Hossein Joodaki, Arash Rashidian,
Volume 8, Issue 3 (7 2010)
Abstract
As health care delivery systems develop, and their cost - as a percentage of total society expenditure - increases, policy-makers are more and more concerned about how to control these spiraling costs. An important section of policy makers' efforts to reduce costs is concentrated on preventing wastage in the health system. While a significant part of the resource wastage is due to inefficiencies in health system delivery, corruption and health care fraud and abuse are also to blame. The nature and the rate of corruption in the health care differ from one country to another. Still all countries encounter this problem and invest in interventions to combat corruption. Here we provide the readers with translated version of a very useful and readable paper by Vian. The paper reviews and summarizes the theories, methods, and interventions to combating corruption in health care.
N Nasiriad, A Rashidian, H Joodaki , F Akbari Haghighi, M Arab,
Volume 9, Issue 1 (9 2010)
Abstract
Objective: the aim of this study was to determine the types of relationships and problems between basic insurance organizations and university hospitals.
Methods: this is a qualitative study conducted in 2010. We interviewed revenue officials of hospital and resident representatives of insurance organizations in nine hospitals affiliated to the Tehran University of Medical Sciences using semi-structured interview techniques. Interviews focused on relationships, problems and solutions between basic insurers and hospitals. We used the framework method for the analysis of qualitative data.
Findings: six themes were identified: relationship between insurers and hospitals, supervision tasks of insurers in hospital, causes of deductions, deduction solutions, hospital problems with insurer organizations, and insurers' representatives problems with hospitals. Conclusions: Hospitals and basic insurer should establish effective communications. The results of such relationships, in addition to solve their own problems, helps the patients. Inappropriate relationship between hospital and basic insurer organizations mostly affects the patients.
