Determination of the Rate of Utilization from Health Services among New Iranian Health insured after Health Care Improvement Plan in Tabriz City; 2015-2016

Getting and receiving health care services is called health care utilization. Health system management depends on decisions that are right and conscious, Utilizing knowledge of health services and studies in this area is mandatory for allocating financial resources and health planning. Access has an important role in the utilization and use of health services. One of the most important factors in increasing access to services is the people’s insurance coverage. The aim of this study was determine health care utilization among new insured people of the Iranian health insurance plan after the implementation of Health Care Improvement Plan.

The present study is a cross-sectional study with a sample size of 400 households from Tabriz with random sampling. The study was conducted using a telephone conversation (retrospective information) questionnaire on the rate of utilization of outpatient and inpatient care services among the Iranian health insurers of Tabriz during one-year period. Data were analyzed using descriptive and analytical statistics and analyzed using STATA 11 and EXCEL software.

The relative frequency of outpatient and inpatient services were 98.49, 98.75%, respectively. Also, access to services in the use of outpatient and inpatient services was 93% and 90%, respectively. Satisfaction rate for outpatient services was 51%. Satisfaction rate for receiving hospital services was 56%.

Health insurance in Iran has led to the benefit of people without health insurance, which is higher in inpatient services. Moving toward universal health coverage can be a better way to cover people uninsured and the community.