Evaluation of the Effect of Educational Intervention on the Error of Insurance Documents on Deductions in Hospitalization Records

سال انتشار: 1403
محل انتشار: دوفصلنامه تحقیقات رفتارهای اجتماعی و سلامت، دوره: 8، شماره: 1
کد COI اختصاصی: JR_SBRH-8-1_003
زبان مقاله: انگلیسی
تعداد مشاهده: 103

نویسندگان

Department of Health Services Management, School of Management, North Tehran Branch, Islamic Azad University, Tehran, Iran

Zohreh Karimiankakolaki

Department of Health, Faculty of Medical Sciences, Shahrekord Branch, Islamic Azad University, Shahrekord, Iran

چکیده

Background: The aim of this study is to consider the effect of an educational intervention on the error rate of insurance documents in the deductingof hospitalization records of Covid-۱۹ patients' health insurance among hospital staff. Methods: The target population of this semi-experimental study was all personnel involved in the management of patients with Covid-۱۹. Among the hospitals of the Covid-۱۹ site in Chaharmahal and Bakhtiari provinces, one hospital was selected as the educational target group (۲۴ individuals) and one hospital was considered as the control group (۱۶ individuals) by lottery. To measure the effectiveness of education, the sample size of all cases of ۱۹ patients with health insurance in two hospitalsduring two periods of October and March ۲۰۱۶ was determined. Data collection was performed by checklists and direct reviews of files, health insurance system and hospital HIS system. Data analysis was fulfilled using SPSS۲۱ software. Results: The number of deductions in the case of "Covid ۱۹ hospitalized patients" of the health insurance decreased significantly in the intervention hospital from ۱۸۳۳ to ۹۳۳ (p < .۰۰۵) and increased in the control hospital from ۴۴۷ to ۲۷۱۲ (p < .۰۰۵). In the intervention hospital, the highest decrease in deductions in the hoteling service was from ۲۳۵ (۱۲.۸%) to ۲ (۰.۲%) cases (p < .۰۰۱) and for medicines from ۳۳۵ (۱۸.۲%) to ۵۶ (۶%) cases (p < .۰۰۱). Conclusion: The results demonstrated thatstaff training on the error in Covid-۱۹ insurance documents during the corona pandemic outbreak has reduced the number of insurance deductions in Covid-۱۹ patients' records.

کلیدواژه ها

Education, Covid-۱۹, Hospitalization, Hospital

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