Implementation of the Health System Reform Plan in Two Contexts of “Promoting Vaginal Delivery and Reducing Out-of-Pocket Payment of Hospitalized Patients” in Hospitals Affiliated to Hamadan University of Medical Sciences
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Article Type:
Research/Original Article (دارای رتبه معتبر)
Abstract:
Background
The increasing costs of health care, the limited capacity of financial systems, and the inefficiency of the traditional health sector practices led to more government investment in health and paved the way for necessary reforms through the implementation of the health system reform plan by the Ministry of Health. The aim of this study was to evaluate the implementation of health system reform plan in two contexts of “promoting vaginal delivery” and “reducing the payment of hospitalized patients” in Hamadan University of Medical Sciences affiliated hospitals in 2014.
Methods
This cross-sectional study was conducted in 2015. Information about the bills of hospitalized patients and the statistics of the delivery type in 15 hospitals was extracted from the registration forms of admitted patients and vaginal delivery data system. The plan was evaluated by comparing the data before and after the implementation of the plan and by concerning the criteria set by the Ministry.
Results
The results showed that the program for promoting vaginal delivery led to a 2.3% decrease in cesarean section cases. In addition, out-of-pocket payment of hospitalized patients in university hospitals dropped to 8.86%.
Conclusions
The implementation of the health care reform plan has been successful in hospitals of Hamadan University of Medical Sciences and has achieved its goals. However, in some cases, it is possible to achieve the full success of the program by taking serious measures to identify and resolve the existing problems.
Language:
Persian
Published:
Hakim Health Systems research journal, Volume:21 Issue: 3, 2018
Pages:
173 to 179
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