Assessing and improving the condition of specific incomes deductions in health centers of East Azerbaijan province

Abstract

Abstract Background: Primary health care is one of effective approaches for improving public health. Providing optimal cares requires supplication of various resources such as financial resources. “Fractions of incomes” in health centers is one of the remarkable problems for the domain of financial resources management. Aim: This study was conducted to identify bottlenecks and causes of fractions for incomes in health centers and also solutions and interventions for their reduction. Methods: The current study has been conducted in a qualitative phenomenology method in East Azerbaijan province of Iran in 2014. Data collection method was focus group discussion and semi-structured interview that were conducted based on pre-prepared guidance and continued till data saturation. Purposive sampling was used for selecting participants. Data were analyzed using content analysis method. Results: Based on the opinions and experiences of participants, two and six themes were respectively extracted for bottlenecks of fractions and causes and solutions for their reduction.Themes for bottlenecks of fractions included cash) monetary) and non-cash (non-monetary) fractions and themes for causes and solutions included causes and solutions for fractions per capita, insurance deductions, fractions related to sending documents, registration fractions, discounts fractions, and incomplete deposit of cash incomes. Conclusion: All cash and non-cash incomes of health centers are subject to fractions and the causes of fractions are related to the whole process of converting services to incomes and insurance requirements. Identified solutions and interventions also focus on these areas. Keywords: health centers, specific incomes, cash incomes, non-cash incomes, fractions