ABSTRACT
Introduction: The reimbursement mechanism of the cost of treatment is an important factor which directly or indirectly affects the financial management and control of hospitals costs, hence different countries use different reimbursement systems. This study evaluated the prospective reimbursement system [global system]; at one of the hospitals in Hormozgan University of Medical Sciences
Methods: This descriptive-analytical study evaluated 1286 Global inpatient records in Fekri hospital affiliated to Hormozgan University of Medical Sciences. First the actual cost of care and length of stay for each of the global records was extracted using the hospital information system. Then the average cost and patient's stay for each of global procedures were compared with the cost and length of stay determined by Iran global system. Data analysis was performed using descriptive statistics and T-test was used to test the research questions
Results: One quarter of all inpatient records belonged to global payment system. 62% of global records belonged to OB/GY operations, 20% to general surgery and 18% to ophthalmic surgery. The analysis of the cost of 86% of surgery global records showed to be beneficial for the hospital, where 91% of these cost differences were found to be significant. For more than 99% of cases in global system, the average length of stay was less than average standard length of stay, and for 64% cases this difference was found to be statistically significant
Conclusion: Regarding the reduction of length of stay of patients in global payment system, the review and implementation of global payment system for other diagnoses and operations is highly recommended
Subject(s)
Inpatients , Prospective Payment System , Length of StayABSTRACT
The effect of slow stroke back massages on anxiety, primigravid women experiencing pregnancy can cause several problems. Different forms of Anxiety in pregnant women are the basis in producing most of these problems, particular for primigravid women. While most these women are not prepared for these problems, author studied the effect of slow stroke back massages on anxiety, primigravid women in Shiraz hospitals, in 2007. Results of this study can be used for decision making and planning for these groups. this study is a experimental research was carried out in ZEINABIEH and HAFEZ hospitals foundation for labor women. Population of this study was 80 primigravid women [15 - 35 years old age] referred with these centers in 3rd trimester of current pregnancy. The intervention consisted of ten minutes of slow stroke back massage [SSBM] for three consecutive mornings [between 9 - 11 o'clock]. Anxiety level measured before and immediately after of intervention for two groups. Instruments for data collection were client demographic characteristic and Spielberger questionnaire. Data were analyzed by use of chi - esquare, mann Whitney test, paired t - test, independent statistic test [T test], kolmogorov - smornov test. Mean and std. deviation of anxiety level before of intervention in experimental and control groups regularly were 51, 6/65 and 49/9, 6/60. After massage planning mean and std. deviation in experimental and control groups regularly were 48/18, 6/52 and 51/5, 7/39. Different between two group was significant in 95% level [p= 0/036]. according the results, author suggest that SSBM is an effective nursing intervention for decrease anxiety level, primigravid women. Therefore this nursing practice provides an opportunity for nurses and family caregivers to provide more individualized and holistic patient care