Informal payments and the factors affecting it in the educational hospitals of Shiraz University of Medical Sciences

علی یوسفی, پیوند باستانی, محمد خمرنیا, عبدالواحد خدامرادی
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Abstract

Aim: According to the negative impact of informal payment on the efficiency and equity of the health care system and considering the catastrophic expenditures made for poor and vulnerable groups, this study was conducted to investigate informal payments and the associated factors in the educational hospitals affiliated with Shiraz University of Medical Sciences. Methods: The statistical population of the present descriptive-analytical study was all patients who were discharged from the teaching hospitals of Shiraz University of Medical Sciences (10 hospitals) in a specific month of the year 2018 (June). The sampling method was stratified random and 336 people were selected. Data collection tools were a questionnaire and a telephone interview with the patient or the patient's family. The questionnaire consisted of 40 questions in 6 sections. Data were analyzed by using SPSS software version 23, the T-test, ANOVA, and Pearson correlation coefficient. Results: The present findings show that the most informal payments were payed to the physicians and then the nurses. Among the physicians, general surgeons (1241+236.12) ghestiorthopedic specialists (1041+193.64), and urologists (561+89.59) have received the h level, amount, respectively. Other findings indicate that the variables of household income ormalfplace of residence and physician's specialty significantly affected the amount of in .(payment (P<0.05 Conclusion: According to the results of the present study and in order to manage informal malrpayments, health managers and policymakers should plan for identifying the causes of info .payment and designing effective interventions
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设拉子医科大学教育医院的非正式支付及其影响因素
目的:针对非正式支付对卫生保健系统效率和公平性的负面影响,考虑到对贫困和弱势群体的灾难性支出,本研究对设拉子医科大学附属教育医院的非正式支付及其相关因素进行了调查。方法:本描述性分析研究的统计人群为设拉子医科大学附属教学医院(10家医院)2018年特定月份(6月)出院的所有患者。抽样方法为分层随机抽样,共抽取336人。数据收集工具为问卷调查和与患者或患者家属的电话访谈。问卷共分为6个部分,共40个问题。数据分析采用SPSS软件第23版、t检验、方差分析和Pearson相关系数。结果:目前的调查结果显示,非正式支付最多的是医生,其次是护士。其中,普外科(1241+236.12)、泌尿外科(1041+193.64)、泌尿外科(561+89.59)分别获得h水平、金额。结果表明,家庭收入、居住地、医师专业等变量对非正规医疗支付的影响显著(P<0.05)。结论:根据本研究结果,卫生管理者和政策制定者应规划识别非正规医疗支付的原因,并设计有效的干预措施
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