Calculation of Costs of Health Services production factors in Service Providers Based on SHA 2011 Methodology in East Azarbaijan Province 1397

Abstract

Abstract Introduction: one of the most significant tables in national health accounts is the table of accounts and flow of resources based on production factors in health care services, which has not been calculated in Iran. Purpose: the present descriptive and cross-sectional study was conducted in East-Azerbaijan province and all the health care services centers of the province were studied in terms of their factor costs. Materials and method: In the present study, all the factors of health care provision in health care services centers were identified one by one. Then they were classified in different groups in accordance to NHA2011 guide lines. The table was separately produced for each provider group. The statistical analysis was the same for all the first 4 objectives. The industry average was calculated for each of the provider groups ( one-digit codes) and compared. in the section of health services center’s efficiency, the data with respect to the comprehensive health services centers was gathered through health deputy department and was analyzed through data coverage analysis method and deap2 software. Results: the largest part of the costs was devoted to the compensation costs for employees of the hospitals. however, In pharmacies, the largest costs were associated with goods and the received services. The technical efficiency of the comprehensive health services centers was calculated 49 percent, which has the capacity to increase to 51 percent with the same inputs. Conclusion: the results of the current study has provided data on health care costs in a standard framework for analysts, policy makers, and economists so as to be a response to the increasing demand of the health system for such data.

Key words: System of Health Accounts, Health care Provider, Factor of Provision, Technical Efficiency