Exploring the Status of Executing Traffic Accidents Insurance (article 92 of Islamic Republic of Iran's fourth budget plan) According to the Financial Scale of Special Incomes and Non-Settled Traffic Accidents Files at Kashani Hospital of Isfahan

Accidents and incidents are the second factor of mortality in our country and traffic accidents are at the top. The plan for the autonomy of hospitals nationwide has been executed since the beginning of the 70s helical decade. From 2005 according to administrative regulation of article 92 of fourth development program in the country, 10 percent of the incurred costs related to insuring each transportation vehicle in the country was deposited into an account to the special incomes account of the Ministry of Health and Medical Education. All public, governmental and private hospitals are compelled to admit traffic accidents casualties without any preconditions or incurring any expenses for providing services and also to accommodate them with therapeutic cares. The cost of providing these therapeutic services is paid to hospitals according to the purported measures in the administrative regulation. This study examines the effects of the mentioned regulation on the status of Ayatollah Kashani hospital's income.
In the electronic database of the hospital, the exact data of files was available from Mar 21 of 2005 onward but the financial information of files before the law, was not complete. The files of 2378 patients who owed more than 10000 rials had remained unsettled at the time of being released from hospital. From the last unsettled file at the Mar 20 of 2005 to the May 22 of 2004, 428 files related to accident casualties were explored. After omitting the cases in which the recorded data was not congruent with their pertinent files, 394 files remained.
Findings: From a total sum of 1909334753 rials incurred on the services provided for the 394 samples, only 1052031605 rials had been paid to hospitals at the time of being released. Accordingly, 857303148 rials of the total cost incurred on the provided services, i.e. 44.9 percent, had been left undecided. After executing the article 92 of the law, the costs of accident casualties have been paid completely to hospitals.
Discussion and Lack of accommodating the costs incurred for patients prevents hospitals from providing services to next patients. Cutting the financial relation between doctor (hospital organization) and patient in accident’s patient group, the possibility of financially supporting accident patients and accordingly observing some parts of the charter for patients’ rights has been provided.