Comparison of Paying Out of Pocket for Aortic Valve Replacement (AVR) Surgery Before and After the Implementation of Healthcare Reform in Shiraz Namazi Hospital in 2016

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KAVOSI Z.; Ghodrati J.; Yusefi A.R.

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Journal: JOURNAL OF RAFSANJAN UNIVERSITY OF MEDICAL SCIENCES AND HEALTH SERVICES Year:2018 | Volume:17 | Issue:7 Page(s): 657-668

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Information Journal Paper

Title

Comparison of Paying Out of Pocket for Aortic Valve Replacement (AVR) Surgery Before and After the Implementation of Healthcare Reform in Shiraz Namazi Hospital in 2016

Author(s)

KAVOSI Z. | Ghodrati J. | Yusefi A.R. | Issue Writer Certificate

Keywords

Out of pocketQ1

Health Care Reform PlanQ1

Aortic valve replacement surgeryQ1

ShirazQ3

Abstract

Background and Objectives: One of the main aims in Health Care Reform Plan is improvement of justice in household’ s financial participation that its tool is reduction of out-of-pocket payment. This study was conducted to compare out-of-pocket payment for aortic valve replacement (AVR) surgery before and after implementation of the Health Care Reform Plan in Shiraz Namazi Hospital in 2016. Materials and Methods: This descriptive study was conducted on 127 patients (50 patients before and 77 patients after the implementation of the plan) that underwent AVR surgery. The data were collected through the researcher’ s checklist and were analyzed using independent t-test and one-way ANOVA. Results: Total expenditure mean has increased significantly from 45, 695, 137. 06 to 156, 536, 031. 8 after the plan (p<0. 001). The ratio of patients’ payment to total expenditure decreased significantly from 17. 67% to 7. 64% after the plan (p<0. 001). The out-of-pocket payment reduced significantly after adding the plan’ s share in patient’ s billing (p<0. 001). Out-of-pocket payment on total expenditure ratio decreased for different insurances as 9% (p= 0. 003) for Remedial Services Insurance to 11% (p<0. 001) for Social Security Insurance. Conclusion: The amount of out-of-pocket payment percentage of patients has been reduced for AVR surgery after implementation of the Health Care Reform Plan, which can be an indication of the effectiveness of the out-of-pocket reduction instructions. However, the average of patients’ out-of-pocket payment has been increased.

Cites

Investigation the Factors Related to Induced Demand for Patients with Cardiovascular Diseases

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APA: Copy

KAVOSI, Z., Ghodrati, J., & Yusefi, A.R.. (2018). Comparison of Paying Out of Pocket for Aortic Valve Replacement (AVR) Surgery Before and After the Implementation of Healthcare Reform in Shiraz Namazi Hospital in 2016. JOURNAL OF RAFSANJAN UNIVERSITY OF MEDICAL SCIENCES AND HEALTH SERVICES, 17(7 ), 657-668. SID. https://sid.ir/paper/71059/en

Vancouver: Copy

KAVOSI Z., Ghodrati J., Yusefi A.R.. Comparison of Paying Out of Pocket for Aortic Valve Replacement (AVR) Surgery Before and After the Implementation of Healthcare Reform in Shiraz Namazi Hospital in 2016. JOURNAL OF RAFSANJAN UNIVERSITY OF MEDICAL SCIENCES AND HEALTH SERVICES[Internet]. 2018;17(7 ):657-668. Available from: https://sid.ir/paper/71059/en

IEEE: Copy

Z. KAVOSI, J. Ghodrati, and A.R. Yusefi, “Comparison of Paying Out of Pocket for Aortic Valve Replacement (AVR) Surgery Before and After the Implementation of Healthcare Reform in Shiraz Namazi Hospital in 2016,” JOURNAL OF RAFSANJAN UNIVERSITY OF MEDICAL SCIENCES AND HEALTH SERVICES, vol. 17, no. 7 , pp. 657–668, 2018, [Online]. Available: https://sid.ir/paper/71059/en

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