ABSTRACT
Background: Insurance deductions are not only caused to failure to achieve the paid costs from the provided services but also are caused to the inefficiency of hospitals. So, this research was conducted to determine the amounts and reasons of insurance deductions in patients' bills of Tamin Ejtemaei
Methods: This descriptive-practical and retrospective study was conducted in the second season of 2012. The statistical population included records of hospitalized patients [discharged] covered by Tamin Ejtemaei insurance that was conducted as census. The data were collected by using a check list which its validity had been confirmed by experts. The collected information was analyzed through the Excell software and descriptive statistics. Information related to the proposed solution was collected by using group discussion
Results: The amount of applied deductions by Tamin Ejtemaei insurance organization was 47408.62 [dollar sign] [1[dollar sign] = 12050 Rials]. As bills of hospitalized patients' records. The mostly applied deductions were respectively related to equipment of surgery-room, the type of bed during hospital stay, and surgeon fees, however, the main part of these deductions was due to the premium [incompatibility between the price on request and the price of equipment applied for patient] as well as additional request [not consideration of the authorized tariff] by hospital
Conclusion: The hospital efficiency and care therapy quality can be improved by more accurate and better perception of the amount and reasons of insurance deductions and correct management of them
ABSTRACT
Background and Aim: Report of communicable diseases is an essential component in control and early detection of epidemics. Hospitals which admit patients for treatment can be the start point of an epidemic. Considering different problems in the hospital reporting system in Iran, this study was conducted to determine these potential problems and develop potential solutions in the reporting systems of communicable diseases
Material and Methods: In this phenomenological qualitative study, 54 people were assessed using structured interviews and focused group discussions. The participants were managers, nurses, professional experts of hospitals and health networks in Kurdistan and East Azarbaijan, and country disease control center. The results were reported using content analysis
Results: The results showed that there were lack of feedback and incentives, lack of instructions and duty assignment programs and lack of a clear reporting system in the hospitals. In addition, we found differences in reporting methods, unfamiliarity of managers with reporting levels, inconsistencies between the health and treatment departments
Conclusion: The absence of a clear process for reporting infectious diseases in the Iranian hospitals require development of guidelines for reporting these communicable diseases. This process calls for collaboration of the health care department at all administrative levels