ABSTRACT
Introduction: decentralization is known an improve process and Promotion of health system and Inevitable part of wide reforms to promote equity, efficiency, quality, Economic justification. Administrative assignment is a method for Decentralization of government. The aim of this study was Comparison of Efficiency and Effectiveness of Karaj Shahid Rajaie Hospital before and after decentralization
Methods: this study was analytical and Comparison. Undertaken work cross - sectional. The data were collected via the questionnaire and Data collection form. After of data collection of before and after decentralization analysis was carried out with the SPSS 19 software and Statistical methods used are descriptive and analytical statistics [Mann-Whitney U]
Results: after of decentralization inpatient beds 4.8%, occupation beds 3.6%, percent of occupation Bed 0.3%, numbers of discharge of those 3.4% rate of rotation of the hospital bed 1.3% was increase . Numbers of inpatient in the after decentralization 3.3% and numbers of outpatient
16.5% increased hospital costs with inflation 2012, 19% decreased and hospital total revenues was increase overall of 6.5% .hospital infection rates in the after decentralization, 0.06% increased employee satisfaction average before of decentralization was mean and after decentralization was high. There are significant differences [P <0.0001], inpatient satisfaction average before of decentralization was low and after decentralization was mean. There are significant differences [P<0.0001]
Conclusion: efficiency and Effectiveness of karaj Shahid Rajaie Hospital after decentralization was Improvement, therefore Politicians and managers of health system should good infrastructure for the use of this mechanism in order to health system reform, especially public Hospitals
ABSTRACT
Due to the low tariff of diagnostic and treatment services in hospitals as well as the high costs of delivering the health care services, the necessity of receiving all revenues from the insurance organizations can be justified. The purpose of this study was to investigate the effect of employee training on insurance deduction rate at Firoozgar Teaching Hospital. The present study was longitudinal, analytical, cross-sectional, and applied in nature. The population consisted of the insurance documents of all hospitalized patients insured by the two insurance organizations of 'Social Security' and 'Medical Services' [1685 and 1330 files, respectively] in Firoozgar Teaching Hospital during spring 2007 and spring 2008. Data were processed by SPSS software and were analyzed using paired t-tests. The average percentage of management errors in insurance documents was 1.38 and 3.25 before and after the training, respectively. Furthermore, the amount of deductions decreased from 9.13 to 9.6 before and after the training, respectively. The effect of training on errors was confirmed considering both insurance organization types [P