m. r. shahab

It is very important to calculate the costs of inpatient services covered by the global tariff and compare it with the approved tariff in hospitals in regard to the financial profit and loss. In this regard, this study was conducted with the aim of comparing the costs of global inpatient services bills with their approved tariffs in Niknafs Obstetrics and Gynecology Hospital in Rafsanjan.

In this descriptive study, the population included all the invoices of hospitalized cases subjected to the global tariff in 2019 in Niknafs Hospital in Rafsanjan. The required data were collected from the patients' accounts and analyzed using descriptive statistics and SPSS 20 software.

In 2019, out of the total inpatient services related to the obstetrics and gynecology group, 6 services subjected to the global tariffs were performed in Niknafs Obstetrics and Gynecology Hospital in Rafsanjan. A comparison of the average costs incurred in these services with their approved tariffs showed that in all of them, hospital costs were between 10.74% and 20.54% higher than the approved global tariffs. The highest difference (20.54%) was related to cesarean section, and the lowest (10.74%) was related to hysterectomy.

The results of this study showed that the global services of this hospital have no economic justification and global tariffs lead to losses of the hospital. Therefore, it is suggested that hospital officials focus more on managing the costs of global services, and approved tariffs be reviewed in a timely manner, commensurate with the growth of inflation and taking into account the different conditions of patients.

Lentil cultivar Sepehr was first introduced as FLIP 2005-53L line through LIDTN-L-08 ICARDA international nursery and was evaluated in Gachsaran and Maragheh stations in 2007-2008 cropping season. FLIP 2005-53L line in the cropping seasons 2008-2009 and 2009-2010 was evaluated in the preliminary and advanced yield trials in Gachsaran and Khorramabad research stations. After evaluating the results of advanced experiments, this line was selected to participate in the national uniform regional yield trial (2010-2013) in Gachsaran, Khorramabad, Gonbad and Moghan research stations. Stability analysis of genotypes grain yield in this experiment showed that this line had the lowest contribution in the interaction of genotype × environment using different statistical methods and also it had the lowest mean rank values ​​for non-parametric stability parameters as well as 19% increases in the grain yield (with grain yield of 1166 kgha-1) ‌ compared to the control cultivar Gachsaran (with grain yield of 978 kgha-1) and therefore can be considered as "one of the most stable genotypes" with high grain yield. FLIP 2005-53L line with average grain yield of 1902 kgha-1 in farmers field in the research-extension trials, had a 15% advantage of grain yield over control cultivar Gachsaran with grain yield of 1651 kgha-1. In addition to high grain yield, good yield stability, high resistance to fusarium disease, desirable 100-seed weight (4.2 g) and suitable plant type and plant height for machine harvesting were other reasons for releasing Sepehr cultivar. Sepehr cultivar is suitable for cultivation in subtropical regions of the country including Khuzestan, Fars, Kohgiluyeh and Boyer-Ahmad, Lorestan, Kermanshah, Ardabil (Moghan) and Ilam provinces.