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
In the industrial world, almost everyone is unavoidably exposed to ambient magnetic field [ELF] generated by various technical and household appliances. According to the studies carried out in a power station in Shiraz, psychological disorders caused by jobs are among the most important problems of the workers. This study is performed to determine the presence or absence of psychological disorders. The General Health Questionnaire [GHQ] is used in this study to recognize psychosomatic disorders. Measurements indicate that range of magnetic field varies from 0.087] micro Tesla [in the phone homes to 30] micro Tesla [in power stations. The results of this study has shown that a significant number of staff which were exposed to magnetic fields and noise] 78.2%] were suspected to have a kind of mental disorders. The results obtained from this study which shows the prevalence of mental disorders among the suspected case is higher than the results of Noorbala and colleagues study in 2006. Therefore, there are necessities to do more research in order to find the relationship between electric and magnetic fields and psychological disorders