Variable | N | % | P |
Sex | <0.001 | ||
Male | 154 | 51 % | |
Female | 146 | 49 % | |
Age Group | >0.001 | ||
20-35 | 81 | 27 % | |
35-50 | 103 | 34.33 % | |
50-65 | 61 | 20.33 % | |
65-80 | 49 | 16.33 % | |
> 80 | 6 | 2 % | |
Education | 0.18 | ||
Primary | 158 | 53 % | |
High School | 88 | 29 % | |
University Degree | 54 | 18 % | |
Job Status | <0.001 | ||
Worker | 81 | 27 % | |
Clerk | 66 | 22 % | |
Housekeeper | 106 | 35.3 % | |
Private Corporation | 34 | 11.3 % | |
Student | 13 | 4.4 % | |
Income (Rials- per month) | <0.001 | ||
Under 2,500,000 | 21 | 7 % | |
2,500,000 -5,000,000 | 169 | 56 % | |
5,000,000 -10,000,000 | 81 | 27 % | |
10,000,000-20,000,000 | 29 | 10 % | |
Medical Insurance Status | 0.27 | ||
Insured | 292 | 97 % | |
Not insured | 8 | 3 % | |
Note: Currency Rates, Iran; 2012: 1US$~25000 Rials |
Financial Burden Imposed to the Insurance | Financial Burden Imposed to the Patients | Total Financial Burden | Total Inappropriate Prescribing |
Amount (%) | Amount (%) | Amount (%) | 167 cases out of 300 |
81,743,300 Rials (92 %) | 6,265,700 Rials (8 %) | 88,009,000 Rials (100 %) |
Specialist | Appropriateness | Total | ||
Appropriate | Uncertain | Inappropriate | ||
Neurosurgeon | 14 (15 %) | 24 (25 %) | 58 (60 %) | 96 (100 %) |
Physiatrist | 7 (15 %) | 10 (21 %) | 30 (64 %) | 47 (100 %) |
Neurologist | 7 (22 %) | 8 (25 %) | 17 (53 %) | 32 (100 %) |
Orthopedics | 19 (20 %) | 25 (26 %) | 52 (54 %) | 96 (100 %) |
Rheumatologist | 14 (48 %) | 5 (17 %) | 10 (35 %) | 29 (100 %) |
Total | 61 (20 %) | 72 (24 %) | 167 (56 %) | 300 (100 %) |
Physical examination | Appropriate | Total | P | ||
Appropriate | Uncertain | Inappropriate | |||
with | 57 (23 %) | 66 (27 %) | 122 (50 %) | 245 (100%) | <0.001 |
without | 4 (7 %) | 6 (11 %) | 45 (82 %) | 55 (100%) | |
Total | 61 (20 %) | 72 (24 %) | 167 (56 %) | 300 (100%) |
Report Date : Jan 2001
Pagination or Media Count : 123
Abstract : The concepts of appropriate and necessary care are fundamental to the creation of an efficient and equitable health-care delivery system. Evidence of inappropriate overuse and underuse of procedures has been documented even in health systems characterised by the absence of global budgets, capitation, utilisation review or the pressure of requiring a second opinion. Health systems should function in such a way that inappropriate care is progressively reduced, while appropriate and especially necessary care are maintained or increased. The ability to determine and identify which care is overused and which is underused is essential to this functioning. To this end, the RAND/UCLA Appropriateness Method (here given the acronym RAM) was developed by RAND and UCLA in the 198Os. It has been further developed and refined in North America and, increasingly, in Europe.
Descriptors : *USER MANUALS , *HEALTH CARE MANAGEMENT , EUROPE , DELIVERY , GLOBAL , HEALTH , BUDGETS , PUBLIC OPINION
Distribution Statement : APPROVED FOR PUBLIC RELEASE