Evaluation of Status and Income Effects of Admission and Referral of Patients in Need of Vascular Surgery Service in Hospitals of Iran University of Medical Sciences

Nader  Tavakoli; Mahnazalsadat  Hosseini; Reza  Jahangiri; Samaneh  Sarkhosh; Reza  Shirani; Saeed  BagheriFaradenbeh

doi:10.18502/mshsj.v6i2.7181

Nader Tavakoli Associate Professor, Accident and Injury Research Center, Iran University of Medical Sciences, Tehran, Iran
Mahnazalsadat Hosseini BSc in Nursing, Director of Medical Accidents and Emergencies, Iran University of Medical Sciences, Tehran, Iran
Reza Jahangiri Ph.D. student of Health Economics, Health Management and EconomicsResearch Center, Iran University of Medical Sciences, Tehran, Iran
Samaneh Sarkhosh MSc in Health Services Management, School of Management and Medical Information, Iran University of Medical Sciences, Tehran Iran
Reza Shirani MSc in Health Economics, Vice Chancellor for Education, Shahrekord University of Medical Sciences, Shahrekord, Iran
Saeed BagheriFaradenbeh Ph.D. of Health Economics, Health Management and EconomicsResearch Center, Iran University of Medical Sciences, Tehran, Iran

DOI: https://doi.org/10.18502/mshsj.v6i2.7181

Keywords: Patient dispatch, Vascular surgery, Income, Iran university of medical sciences

Abstract

Background: Admission and dispatch of patients is considered as part of the patient treatment process. The aim of this study was to investigate the status and income effects of admission and dispatch of patients in need of vascular surgery in hospitals of Iran University of Medical Sciences in 2018-2019.

Methods: The present study is a descriptive cross-sectional study in which a checklist was compiled and the required information about admission and dispatch of patients in Iran University of Medical Sciences was extracted from the MCMC (Medical Care Monitoring Center) system. In order to extract the income of services related to vascular surgery service from the average income of each patient file in need of this service, university hospitals were used. The sampling method was census and 14,481 patients admitted and dispatched were examined. The data were analyzed by descriptive statistics using Excel software.

Results: The total number of registrations for dispatch of vascular surgery service was 605, 378 of which were successful. Of these, 145 were from hospitals affiliated to private hospitals and other hospitals affiliated to other medical universities, 233 were related to vascular surgery admissions, and 227 patients were related to failure to dispatch and death. The lost income due to dispatching patients is equal to 4,875,100,680 Rials. Also, the hospitals affiliated to the university have gained income equal to 7,833,782,472 Rials by admitting and not dispatching these patients.

Conclusion: The findings showed that the lost income due to dispatching patients requiring vascular surgery is 4,875,100,680 Rials. Also, the earned income resulting from the existence of medical facilities in the field of the patients’ admission to the hospitals affiliated to the university is 7,833,782,472 Rials.