نوع مقاله: مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری اقتصاد سلامت، مرکز تحقیقات علوم مدیریت و اقتصاد سلامت، دانشگاه علوم پزشکی ایران، تهران، ایران

2 مرکز تحقیقات علوم مدیریت و اقتصاد سلامت، دانشگاه علوم پزشکی ایران، تهران، ایران

3 استادیار، گروه اقتصاد سلامت، دانشکده مدیریت و اطلاع رسانی پزشکی، دانشگاه علوم پزشکی ایران، تهران، ایران

4 استادیار سیاستگذاری سلامت، مرکز تحقیقات ارتقاء سلامت، دانشگاه علوم پزشکی زاهدان، زاهدان، ایران

چکیده

مقدمه: جمعیت سالمند سهم قابل ملاحظه­ای از تقاضا برای خدمات بهداشتی درمانی را تشکیل می­دهند و در نتیجه هزینه خدمات ارائه شده به این قشر از منظر اقتصاد سلامت حائز اهمیت می باشد. لذا این مطالعه با هدف برآورد هزینه‌های مستقیم و غیرمستقیم سالمندان مراجعه کننده به مراکز آموزشی درمانی منتخب دانشگاه علوم پزشکی ایران انجام شد.مواد و روش: این مطالعه مقطعی در بین 400 سالمند مراجعه کننده به مراکز آموزشی درمانی فیروزگر و رسول اکرم (ص) تهران در سال 1394 انجام گرفت. هزینه‌های مستقیم درمانی و غیر درمانی و هزینه‌های غیر مستقیم با استفاده از فرم گردآوری اطلاعات هزینه‌ای جمع آوری شدند. سپس داده های جمع ­آوری شده، توسط نرم افزار SPSS.16 مورد تجزیه و تحلیل قرار گرفتند.یافته­ ها: در این مطالعه میانگین کل هزینه‌های سالمندان برای یک دوره یک ماهه 3801081 ریال برآورد گردید. هزینه‌های مستقیم درمانی با میانگین 2992276 ریال بیشترین سهم و هزینه‌های غیر مستقیم با میانگین 217088 ریال کمترین سهم را از کل هزینه‌های سالمندان تحت بررسی داشتند.بحث و نتیجه­ گیری: اگرچه هزینه‌های مستقیم درمانی بیشترین بار مالی را بر بیماران سالمند دارد، اما هزینه‌های مستقیم غیردرمانی و هزینه‌های غیرمستقیم نیز بیش از 20 درصد هزینه‌های سالمندان را تشکیل داده ­اند، لذا در برنامه ­ریزی و سیاست‌گذاری برای نظام سلامت باید تمام اجزای هزینه ­ای مدنظر قرار گیرد.

کلیدواژه‌ها

عنوان مقاله [English]

An Estimation of Direct and Indirect Costs for Elderly Patients in Tehran, 2015

نویسندگان [English]

  • Javad Javan-Noughabi 1
  • Aziz Rezapour 2 3
  • Fatemeh Setoodezadeh 4
  • Amir Ali Moradpour 1

1 PhD Student in Health Economics, Health Management and Economics Research Center, Iran University of medical sciences, Tehran, Iran

2 Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran|Assistant Professor, Department of Health Economics, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran

3 Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran|Assistant Professor, Department of Health Economics, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran

4 Assistant Professor of Health Policy, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran

چکیده [English]

Background: Elderly population constitute a significant share of demand for health services and thus the cost of services provided to this population is important from health economic perspective. Therefore, this study aimed to estimate the medical and non-medical direct and indirect costs among elderly population who referred to selected hospitals of Iran University of Medical Sciences.
Method: This cross-sectional study was conducted on 400 elderly patients admitted to Firouzgar and Rasoul Akram hospitals in 2015. Medical and non-medical direct and indirect costs were collected using a checklist and the data were analyzed with an SPSS statistical software.
Results: In this study, the mean cost of elderly patients was 3,801,081 Rials for one month. Direct medical costs had the highest share and the indirect costs had the lowest share of the total cost for elderly patients (2,992,276 and 217,088 Rials, respectively).
Discussion and Conclusions: Although direct medical costs had the highest financial burden on older patients, the non-medical direct and indirect costs also constituted more than 20% of the total cost for elderly patients. Therefore, all components of costs should be considered in the planning and policy-making in the health system.

کلیدواژه‌ها [English]

  • Direct cost
  • Indirect cost
  • Elderly
  • Iran

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