Impact of Primary Stage of Targeted Subsidies Scheme on Inflation Growth and Extra Costs of Hoteling in Public Hospitals in Iran

Hospitals play an important role in health system. Hospitals constitute an extensive part of services and make enormous burden of expenses. A critical part of these spending is related to hoteling costs. The aim of this study was to estimate the impact of targeting the subsidies, and inflation rate on the level of expenses in hoteling of public hospitals. The available statistics and documentations including the number of regular and special beds of public hospitals, occupied bed coefficient, and cost of hoteling were collected according to the current performance of 10 hospitals of selected universities of medical sciences in 2011. Moreover, the amount of inflation growth of different items of hoteling and other related areas were gathered from Central Bank of Iran and Ministry of Health and Medical Education in 2012. The surplus cost of hoteling in public hospitals was calculated and compared between 2011 and 2012. The expenses related to energy experienced a mean growth of 182.97% (SD=12.57) and so its weigh increased impressively from 0.16 to 0.46. Additionally the hoteling cost due to current performance was calculated about 3 million IR Rial in 2011 and 4.6 million IR Rial in 2012 per day. Moreover public hospitals encountered with a deficit of 1,760 billion IR Rial in 2012. It is thought that government should apply some policies including determining the rational tariff and monitoring and evaluating the impacts in different sectors to decrease the intensity of unsuitable consequences of targeting the subsidies.