Financing Approaches in Pre-Hospital and Hospital Emergencies in Iran - 1395

Subject Areas : medical documents

Ali  Jamalmohammadi ¹ (PhD Student, Department of Health Services Management, Science and Research Branch, Islamic Azad University, Tehran, Iran)
Seyed Jamaledin  Tabibi ² (Professor, Department of Health Services Management, Science and Research Branch, Islamic Azad University, Tehran, Iran)
Leila  Riahi ³ (Assistant Professor, Department of Health Services Management, Science and Research Branch, Islamic Azad University, Tehran, Iran)
Mahmoud  Mahmoudi Majdabadi Farahani ⁴ (Assistant Professor, Department of Health Services Management, Science and Research Branch, Islamic Azad University, Tehran, Iran)

Received: 2017-10-13 Accepted : 2018-01-31 Published : 2018-02-20

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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