Hospital Expenditures of Guardian less Patients in Shiraz Selected Hospitals in Second Half of Year 2015

Subject Areas : medical documents

zahra kavosi ¹ , mersad rezaie ² , ali shojaie ³ , Hamid Talebianpour ⁴

1 - Associate professor, Department of Health Services Management, School of Management and Medical Informatics, Shiraz university of Medical Sciences, Shiraz, Iran
2 - Student Health Services Management, School of Management and Medical Informatics, Shiraz university of Medical Sciences, Shiraz, Iran
3 - M.A Business Administrator, Shiraz university of Medical Sciences, Shiraz, Iran
4 - M.A Student in Health Economics, School of Management and Medical Informatics, Shiraz university of Medical Sciences, Shiraz, Iran

Received: 2016-12-07 Accepted : 2017-04-10 Published : 2016-11-21

Keywords: uncompensated cost, hospital and health system, guardian less patients,

Abstract :

Introduction: the guardian less patients are considered as hospital debtors and their financial burden is imposed on hospitals, this research has been conducted to evaluate the expenses of guardian less patients in selected hospitals of Shiraz University Medical Science. Research Method: this cross-sectional study has evaluated the financial burden that guardian less patients imposed on Shiraz selected Hospitals in the second half of the year 1393. The data was gathered through review of patient invoice and medical records using a self-administrated check list. The gathered data was analyzed using, ANOVA Test in SPSS21 software. Results: the findings indicated that 183 guardian less patients were discharged from hospital in the study period. Most of the patients were men (%58/6), married (%52), native (%77/3) and had health insurance (%61/5). The total expenditure of these patients was 8535929734 IRR which 5184119454 IRR was reimbursed by insurance organization. 3330828022 IRR was not compensated. Uncompensated cost was statistically different in different hospital and based on type of who referred patient. Conclusion: Considering financial issues which hospitals face, using various interventions to decreasing uncompensated cost will be useful. Employing social workers who are professional in connecting with social support organizations and also improving population coverage of insurance plan will be helpful.

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