costs of the radiology ward by step-down method in Amir Alam hospital, Tehran, Iran

To calculate the costs of the radiology ward by step-down method in Amir Alam hospital, Tehran, Iran. By employing the Step-down cost accounting [SDCA] method, the current cost, overhead cost, capital cost and depreciation charge etc. of the radiology ward of Amiralam hospital and then considering the number of the rendered services the unit cost of such services have been calculated. Costs of the service unit computed for a simple radiology services were Rls 50,064/-, for sonography, Rls 70,300/-, and for CT scan, Rls 245,142/-. The tariffs of the Ministry of Health and medical Educations only cover about fifty percent of the said costs. The personnel costs of the unit which were Rls 1,788,100,000/-, formed about 62% of the entire costs of the Radiology Ward. In order to compute costs and use analyses of costs in the management of the hospital, we need real and available accounting data. We further need to use an identical accounting method all over the country and to save accounting information according to the computation of the costs of the service units. We can finally determine real tariffs once we do multiple researches in different hospital, using the same method

Home based training: main strategy of community based rehabilitation in Iran

Study of effectiveness of "home based training" in community based rehabilitation program on disabled people, who were trained and evaluated at the end of the course, under supervision of 21 pilot health and medical networks. In a cross-sectional study, 614 disabled people who had participated in "home based training" were selected with stratified random sampling method. They were evaluated according to function progress level variables by community based rehabilitation program experts. Age groups, sex, disability groups, employment state and teacher's relation variables were studied from their files and recording data. Statistical analysis was performed with Chi-square test. There was a relationship between age group and disability group with functional progress level [P value =0.014 and P value <0.001]. Low age groups, visual disabled group, epileptic patients and individuals with learning disability had the best results. High age groups, mixed age disability group and individuals with verbal and hearing problems had the least favorable results. There was a relationship between teacher's relation with progress or no progress state [P value = 0.038]. Individuals that were teachers had the best results and individuals with teachers other than first or second relation or health worker had the least favorable results. Home based training in community based rehabilitation program is an effective method for improving the functions of disabled people in some selected groups