The Survey weaknesses performance - Based Scheme (New Guidelines fee for Service Design) in Selected Teaching Hospitals of Isfahan 2014, a Qualitative Study

Subject Areas : medical documents

mohamad reza Tavkoli ¹ , saeid Karimi ² , marziye Javadi ³ , Ali reza Jabari ⁴

1 - M.Sc Department of Health Care Services Management, School of Management and Medical Informatics, Isfahan University of Medical Sciences, Isfahan, Iran
2 - Associate professor, Department of Health Services Management, Department of Health care Management, School of Management and Medical Informatics, Isfahan University of Medical Sciences, Karimi, Iran
3 - PhD Department of Health Services Management, Department of Health care Management, Isfahan University of Medical Sciences, Isfahan, Iran
4 - Assistant Professor, Department of Health Care Services Management, School of Management and Medical Informatics, Isfahan University of Medical Sciences, Isfahan, Iran

Received: 2015-08-03 Accepted : 2015-12-26 Published : 2016-02-20

Keywords: Senior Managers, Payment System, fee for Service, Hospital,

Abstract :

Introduction: In 1995 the guideline of the new system of hospitals (fee for service) was notified. According to this scheme a percentage of revenues as a fee for its personnel would be assigned a dedicated hospital. This scheme was implemented in hospitals for 20 years. In the early September 2104 new guidelines as design performance-based fee for service plan with the aim deficiencies in the previous plan was reviewed and implemented in hospitals in Isfahan. So study was to the survey weaknesses performance-based scheme in selected teaching hospitals of Isfahan 2014. Methods: This study was a qualitative study. In-depth interviews were used to collect data. Eleven samples of middle managers and senior headquarters, university hospitals and some faculty members and hospital officials frequently were chosen method.All interviews were recorded and then written on paper. The duration of the interviews varied between 30 to 60 minutes. Data analysis in this research was based on thematic analysis. Results: In this study, based on a thematic framework analysis done6 sub-theme and 3 main topics were extracted. The three main issues are: Policy formulation, delays in the notification procedure and bed and prepare the infrastructure. Conclusion: The results weaknesses performance-based scheme is represented (new guideline fee for service plan). Accordingly, in order to be more efficient health system weaknesses should be assessed as well as performance-based plan with such weaknesses can be overcome with the implementation of the new plan the satisfaction is high doctors and staff are provided.