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IN THE NAME OF GOD

IN THE NAME OF GOD. TITLE ACCOUNTING OF TOTAL COST OF HEALTH SERVICES TO THE TB INPATIENTS IN IRAN ( IN MASIH DANESHVARI HOSPITAL ,2005 YEAR ) . TITLE: ACCOUNTING OF TOTAL COST OF HEALTH SERVICES TO THE TB INPATIENTS IN IRAN ( IN MASIH DANES HVARI HOSPITAL ,2005 YEAR .

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IN THE NAME OF GOD

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  1. IN THE NAME OF GOD TITLE ACCOUNTING OF TOTAL COST OF HEALTH SERVICES TO THE TB INPATIENTS IN IRAN ( IN MASIH DANESHVARI HOSPITAL ,2005 YEAR )

  2. TITLE: ACCOUNTING OF TOTAL COST OF HEALTH SERVICES TO THE TB INPATIENTS IN IRAN ( IN MASIH DANESHVARI HOSPITAL ,2005 YEAR By : Dr MOJGAN AZADI,As Professor of ShaheedBeheshti University of Medical Science & Health Services, Ph.D in Health Administration ZohreEtaati , ShamsiNasiri , AzarNouraki , Dr. Mohammad Reza Masjedi

  3. Introduction The hospital is one of the important establishments offering health services which plays an economically significant role. Considering the poor economical status of developing countries when facing changes in ‘money and good’ markets, this role becomes more significant. The main aim of econometric studies of performance in the hospital costs is to take better advantage of the existing physical and technological facilities as well as manpower.

  4. Although the financial survey alone in the field of health and medical care seems useless considering the humanitarian and friendly nature of these services, but when used for evaluating the efficiency and proper usage of these resources it is beneficial . On the other hand, with cost-control procedures a greater number of people can equity use a higher level of health care. At the same time, control and supervising the financial activities of health centers is possible.

  5. leadership & organisation planning & control Management-Functions human ressource

  6. Health Care Manager Planning and Controlling the System Paying for the Health Care System Delivering Services Consumer Government Provider Insurances Culture Environment Economy History Law Financial Pressure Consumer Expectations Health Care Industry (Roles, Jobs etc.)

  7. Hospital Management System Hospital Organization Managerial Systems Human Resource Management Hospital Standards PROFESSIONAL BUSINESS ADMINSTRATIVE Financial Management Reengineering Physical Resource Management Performance Evaluation IT System in Hospital

  8. Management System ( Peter Deraker) Control subsystem Decision making subsystem Control subsystem Input Process Output Information subsystem Feedback Evaluation subsystem

  9. OBJECTIVES: • Accounting of total cost of health services to TB inpatients. • Accounting of percentage of cost in the health services to TB inpatients. • Propose a plan to control of cost.

  10. METHOD: This cross sectional retrospective experimental Study calculated hospital costs and analyzed the data in forms and tables designed especially for this purpose. Also data in regard to capital, current and overhead costs were collected . After calculation ,the mean of total costs was assessed

  11. Pattern of calculate Inputs Total Costs 1- General Consumable Materials and Equipments 2- Specific Materials and Equipments 3- Manpower 4- Fixed Assets Outputs Direct Costs Indirect Costs Hospital

  12. Hospitals in IRAN • consist of : • Governmental Hospitals • Privet Hospitals • Charity Hospitals • Others Governmental hospitals divided to : -General hospitals -Uni-speciality Hospitals

  13. Situation of MasihDaneshvari Hospital • Uni-speciality Hospital in TB and Lung Diseases • Consist of 254 Inpatients beds • Two Wards for TB Inpatients

  14. RESULTS:

  15. -Mean days if admission : 10 days • -MDR TB admitted for 2 weeks for good observation • Medications are Free • Mean Average Age :40-60 Years (38%) • 67% Male

  16. CONCLUSIONS: As it is observed all over the world , health care personnel pay less attention to the costs of medical equipment and are less aware of the economical aspect of health care services .

  17. Having knowledge about the costs is not only essential for hospital administrators but also for all medical personnel ,since with more cost reduction , a greater number of people can enjoy medical services.

  18. KEY TRENDS • Increasing economic pressure on health care systems • 70% of all health care costs depend on the physician‘s decision making • Sociodemographic factors and technology drive health care costs • Health Care is an information business – IT economics drive Health Care Management • Ultraspecialisation increases fragmentation and complexity • Human Resources Management as THE key success factor for erforman and decrease costs.

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