| Background and Objectives: Since 2014, the 'health system transformation plan' was designed
and implemented in order to solve some of the problems in Iranian health system. One of the
goals of this plan is to reduce direct payments by inpatients. This study aimed to compare the
direct payments by inpatients, before and after implementing the transformation plan.
Material and Methods: In this analytical-descriptive study, 1351 cases were selected (all cases).
Direct costs paid by the inpatients were extracted from medical records and then analyzed using SPSS
v.19 software and applying Uman-Whitney test.
Results: The overall level of direct costs paid by inpatients before and after implementing the
transformation plan has been decreased from 704 286 to 491815 Rials. A statistical relationship was
observed between implementing the plan and the reduction of direct costs; but in detailed costs, there
was no change.
Conclusion: Health system transformation plan reduced the direct costs paid by inpatients; but
in detailed costs, there was no reduction in some parts. Cooperation between hospitals is
necessary to continue the plan. |