Comparing the Hospital Costs of the Neonates Admitted to NICU of Amirkola Children's Hospital Before and After the Implementation of the Health Sector Reform in Iran
Background: The cost-effective strategies are of paramount importance in the improvement of neonatal health services. Regarding this, the present study aimed to evaluate the health sector reform of the Islamic Republic of Iran and its impact on hospital costs related to the admission of neonates in...
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Mashhad University of Medical Sciences
2017-09-01
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doaj-798487da428244ca90bd8960753b2a392021-08-02T06:00:08ZengMashhad University of Medical SciencesIranian Journal of Neonatology2251-75102322-21582017-09-0183253010.22038/ijn.2017.93619361Comparing the Hospital Costs of the Neonates Admitted to NICU of Amirkola Children's Hospital Before and After the Implementation of the Health Sector Reform in IranYadollah Zahed Pasha0Simin Mouodi1Mousa Ahmadpour Kacho2Zeinab Hajitabar3Tahere Jahangir4Ali Bijani5Non-communicable Pediatric Research Center, Babol University of Medical Sciences, Babol, IranSocial Determinants of Health Research Center, Babol University of Medical Sciences, Babol, IranNon-communicable Pediatric Research Center, Babol University of Medical Sciences, Babol, IranNon-communicable Pediatric Research Center, Babol University of Medical Sciences, Babol, IranNon-communicable Pediatric Research Center, Babol University of Medical Sciences, Babol, IranSocial Determinants of Health Research Center, Babol University of Medical Sciences, Babol, IranBackground: The cost-effective strategies are of paramount importance in the improvement of neonatal health services. Regarding this, the present study aimed to evaluate the health sector reform of the Islamic Republic of Iran and its impact on hospital costs related to the admission of neonates in Amirkola Children's Hospital.Methods: This observational analytic study was conducted in 2015 to evaluate the hospital records of all neonates admitted to Amirkola Children's Hospital during late 2013 (before the implementation of health sector reform in Iran) and late 2014 (after the implementation of this reform).Results: According to the results, the number of the neonates admitted to this center has increased by 11% after reform. Furthermore, the mean total hospital cost and share of insurance organizations have elevated by 2.2 and 2.5 fold, respectively. Mean of the cost paid by the patients has reached to 2.7 million Rials, which has had a 33% decrease, compared to that of the pre-reform stage. Additionally, 5.8% of the total expenditures related to neonatal inpatient cares were paid out-of-pocket.Conclusion: As the findings of the present study indicated, the health sector reform in Iran has increased the rate of neonatal admission and decreased the amount of direct payment by the people.http://ijn.mums.ac.ir/article_9361_c8f22e9002e85d9af952422534b19c24.pdfChildren's hospitalHealth sector reformNeonatal careOut-of-pocket payment |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yadollah Zahed Pasha Simin Mouodi Mousa Ahmadpour Kacho Zeinab Hajitabar Tahere Jahangir Ali Bijani |
spellingShingle |
Yadollah Zahed Pasha Simin Mouodi Mousa Ahmadpour Kacho Zeinab Hajitabar Tahere Jahangir Ali Bijani Comparing the Hospital Costs of the Neonates Admitted to NICU of Amirkola Children's Hospital Before and After the Implementation of the Health Sector Reform in Iran Iranian Journal of Neonatology Children's hospital Health sector reform Neonatal care Out-of-pocket payment |
author_facet |
Yadollah Zahed Pasha Simin Mouodi Mousa Ahmadpour Kacho Zeinab Hajitabar Tahere Jahangir Ali Bijani |
author_sort |
Yadollah Zahed Pasha |
title |
Comparing the Hospital Costs of the Neonates Admitted to NICU of Amirkola Children's Hospital Before and After the Implementation of the Health Sector Reform in Iran |
title_short |
Comparing the Hospital Costs of the Neonates Admitted to NICU of Amirkola Children's Hospital Before and After the Implementation of the Health Sector Reform in Iran |
title_full |
Comparing the Hospital Costs of the Neonates Admitted to NICU of Amirkola Children's Hospital Before and After the Implementation of the Health Sector Reform in Iran |
title_fullStr |
Comparing the Hospital Costs of the Neonates Admitted to NICU of Amirkola Children's Hospital Before and After the Implementation of the Health Sector Reform in Iran |
title_full_unstemmed |
Comparing the Hospital Costs of the Neonates Admitted to NICU of Amirkola Children's Hospital Before and After the Implementation of the Health Sector Reform in Iran |
title_sort |
comparing the hospital costs of the neonates admitted to nicu of amirkola children's hospital before and after the implementation of the health sector reform in iran |
publisher |
Mashhad University of Medical Sciences |
series |
Iranian Journal of Neonatology |
issn |
2251-7510 2322-2158 |
publishDate |
2017-09-01 |
description |
Background: The cost-effective strategies are of paramount importance in the improvement of neonatal health services. Regarding this, the present study aimed to evaluate the health sector reform of the Islamic Republic of Iran and its impact on hospital costs related to the admission of neonates in Amirkola Children's Hospital.Methods: This observational analytic study was conducted in 2015 to evaluate the hospital records of all neonates admitted to Amirkola Children's Hospital during late 2013 (before the implementation of health sector reform in Iran) and late 2014 (after the implementation of this reform).Results: According to the results, the number of the neonates admitted to this center has increased by 11% after reform. Furthermore, the mean total hospital cost and share of insurance organizations have elevated by 2.2 and 2.5 fold, respectively. Mean of the cost paid by the patients has reached to 2.7 million Rials, which has had a 33% decrease, compared to that of the pre-reform stage. Additionally, 5.8% of the total expenditures related to neonatal inpatient cares were paid out-of-pocket.Conclusion: As the findings of the present study indicated, the health sector reform in Iran has increased the rate of neonatal admission and decreased the amount of direct payment by the people. |
topic |
Children's hospital Health sector reform Neonatal care Out-of-pocket payment |
url |
http://ijn.mums.ac.ir/article_9361_c8f22e9002e85d9af952422534b19c24.pdf |
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