Effective Factors in Hospitalization Costs of the Public Hospitals: A Qualitative Study
Jafari Mohammad1, Lashkari Marzieh2,Mahmoudi Fatemeh3, Dehnavi Reza4, NooriHekmat Somayeh4, Izadi Azar5*
Received: 17. 01. 2016 Revised: 08. 06. 2016 Accepted: 13. 06. 2016
1.PhD, Director General of Department of Health Insurance in Kerman Province, Kerman, Iran.
2. MSc, Research Center for Health Services Management, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
3. BSc,Head of the Office for Medical Documents of Health insurance in Kerman Province, Kerman, Iran.
4.Associate Professor, Research Center for Health Services Management, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
5. MSc, School of Management and Medical Information, Kerman University of Medical Sciences, Kerman, Iran.
*Correspondence: Haft bagh Highway, Kerman University of Medical Sciences, School of Management and Medical Information
Tel: 09396558571 Email: firstname.lastname@example.org
Introduction:Hospitals are the most expensive health care organizations. In this study, identifying factors influencing hospitalization costs based on the three aspects of the health system including patients, health care providers, and insurance organizations were considered.
Methods:This was a qualitative and phenomenological study. In this study, 12 experts in the field of management and controlling hospital’s costs were selected through purposive and snowball sampling method. Data were collected using focused group discussion. Framework analysis was used for data analysis.
Results:The factors affecting hospitalization costs were classified into three codes including patients, health care providers, and insurance organizations. Lack of knowledge and awareness and neglecting self-care were the main patient-related factors, and weak management and supervision, lack of medical guidelines, long-term recovery period, lack of implementation of family physician and weak commitments and structural problems of insurance organizations were the main factors related to the health care providers and insurance organizations.
Conclusion:The results showed that by increasing and improving self- care programs, providing health-oriented services, implementation of family physician program, specializing the hospital management, improving the quantity and quality of supervisions and reforming expert structure of insurance organizations, the hospitalization costs can be managed.
Keywords:Hospitalization Costs, Patients, Health Care Providers, Insurance Organizations, Public Hospital, Qualitative Study.
Citation:Jafari M, Lashkari M,Mahmoudi F, Dehnavi R, NooriHekmat S, Izadi A.Effective Factors in Hospitalization Costs of the Public Hospitals: A Qualitative Study. Journal of Health Based Research 2016; 2(1): 39-54.