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52
Determining the distribution of effective factors on out of pocket
payment (formal and informal) in hospitalized cardiac patients
of Shahid Madani hospital and its side effects on the patient or
companions–Iran-Tabriz 2010
Reza gholi vahidi1 , Saadati Mohammad2*
Submitted: 2011.5.5
Accepted: 2011.9.10
D
I
Abstract
S
f
Background: The different effective factors on out of pocket payment (OOP)have been introduced
as follows: low salary of the employee’s, low governmental tariff, chronic disease, gifts to personnel,
physician and other cadre’s requests, fear of bad or no services. In addition OOP has negative effects
on the accessibility of services .This article studies the distribution of effective factors on OOP (formal
and informal) through cardiac patients and its side effects.
o
e
Materials & Methods: This is a descriptive-exploratory study. The data were collected by
interviews and questionnaires reliability of which was approved by specialists and their validity were
approved by simulation-in Shahid Madani hospital in Tabriz in the winter of 2010.
v
i
h
Results: all the persons studied had an experience of OOP. Formal payments included the free cost
of the services with no insurance cover and the margin between the tariff and the rate that the physician
or the hospital declares (83% of OOP). In addition 10% of persons encountered informal payments
80% of which was due to the physician’s request and 20%as a gift. The results describes the OOP`s
side effects so that 52% of patients faced a postpone in getting services because of the OOP and 72%
pointed that OOP has had an enormous effect on providing the necessary needs of the families.
c
r
A
Conclusion: The high rate of OOP and the weak performance of insurance system will result in
injustice and intensifies the unfavorable effects of OOP on the health system and society.
Keywords: out of pocket payment-factors- cardiac patients
1. PhD, health services management, health services management Department, faculty of management and medical
information, Tabriz University of medical science.
2. MSc student of health services management, student research committee; health services management Department, faculty
of management and medical information, Tabriz University of medical science. (*Corresponding Author)
Emaill: [email protected]).
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