the impact of implantation of health care reform plan in patients pay out of pocket in selected public hospitals in isfahan

providing financial resources in a justly manner in health care system means, that paying health care services by patients must be based on their financial ability and not by severity of their condition or danger of their disease. in a fair health care system, protection of all patients in term of their financial ability has been predicted. on the other hand, exponential increases in cost of health services have been lead to paying more out of patient’s pocket. in the first pack of the new health care reform plan, the program will reduce the amount paid by patients admitted in the hospitals of the ministry of health and medical education .in this study we are going to deal with the realization of the mentioned plan. methodology: this study was done in the first 9 months of the new plan, by gathering income data of 5 government –affiliated hospitals   that are related to isfahan medical university. findings: with considering the inflation rate, the average rate of paying out of pocket was reduced by 43.17% with mean of 2.18 and standard deviation of 1.82. this could be due to paying subsidiaries for health care by government. conclusion: analyzing the data shows that governed has taken big steps in reducing the amount of health care costs out of patient’s pocket. finding  reasons of increasing trends in going to health care centers and the also the reasons behind overall increase in health care costs has been remained to be solved .