The Survey weaknesses performance - Based Scheme (New Guidelines fee for Service Design) in Selected Teaching Hospitals of Isfahan 2014, a Qualitative Study
Abstract:
Introduction
In 1995 the guideline of the new system of hospitals (fee for service) was notified. According to this scheme a percentage of revenues as a fee for its personnel would be assigned a dedicated hospital. This scheme was implemented in hospitals for 20 years. In the early September 2104 new guidelines as design performance-based fee for service plan with the aim deficiencies in the previous plan was reviewed and implemented in hospitals in Isfahan. So study was to the survey weaknesses performance-based scheme in selected teaching hospitals of Isfahan 2014.
Methods
This study was a qualitative study. In-depth interviews were used to collect data. Eleven samples of middle managers and senior headquarters, university hospitals and some faculty members and hospital officials frequently were chosen method.All interviews were recorded and then written on paper. The duration of the interviews varied between 30 to 60 minutes. Data analysis in this research was based on thematic analysis.
Results
In this study, based on a thematic framework analysis done6 sub-theme and 3 main topics were extracted. The three main issues are: Policy formulation, delays in the notification procedure and bed and prepare the infrastructure.
Conclusion
The results weaknesses performance-based scheme is represented (new guideline fee for service plan). Accordingly, in order to be more efficient health system weaknesses should be assessed as well as performance-based plan with such weaknesses can be overcome with the implementation of the new plan the satisfaction is high doctors and staff are provided.
Language:
Persian
Published:
Journal of Health Management, Volume:6 Issue: 4, 2016
Pages:
81 to 89
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