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Jahanmehr, Nader, Damiri, Soheila, Zaieri, Fatemeh, Fazli Ouchhesar, Farasat. (1399). The Patients’ Cost Analysis for Eye Care Services: An Investigation in Hospitals of Tehran. سامانه مدیریت نشریات علمی, 7(3), 157-165.
Nader Jahanmehr; Soheila Damiri; Fatemeh Zaieri; Farasat Fazli Ouchhesar. "The Patients’ Cost Analysis for Eye Care Services: An Investigation in Hospitals of Tehran". سامانه مدیریت نشریات علمی, 7, 3, 1399, 157-165.
Jahanmehr, Nader, Damiri, Soheila, Zaieri, Fatemeh, Fazli Ouchhesar, Farasat. (1399). 'The Patients’ Cost Analysis for Eye Care Services: An Investigation in Hospitals of Tehran', سامانه مدیریت نشریات علمی, 7(3), pp. 157-165.
Jahanmehr, Nader, Damiri, Soheila, Zaieri, Fatemeh, Fazli Ouchhesar, Farasat. The Patients’ Cost Analysis for Eye Care Services: An Investigation in Hospitals of Tehran. سامانه مدیریت نشریات علمی, 1399; 7(3): 157-165.

The Patients’ Cost Analysis for Eye Care Services: An Investigation in Hospitals of Tehran

Health Management & Information Science
مقاله 5، دوره 7، شماره 3، مهر 2020، صفحه 157-165    اصل مقاله (698.81 K)
نوع مقاله: Original Article
نویسندگان
Nader Jahanmehr1؛ Soheila Damiri* 2؛ Fatemeh Zaieri3؛ Farasat Fazli Ouchhesar4
1Department of Health Management, Policy Making & Economics, School of Management and Medical Education, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
3Department of Health Management,Policy Making & Economics, School of Management and Medical Education, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
چکیده
Background:The costs of the eye care services are considered as one of the most important obstacles to timely diagnosis and treatment of eye disorders, but there is  little evidence about patients’ cost for receiving these services.
Objective: This paper aimed to investigate the costs paid by patients for eye care services in Tehran hospitals.
Methods: 346 patients referring to ophthalmology wards of Tehran's educational hospitals were selected throughconvenient sampling method. The data were extracted through researcher-made checklist and investigating the hospital bills in 2017. Then, they were analyzed using descriptive statistics methods, as well as Mann-Whitney and Kruskal Wallis tests in SPSS 21.
Results: The share ofhospital bills, informal payments like bought & brought goods, and non-medical costs were 32.8%, 1.85%, and 66.06%, from the total cost paid by patients, respectively. Further, 10.24%, 83.1%, and 6.85% of medical costs were paid by patients, insurance organizations, and government, respectively. Age (p=0.008), type of basic insurance (p=0.000), and the type of the treated disorder (p=0.000) affected the patients' medical costs. On the other hand, the level of income (p=0.001) and place of residence (p=0.001) variables caused significant differences in the total costs paid by patients.
Conclusions: The patients’ out-of-pocket payments for ophthalmology services are evaluated as reasonable. Nevertheless, a large share of the total costs paid by patients was non-medical ones. Improving equity in geographical access to ophthalmology services across regions of the country can reduce non-medical costs and increase the possibility of benefiting from the needed ophthalmology services for all population.
 
کلیدواژه‌ها
Medical costs؛ Non-medical costs؛ Out-of-pocket payment؛ Vision impairment؛ Eye care services
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