Identifying the flow of funding and distribution in the health system (from the Ministry of Health, Treatment and Medical Education to the level of hospitals affiliated to Tabriz University of Medical Sciences)

Abstract

bstract Background and Purpose: Hospitals are one of the most important and costly units in the health system in every country. In hospitals, the main problem is the provision of health services in economic matters. Therefore, it is important to know how to supply and distribute the budget in the hospital. The purpose of this study was to find out how to supply and distribute budgets in Tabriz medical sciences hospitals. study method: This research is a study which was conducted in four hospitals affiliated to Tabriz University of Medical Sciences and based on expert data. The data collection tool is a set of questions designed to provide and distribute budget funds in hospitals affiliated to Tabriz University of medical sciences. The collected information is also categorized and analyzed according to the goals set. Results: Based on this study, two types of credit resources are allocated to hospitals. Public and private resources. Proprietary resources include hospital-specific revenues paid by patient organizations through insurers and franchisees. Public resources include allocations through the ministry (health promotion plans, traffic injuries, family physicians, burns, etc.). Proprietary resources, which are part of hospital revenues, will be available to hospitals at the end of the fiscal year after the Specification and Confirmation of the Cabinet of Ministers. At the end of the fiscal year, public credits will be approved by the Cabinet of Ministers on the basis of the inflation rate and the budget of the previous year and will be submitted to the Tonqah Hospital every month during the new. fiscal year. When hospitals were provided with credits, including proprietary resources, public resources affiliated to the ministry, general public resources and development credits, Accordingly, the funds allocated exclusively for the cost of treatment and medicine, and the salaries of the staff of the plan, work, overtime, public services, general resources affiliated to the Ministry of Hospitality expenditures for patients (accidental, dialysis, burns, etc.) and purchases Pharmaceuticals and medical equipment, other than the purchase of property, are direct sources of direct salary, contract, and contract. Also, construction credits are used to develop buildings and equipment. Conclusion: Based on the results of the major income received by hospitals, they are from insurance companies And most of the expenses are spent on employee wages. According to the interviewees, the budget allocation used to allocate resources to the hospital is a combination of traditional,Linear and programmed budgeting. Given that these types of budgets do not lead to a fair allocation of resources between hospitals, it is suggested that the usual way of using resources be changed and that budget-based performance be used.