88.
Najibi, Maryam, Dehghan, Hajar, Jafari, Abdosaleh, Hoseinpour, Tayebe, Rezaee, Rita. (1394). 'A study of the problems between basic insurance organizations and teaching hospitals of Shiraz University of Medical Sciences as viewed by the staff of income hospitals and representative of the insurer’s organization in 2013', سامانه مدیریت نشریات علمی, 2(3), pp. 82-88.
Najibi, Maryam, Dehghan, Hajar, Jafari, Abdosaleh, Hoseinpour, Tayebe, Rezaee, Rita. A study of the problems between basic insurance organizations and teaching hospitals of Shiraz University of Medical Sciences as viewed by the staff of income hospitals and representative of the insurer’s organization in 2013. سامانه مدیریت نشریات علمی, 1394; 2(3): 82-88.

A study of the problems between basic insurance organizations and teaching hospitals of Shiraz University of Medical Sciences as viewed by the staff of income hospitals and representative of the insurer’s organization in 2013

Health Management & Information Science
مقاله 3، دوره 2، شماره 3، مهر 2015، صفحه 82-88    اصل مقاله (607.2 K)
نوع مقاله: Articles
نویسندگان
Maryam Najibi* ؛ Hajar Dehghan؛ Abdosaleh Jafari؛ Tayebe Hoseinpour؛ Rita Rezaee
چکیده
Introduction: In Iran health insurance is a significant tool in healthcare costs, financing health care and equal access to health services for people. Problems between hospitals and insurance organizations impose extra cost to the patient, leading to financial losses they will infringe upon the rights of patients. This study aimed to determine the issues between hospitals and basic insurance organizations and proposed practical solutions to solve problems in Shiraz University of Medical Sciences.Method:This research was a qualitative study (content analysis), which was conducted in 2013. The research population consisted of teaching hospitals of Shiraz University of Medical Sciences; Purposeful sampling was used and continued until data saturation. The representative of the insurers and staff of income hospitals were asked questions using a semi-structured interview. In this study, we used NVIVO for data analysis.Results: The results of this study showed that the most common problems between basic insurance organizations and teaching hospitals include the lack of prompt payment of hospital bills and imposing deduction on the hospitals.Conclusion: Based on the results of this study, it seems that cooperation between hospitals and insurance organizations could be improved by timely payment of hospital bills and codifying appropriate rules and regulations by basic insurance organizations and, on the other hand, with timely completion of bills and training of hospital staff by the hospital authorities.Keywords: Hospitals, Insurance, deductions
مراجع
  2. Daneshdehkordi N. [public health insurance From the perspective of law tehran]. Scientific and Cultural Publications; 1995.
  4. Khalesi N, Gohari M, Vatankhah S, Abbasimani Z. [The Effect of Employee Training on Insurance Deduction Rate at Firoozgar Teaching Hospital 2008-2009]. Journal of Health Administration 2011.13(43).
  6. Ghiasvand H, Hadian M, Maleki M. Relationship between health insurance and health care costsin hospitals associated with the Iran University of Medical Sciences. journal of economic investigation. 2009:207-24.
  8. Neil S, Soltani K. [The potential role of risk-equalization mechanisms in health insurance]. Health policy and planning. 1997;12(4):341-53.
  10. Jafari H. Survey satisfaction Staffof MazandaranUniversity of Medical Sciences of supplemental insurance company. journal of Mazandaran University of Medical Sciences. 2005;17(58):117-24.
  12. Noohi M. Determine thetechnical efficiency Social Security hospitals with Method DEA2005-2009: Tehran University of Medical Sciences; 2010.
  14. Karimi S, Vesal S, Saeedfar S, Rezayatmand M. The Study Deductions of Insurance Bills and Presenting Suggestions Approaches in SeyedAlshohada Hospital. Health Information Management. 2011;7((Special Issue)):600.
  16. Nasirirad N, Rashidian A, Jodaki H, Akbari F, Arab M. study of Problems and issues between Based insurance organization and the university and University Hospitals. Journal of Hospital. 2010;9((4&3)):7-18.
  18. Tavakoli N, Saghaiannezhad S, Rezayatmand M, Moshaveri F, GHaderi I. [Documentation of medical records and deductions imposed by the Department of Insurance]. Health Information Management. 2004;3(2):53-61.
  20. Askari R, Dehghan H, Bahrami M, Keshmiri F. [Study of Level and causes deductions Billsin patient records Covered by social security insurance In the hospitals of Yazd University of Medical Sciences]. Journal of Hospital. 2008;9((3&4)):23-8.
  22. Wendel S, de Jong JD, Curfs EC. Consumer evaluation of complaint handling in the Dutch health insurance market. BMC health services research. 2011;11(1):310.
  24. Karami M, Safdari R, Moeini M. [study of the impact of deductions The social security insurance The financial rights of patients in Hospital,KashanUniversity of Medical Sciences]. Journal of Oromiye Nursing Midwifery. 2010;8(4):220-8.
  26. Dehnooye R, Rashidian M, Maleki M. [Challenges of Determination the basic health insurance package in Iran]. Journal of payesh. 2010;10(2):273-83.
  28. Tabbush V, Gambone JC. Managed health care coverage for infertility services: understanding adverse selection. Current Opinion in Obstetrics and Gynecology. 1998;10(4):341-6.
  30. Moghaddasi H. [Problems of Health Insurance Systems and the Need for Implementation of a Reform Approach]. Journal of Health Administration 2011. 2011;14(44).
  32. Kazemian M, Meskarpour-Amiri M. [Evaluation of the combination of financing and providing services in social health insurance system in Iran]. Daneshvar(medicine) shahed University. 2012;19:1-9.
  34. GHasemi H. Text book monitoring. Tehran: Publication organization Medical Services Insurance; 2010.
  36. Ebadifard Azar F. [Receivables collection and turnover period in selected hospital of the Qom university of medical sciences from insurance companies (2005-2009)]. Journal of Hospital, Published By Tehran University Of Medical Sciences. 2011;3:53-60.
  38. Soofi M, Bazyar M, Rashidian A. [Types of moral hazards and its effects on insurance marketing and health system]. Journal of Hospital Published By Tehran University Of Medical Sciences. 2011;11(3):73-80.
  40. Carrin G. Social health insurance in developing countries: a continuing challenge. International social security review. 2002;55(2):57-69.
  42. Rachel G, Hsiao W. Does Universal Health Insurance Make Health Care Unaffordable? Lessons from Taiwan. health affairs. 2003;22:77-88.
  44. Ghodoosi A. [Evaluating the Cases of Violating the Regulations of Medical Services Insurance Organization in Isfahan Province, Iran]. Health Information Management 2012.
  46. Hajinabi K, Selseleh M. [The relation between insurance funds of medical service insurance and heart inpatients costs in Karaj hospitals]. Journal of Research Health. 2012;2(2):207-13.
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