Journal of Pharmaceutical and Biological Sciences

The effect of healthcare reform plan on costs paid by patients hospitalized in para-clinical services in Shiraz

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Author Details: Bijan Fazel Jahromi, Abbas Yazdanpanah, Abbas Ghavam

Volume : 5

Issue : 3

Online ISSN : 2320-1924

Print ISSN :

Article First Page : 81

Article End Page : 84


Introduction: out of pocket expense is considered as one of financial sources in healthcare system. In present study, effect of healthcare reform plan on out of pocket expense and contribution of insurance organization was addressed in therapeutic-educational hospitals in Shiraz.
Method: this is descriptive, causal and comparative study and it was conducted after implementation of healthcare reform plan as an intervention. A before and after study was conducted using information of 8 governmental hospitals affiliated to medical science university of Shiraz. The sample size was determined by Krejcie and Morgan table including 800 financial bills of patients, 400 financial bills related to patients' records in 2013 and 400 financial bills related to patients' records in 2015. They were selected among financial bills of patients' records by random multi-stage sampling. Data were analyzed using EXCEL and SPSS23.
Results: the study indicated that out of pocket expenses of services in paraclinical services have reduced from 28 to 7% after healthcare reform plan and contribution of insurance organizations increased from 77.5 to 89.5%.
Conclusion: results indicate that healthcare reform plan is able to protect financially patients in paraclinical services and contribution of insurer organizations has increased compared to before reform plan and such plan has been effective on number of laboratory services.

Keywords: out-of-pocket expenses, healthcare reform plan, contribution of insurer, governmental hospitals