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طب و تزکیه، جلد ۲۲، شماره ۳، صفحات ۵۹-۷۰
عنوان فارسی جایگزینی کتاب کالیفرنیا، اولین مرجع تعیین تعرفه تشخیص و درمان در کشور: بررسی دیدگاه خبرگان
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عنوان انگلیسی Substitution of ‘California’ book, the First Clinical and Diagnosis Tariff Reference book in Iran: Expert’s View Points
چکیده انگلیسی مقاله Introduction: Continous use of Clinical and Diagnosis Tariffs Reference book (known as 'California'book), published in the early of 1970s, and caused many challenges in the health sector. In order to correctsome of these challenges, experts from the Ministry of Health and Medical Education in Iran have developednew tariff book entitled' relative values of clinical and diagnosis services "in 2008. Due to the importanceand great impact of this book on health system costs and income of delivery units, this study intended tostudy experts' points of views about these tariff references.Method: This is a qualitative study, involving face to face interviews with policy makers at the Ministryof Health and related organizations, and experts who had experiences about medical tariffs. All interviewswere recorded and written. We used the thematic framework method for analyzing qualitative data.Results: Presenting relative values for most of clinical services, establishing good balance betweenrelative values of interdisciplinary and intradisiplinary services, and provision of up-to-date tariffs based onhealth technologies are the advantages of the new tariff book. On the Other hand the new book has somedisadvantages such as: doubtful adjustment to information and financial system of country and adaptationwith the payment system of the health service sectors. The usage of 'California' book is suggested by someexperts but its improper impacts on medical education and delivery of health care services in the countryare the most disadvantages of the former book.Conclusion: It seems substitution of 'California' book with new tariff book and use of new tariff book in2008, have a total positive effect on health system of country. Future efforts should consider correcting ofthe new book's potential weaknesses and reforming the payment system in the country.
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نشانی اینترنتی http://www.tebvatazkiye.ir/article_79464_79121e4233da5d68f99f20237b7e862f.pdf
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