Introduction: High level of cost for inpatient services made a reasonable reason for Iranian Ministry of Health and Medical Education in order to implement a reform called: “Health transformation plan”; it has been aimed to decrease patient out of pocket. High prevalence of cardiovascular disease and high level of cost for these services have significant contribution to increase health system expenses and patients payments. This study is aimed to investigate and compare the portion of cost payers’ contribution for inpatient services provided to cardiovascular patients before and after health system reform. Methods: This descriptive- analytical study was conducted on 601 CABG patients referred to Al-Zahra Heart hospital in Shirazbefore and after Iranian Health transformation plan implementation. Required data gathered by hospital bills. data were recorded in the data sheet then entered excel software for statistical analysis, and they were analyzed by SPSS software and Mann-Whitney U statistical test for non-parametric situation. Results: The mean of patients out of pocket after “Health transformation plan” implementation for CABG cases decreased significantly (p<0.001) from 10,649,295 to 6,971,268Rials. There was a significant increase for mean of basis insurance share from total cost of a unit CABG (p<0.001) as it rose from 41,847,802 to 94,782,096Rials. Conclusion: Having implemented the “Health System reform” in Iran leading to decrease patient out of pocket for operations significantly, there is a massive payments and costs must be covered by Iran Ministry of Health which imply huge costs and duties to this organization.
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