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Aghazadeh S, Nemati M, Sharif Nia E, Hamishehkar H. The cost benefit of Drugs and Medical consumables in common Global gynecological surgeries of two educational-therapeutic hospitals of Tabriz city. Journal of Modern Medical Information Sciences. 2018; 3 (2)
URL: http://jmis.hums.ac.ir/article-1-144-en.html
PHD Tabriz University of Medical Science
Abstract:   (299 Views)
Introduction: One of the newest reimbursement methods implemented by insurance organizations is the global system, that the accuracy of estimated tariff by this organization, especially in the field of drugs and medical consumables toward the real costs of the cases, is questioned. On the other hand there are different costs of drugs and medical consumables of similar global surgeries among various hospitals.
Methods: In this descriptive-analytical study the average cost of drugs and medical consumables of two university tertiary affiliated gynecological hospitals of Tabriz university of medical science, were evaluated with global tariff; and reasons of different cost of drugs and medical consumables between two hospitals was reviewed. In this research we study 8 common gynecological surgeries for 320 patients, and the related information is extracted from hospital information system (HIS). We used Spss software for statistical analysis, and use One-Sample t-test to compare the costs of drugs and medical consumables with the tariff of Global for the cases. For the parametric data, we use Independent Sample t-test; and for the non-parametric data use Mann-whitney U-test to compare the costs of drugs and medical consumables between the two hospitals.
Results: The total cost of drugs and medical consumables in caesarean, myomectomy, accouchement, hysterectomy and abortion is significantly more than Global tariff, and in ectopic pregnancy the total cost is significantly lesser than the Global tariff for the cases (pv<0.05). In cystectomy and curettage surgeries compared to Global tariff, there is no statistically significant difference (PV>005). By comparing the two hospitals, it can be investigated that, in caesarean, accouchement and myomectomy surgeries the costs of "A" hospital is statistically significantly more than "B" hospital (pv<0.05); and in hysterectomy, cystectomy, abortion, ectopic pregnancy and curettage, there is no statistically significant difference between the two hospitals.
Conclusion: It seems that, drugs and medical consumables tariff in global surgeries is not commensurate with its real costs ingovernmental hospitals. Our findings show that, these tariffs will need to be reviewed in order to avoid financial loss in governmental hospitals.

 
     
Type of Study: Research | Subject: General
Received: 2017/11/29 | Accepted: 2018/03/25 | Published: 2018/03/25

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