[Determination of the causes of income deficits at hospitals affiliated to Shahid beheshti university of medical sciences]

ABSTRACT

Nowadays, economical management of hospitals is a very complex procedures. In modern countries, reshaping of whole health care system management, and redesigning all financial and budgeting protocols is a priority. The objective of this study was determination of rates and causes of income deficits at hospitals in order to intervene to reduce it, concerning both financial and budgeting protocols and human resource. During a period of nine months [2011-2012] by using a Cross sectional descriptive/analytical method, 22 twenty two hospitals were assessed. All the procedures in hospital from admitting a patient and entering his data in the hospital software, to discharging patient and communication with insurance companies, was checked. Our results showed that there is a huge amount of money loss in all our hospitals. This loss is either due to technical failure of registry system in hospitals, or mismanagement and inappropriate application of human resources. Entering data of given services to patients was inadequate. In many cases, they did not send necessary documents to insurance companies that lead to wasting of resources. Based on our findings it is possible to say, by upgrading used software in hospitals for entering all given services to the patients as well as increasing the ability and desire of hospital staff the income of the hospital will increase dramatically.