Paramedical Sciences and Military Health

Introduction: The daily progress of medical science, the advance of medical technologies, industries, and the arrival of these technologies into the national health have created vast changes in the system of presentation of health services. Thus, it is necessary to adapt and coordinate the relative value of health services with such advances. Due to the significance of the matter and its serious impact on the incomes of the units which present services and provide the costs of the health system in different sectors, this research evaluates the users views about the book of new tariffs which has been put into force in all hospitals since October 2014.
Methods and Materials: This research is a sectional descriptive study.Sixty surgeons and staffs of the discharge unit have been studied at the army hospitals in Tehran. Samples were selected randomly. Self-made quesstionnaire was used as an instrument for collecting data, Validity and reliability were confirmed by skilled experts and professors. Moreover, SPSS version 18 was used to present statistical indicators such as tables and diagrams.
Results: The results of this research indicate that 50.0 percent of the users were fully satisfied with the structure of the new book of tariff, 36.7 percent were moderately satisfied with it, and 13.4 percent of the users were dissatisfied. In addition, 35 percent of the users were satisfied with the ease of accesing the book, 38.3 percent had an intermediate satisfaction with it, and 26.7 percent of the users were dissatisfied. Finally, 23.4 percent of the users were satisfied with the contents of this book, 31.3 percent had an intermediate satisfaction and 45.3 percent of the users were dissatisfied.
Discussion and Conclusion: It seems that the errors existing in the older book of tariffs have been diminished and the newly developed book of tariffs has the relative ratification of the users. However, a noticeable rate of the local clients, i.e. the presenters of services of health, physicians and personnel of treatment domain are dissatisfied with the contents of the new book of tariff. Moreover, some users believed that the book of new tariff has not been able to fully implement the interdisciplinary justice. Therefore, in the new stages, efforts should be made to amend the weak points of the new tariff book and correct the national payment system.