طب جانباز (Sep 2010)
Supplemental insurances and Induced demand in chemical veterans
Abstract
Background & purpose: All policy makers make an attention to health in all countries. Health services are provided with different ways and in different quality and quantity. Among this, the role of insurances and their coverage is more important issue that according to it, health could improve or not. The affect of complementary health insurances and providing health services for vulnerable people such as chemically ventures and survey their real demands and supplier induced demands (SID) is necessary. Objective: This research is done for a survey of the complementary health insurances’ affects on chemically ventures in Nesardireh village in Kermanshah province. Methods: This is a descriptive and cross sectional research that is done at the beginning of 2008. Data were collected with 2 parts questionnaire and conversations with all the chemically ventures (300 persons), general physicians (8 persons), and specialist physicians (12 persons) and its validity were examined with the opinion of related experts. Finally data were analyzed with methods of descriptive statistics and using Spss software. Results: The population insists of 190 women and 110 men with the average of 50 and 48 years old. All the primary services are free for them and were provided by 3 districted general hospitals, 2 laboratory and 3 private pharmacies and 100% population had complementary health insurances for professional treatments. 60% chemically ventures said that they have visited specialist physicians for assuring from their health and themselves requested doctors check up, CT scan and ... . 80% of specialist physicians and 48% of general physicians were told that patients themselves request kind and amount of drugs. Pharmacists that have contraction said that 85% prescribed drugs don’t have logic treatment. 44% of patient said that the most of GPs prescribe expensive drugs and also 38% said that, GPs that have contraction with insurances make patients sensitive and enforce them to visit them again. Conclusion: providing charge services free of makes some people to think that whenever physicians, drugs and facilities are free, they could have optimal use. Some of physicians may induce demand for larger income and profit that this demand is not necessary. With changing patient attitudes and more supervision on contracted physicians and correct use of complementary health insurances and also with continues survey of demands and chemically ventures’ needs and the cause of their duplicated visit can reduce ISD.
