هزینه فایده دارو و لوازم مصرفی در اعمال جراحی گلوبال شایع زنان در دو بیمارستان آموزشی-درمانی شهر تبریز

Aim: One of the recent reimbursement methods implemented by insurance organizations is the global system, where the accuracy of estimated tariff by this organization, especially in the field of drugs and medical consumables toward the real costs of the cases, is questioned. The purpose of this study is comparing the drugs and medical consumables&rsquo; cost in global system over the insurance tariff. Methods: In this descriptive-analytical study the average cost of drugs and medical consumables of two university tertiary affiliated with gynecological hospitals of Tabriz university of medical science, were evaluated with global tariff; and reasons of different cost of drugs and medical consumables between two hospitals was reviewed. In this research we study 8 common gynecological surgeries for 320 patients in the first quarter of the year, and the related information is extracted from hospital information system (HIS). We used Spss software for statistical analysis. Results: The total cost of drugs and medical consumables in caesarean, Myomectomy, accouchement, Hysterectomy and abortion is significantly more than Global tariff, and in ectopic pregnancy the total cost is significantly lesser than the Global tariff for the cases (P-Value<0.05). In Cystectomy and curettage surgeries compared to Global tariff, there is no statistically significant difference (P-Value>005). By comparing the two hospitals, it can be investigated that, in caesarean, accouchement and Myomectomy surgeries the costs of &quot;A&quot; hospital is statistically significantly more than &quot;B&quot; hospital (P-Value<0.05); and in Hysterectomy, Cystectomy, abortion, ectopic pregnancy and curettage, there is no statistically significant difference between the two hospitals. Conclusion: It seems that, drugs and medical consumables tariff in global surgeries is not commensurate with its real costs in governmental hospitals. Our findings show that, these tariffs will need to be reviewed in order to avoid financial loss in governmental hospitals.