Volume 20, Issue 2 (Paramedical Sciences and Military Health 2025)
Paramedical Sciences and Military Health 2025, 20(2): 28-35 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Markazi Moghadam N, Zargar Balaye Jame S, Sharifnia H, Esmaeil Zali M, Sadeghi S. Comparison of Global Surgical Costs with Non-Governmental Approved Tariffs. Paramedical Sciences and Military Health 2025; 20 (2) :28-35
URL: http://jps.ajaums.ac.ir/article-1-448-en.html
URL: http://jps.ajaums.ac.ir/article-1-448-en.html
Nader Markazi Moghadam *1 
, Sanaz Zargar Balaye Jame2 , Hesamaldin Sharifnia2 , Morad Esmaeil Zali2 , Sara Sadeghi2
, Sanaz Zargar Balaye Jame2 , Hesamaldin Sharifnia2 , Morad Esmaeil Zali2 , Sara Sadeghi2
1- Department of Health Management and Economics, School of Medicine, Aja University of Medical Sciences, Tehran, Iran. , nmmoghaddam@gmail.com
2- Department of Health Management and Economics, School of Medicine, Aja University of Medical Sciences, Tehran, Iran.
2- Department of Health Management and Economics, School of Medicine, Aja University of Medical Sciences, Tehran, Iran.
Abstract: (138 Views)
Introduction: Considering the importance of tariffs and costs associated with global surgical procedures, the aim of the present study is to compare the costs of global surgical procedures performed according to non-governmental approved tariffs in a selected hospital in Tehran. The results of this study can be utilized by hospital management for cost control and by insurance organizations.
Materials and Methods: This retrospective and descriptive-analytical study was conducted cross-sectionally in a selected hospital in Tehran in 1400 (Iranian calendar year). It examines the global calculation of surgical costs for 864 global surgeries performed in this hospital compared with non-global calculations of these surgeries. The costs were investigated using Excel 2016 software for data analysis.
Results: This study covered 16 common surgeries performed in the selected hospital out of a total of 100 surgeries approved in the global system in 1400. The findings showed that, based on the average cost of each global surgery, the global income was less than the average cost in all surgeries studied. The highest loss, in terms of both percentage and Rials, was related to the operation of repair of abdominal or primary incisional hernia, with an average difference of 19.22 percent and an average loss of 76,162,000 Rials per operation. The highest profitability, in terms of percentage and Rials, was related to diagnostic or therapeutic dilation and curettage, with an average difference of 8.96 percent and an average profit of 1,467,000 Rials per operation
Conclusion: The results indicate that the global surgical procedure tariffs are not realistic and, due to weaknesses in the calculation method, result in losses for hospitals. Therefore, to prevent hospital losses and minimize flaws in the tariff calculation method, it is suggested that the currently announced global tariffs be reviewed. Consideration of factors such as patient age, presence or absence of concomitant diseases, disease severity, length of hospital stay, and method of discharge should be included in tariff calculations. Additionally, global surgical procedure tariffs should be adjusted annually in proportion to the country's actual inflation rate.
Materials and Methods: This retrospective and descriptive-analytical study was conducted cross-sectionally in a selected hospital in Tehran in 1400 (Iranian calendar year). It examines the global calculation of surgical costs for 864 global surgeries performed in this hospital compared with non-global calculations of these surgeries. The costs were investigated using Excel 2016 software for data analysis.
Results: This study covered 16 common surgeries performed in the selected hospital out of a total of 100 surgeries approved in the global system in 1400. The findings showed that, based on the average cost of each global surgery, the global income was less than the average cost in all surgeries studied. The highest loss, in terms of both percentage and Rials, was related to the operation of repair of abdominal or primary incisional hernia, with an average difference of 19.22 percent and an average loss of 76,162,000 Rials per operation. The highest profitability, in terms of percentage and Rials, was related to diagnostic or therapeutic dilation and curettage, with an average difference of 8.96 percent and an average profit of 1,467,000 Rials per operation
Conclusion: The results indicate that the global surgical procedure tariffs are not realistic and, due to weaknesses in the calculation method, result in losses for hospitals. Therefore, to prevent hospital losses and minimize flaws in the tariff calculation method, it is suggested that the currently announced global tariffs be reviewed. Consideration of factors such as patient age, presence or absence of concomitant diseases, disease severity, length of hospital stay, and method of discharge should be included in tariff calculations. Additionally, global surgical procedure tariffs should be adjusted annually in proportion to the country's actual inflation rate.
Type of Study: Research |
Subject:
full articles
Received: 2024/12/16 | Accepted: 2025/05/3 | Published: 2025/06/30
Received: 2024/12/16 | Accepted: 2025/05/3 | Published: 2025/06/30
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |