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مشخصات

عنوان:

تحلیل روند تحول سیمای بازار و الگوی مصرف خدمات درمانی با تکیه بر تعامل ارائه کنندگان و مصرف کنندگان تحت پوشش سازمان تامین اجتماعی ایران طی دوره زمانی دوازده ساله 88-1377



گروه تخصصی:  پزشکی

سازمان مجری:  سازمان بیمه سلامت ایران (پایان نامه ها) 

گروه پژوهشی: 

پژوهشگران: 
پوررضا ابوالقاسم (استاد راهنما)
پورآقا بهروز (پژوهشگر)

تاریخ خاتمه:  1392

کارفرما: سازمان بیمه سلامت ایران

خروجی طرح: 
نوع: پایان نامه

 
تلفن: 

نشانی سازمان مجری: 
 

چکیده:

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کلیدواژگان: سازمان تامین اجتماعی، بیمه، پرداخت از جیب، دسترسی، سرپایی، بستری، پزشک، ویزیت، دارو، داده های تابلویی

 
 
Title:

An analysis of the market feature evolution trends and health services utilization with emphasis on providers and social security organization beneficiaries' interaction in Iran during 1998-2009



Abstract:

Introduction: Utilization patterns of health care and ways these services are provided, as well the increasing expenditures of health sector since 1960, have attracted the policy-makers' attention. Since patients most often pay the cost of services out of their pockets, then access to services will be confined to whom just have ability to pay. This in turn causes some patients delay or may avoid the utilization of health services, which may result in some irreversible effects to them. This study aims to investigate the health services utilization patterns in people who are under the coverage of Social Security Organization (SSO), addressing the major effective components of health care utilization during 1998-2009.
Methods: This study measures the effect of different components including; out of pocket payments, income, physical accessibility, aging, complementary and supplementary services on the utilization of health services. Data was gathered from provincial bureaus throughout the country. The population study includes 24 million members of SSO that received health care services from contracted providers (including; private, governmental and affiliated to SSO) during 1998 to 2009. We used bi-logarithmic regression model taking into account both fix and random effects.
Results: Results of this study showed that the effect of each component have completely been different than others. The existence or nonexistence of complementary and supplementary services has large effect on the elasticity of services. During the study period the average utilization has been increased. as well, out of pocket payments and physical access turned out to be most influencing components.
Conclusion: As result of this study, since provinces throughout the country have asymmetrically developed, then the impact of different components on utilization of health care in different provinces were not similar. Considering the results of this study, SSO should plan to provide circumstances so that patients are able to choose appropriate services, taking into account disease and economic conditions as well as the availability of providers.



Keyword(s): Social security organization, insurance, out of pocket payment, outpatient. inpatient, physician, visit, medicine, panel data