Financing Approaches in Pre-Hospital and Hospital Emergencies in Iran - 1395
Subject Areas : medical documentsAli Jamalmohammadi 1 , Seyed Jamaledin Tabibi 2 , Leila Riahi 3 , Mahmoud Mahmoudi Majdabadi Farahani 4
1 - PhD Student, Department of Health Services Management, Science and Research Branch, Islamic Azad University, Tehran, Iran
2 - Professor, Department of Health Services Management, Science and Research Branch, Islamic Azad University, Tehran, Iran
3 - Assistant Professor, Department of Health Services Management, Science and Research Branch, Islamic Azad University, Tehran, Iran
4 - Assistant Professor, Department of Health Services Management, Science and Research Branch, Islamic Azad University, Tehran, Iran
Keywords: Pre-Hospital Emergency, Financing, Emergency Care, Hospital Emergency,
Abstract :
Introduction: The community is committed to providing at least the first-come, first-served care services for all individuals, that the realization of this public right depends on the mechanisms that provide the service to everyone, without, however, the ability of the individual to pay or not Pay attention to their premiums. The purpose of this study was to determine the factors related to financing in pre-hospital and hospital emergency rooms in Iran in order to improve the provision of services to community members. Methods: The present research is descriptive and comparative. Developed countries in different parts of the world based on the similarities of health systems based on geographical area, the level of development of health and medical indicators, payment system and financing method were selected. The data on the financing process in pre-hospital and hospital emergency rooms of the countries under study were collected and then, based on the adaptive tables, effective factors on the financing of pre-hospital and hospital emergencies in the countries studied in the areas of financial resources management, budget, payment system Service providers and insurance coverage were extracted. Results: Findings indicate that in many countries, lack of funding in pre-hospital and hospital emergency rooms is an important barrier to providing services in this area, and this may be due to several factors: lack of adequate funding, inadequate funding, The pay system is not transparent to service providers and the inability to manage financial resources. Emergency financing is well defined, there is a lot of distance. Key and backup processes are not properly designed to fund, and there is no specific framework for identifying and deploying financing processes to implement policy and strategy in pre-hospital and hospital emergency situations. Conclusion: The need to reform the emergency services by reorganizing the emergency and improving the emergency by applying effective approaches to improving the financing of emergency funds in the form of an integrated model and in the form of a change in the type of look at planning and financial management in the emergency department with a view to the viability of services that With a clear indication of the partnership-driven, community-based, citizen-oriented, converging and synergistic approach to different types of emergency management, social capital and appropriate insurance coverage for emergency services.
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18- Safdari R., Ghazi Saeedi M, Goodini A, Monajemi F. A Comparative Study of The Mechanism for Paying Medical Insurance in The United States and Australia and Iran, Journal of Research in Medicine and Tropical Medicine; 2010. [Persian]
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20- Wilm Quentin, Natalie Baier, Micka el Bech, David Bernstein, Thomas Cowling, Terri Jackson, Johan van Manen, Andreas Rudkjøbing, Alexander Geissler , Organization and Payment of Emergency Care Services in Selected Countries; 2016.
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1- Masoumi H, Daneshgari M. Ministry of Health, Medical Education, Pre-hospital Emergency Coverage Plan; 2015. [Persian]
2- Vand Rajab Pour M. Comparative Study of Public Health Insurance System in Selected Countries and Providing a Suitable Model for Iran. Islamic Azad University, Research Center; 1999. [Persian]
3- Barony, M. A Comparative Study of the Methods of Providing Financial Insurance Funding in Selected Countries and Providing a Model for Iran. Faculty of Management and Information, University of Iran; 2004. [Persian]
4- VanRooyen MJ, Thomas TL, Clem KJ. International emergency medical services: Assessment of developing prehospital systems abroad. J Emerg Med, 1999; 17(4): 691-6.
5- Cobelas C, Cooper C, Ell M, Haw thorn G, Kennedy M, Leach V, Quality Management and Emergency Service enhancement Programe, Department of Emergency Medicine, Australia; 2001.
6- American College of Emergency Physicians Report, Emergency Department Operations Management, U.S.A; 2004.
7- Masoumi G, Jalili M, Cian Thier M. Hospital Emergency Department Indicators. Ministry of Health and Medical Education; 2012. [Persian]
8- Karimi I. Nassiripour AA. Maleki M. Mokhtare H. Assessing Financing and Payment Systems for Health Providers in Selected Countries: Providing a Template for Iran. Quarterly Journal of Health Management; 2005. [Persian]
9- Analysis of The Status of Emergency Departments in The Hospitals of The Country and The Proposal for Interventions (Development of The Emergency Department's Emergency Policies Improvement Document of The National Institute of Health Research Hospital), Tehran University of Medical Sciences (And The Treatment Officer, Center for Medical Accident and Emergency Management); 2013. [Persian]
10- Bahadori M, Mir Hashemi S, Panahi F, Tofighi S. Surveying the Structure, Process and Activities of The Emergency Department in Baqiyatallah University of Medical Sciences Hospitals; 2007. [Persian]
11- Asadi F. Improve the Performance of Emergency Services of Hospitals With The Approach of Quality Management System. Tehran; 2003. [Persian]
12- VanRooyen MJ, Thomas TL, Clem KJ. International emergency medical services: Assessment of developing prehospital systems abroad. J Emerg Med, 1999; 17(4): 691-6.
13- Siddiqui AA, Zafar H, Bashir SH. An audit of head trauma care and mortality. J Coll Physicians Surg Pak, 2004; 14(3): 173-7.
14- Adnet F, Lapostolle F. International EMS systems: France Resuscitation, 2004; 63(1): 7-9.
15- Papaspyrou E, Setzis D, Grosomanidis V, Manikis D, Boutlis D, Ressos C. International EMS systems: Greece. Resuscitation, 2004; 63(3): 255-9.
16- Pozner CN, Zane R, Nelson SJ and Levine M. International EMS systems: The United States: Past, present, and future. Resuscitation, 2004; 60(3): 239-44.
17- Kobusingye OC, Hyder AA, Bishai D, Hicks ER, Mock C, Joshipura M. Emergency medical systems in low-and middle-income countries: Recommendations for action. Bull World Health Organ, 2005; 83(8): 626-31.
18- Safdari R., Ghazi Saeedi M, Goodini A, Monajemi F. A Comparative Study of The Mechanism for Paying Medical Insurance in The United States and Australia and Iran, Journal of Research in Medicine and Tropical Medicine; 2010. [Persian]
19- Office of the Supreme Leader, General Health Policy; 1394. [Persian]
20- Wilm Quentin, Natalie Baier, Micka el Bech, David Bernstein, Thomas Cowling, Terri Jackson, Johan van Manen, Andreas Rudkjøbing, Alexander Geissler , Organization and Payment of Emergency Care Services in Selected Countries; 2016.
21- Azami S, Sadegh Tabrizi J, Abdullahi L, Yari Fard K, Kabiri N, Sa'adati M, Vali Zadeh S, Daemi A, Abhari A, Nadimi B. Knowledge and Attitude of Educational Hospital Managers of Tabriz University of Medical Sciences and Ardabil on Accreditation, Ardabil Health Journal of Health; 2014. [Persian]
22- Keshavarz H, Zahiri M. Anvaripour, Presenting the Plan of Coordination of Pre-hospital and Hospital Emergency in Bushehr Province; 2012. [Persian]
