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:: Volume 12, Issue 4 (Autumn 2023) ::
aumj 2023, 12(4): 395-407 Back to browse issues page
The effect of Implementation of Automatic Stop Order program on the management of the request and the cost of frequent and costly tests in Shahid Rajaei Educational and medical center
Morteza Nazari * 1, Shahrooz Yazdani2 , Fatemeh Rahimi3
1- Assistant Professor ,Department of Healthcare Services Management, School of Health,Alborz University of Medical Sciences,Karaj,Iran.
2- Associate professor ,Cardiovascular Research Center, Shahid Rajaei Educational & Medical Center, Alborz University of Medical Sciences, Karaj,Iran.
3- Clinical Research Development Unit ,Shahid Rajaei Educational & Medical Center, Alborz University of Medical Sciences, Karaj,Iran.
Abstract:   (573 Views)
Background and Aim: Laboratories, on average, allocated for about 4 percent of Hospital's budget and are often considered the main focus of health care spending. There is a wide range of laboratory automation options available today that Designed to improve the quality and efficiency of laboratory tests. The aim of this study was to investigate The effect of Implementation of Automatic Stop Order  program on the management of the request and the cost of frequent and costly tests in Shahid Rajaei Educational and medical center.

Research Methods: This research is analytical and comparative. In terms of time, the work is cross-sectional-longitudinal. After of data collection of before and after of Implementation of Automatic Stop Order  program,  analysis was carried out with the SPSS 19&Excel softwares.

Results: In order to establish the Auto Stop Order program to control the amount of requests and the cost of frequent tests, first the number of requests and the total cost of tests in Shahid Rajaei Medical Training Center were examined and all the laboratory services requested in the hospital, 27 laboratory services were selected to apply in the Auto Stop Order program. The total number of requests after the implementation of the Auto Stop Order program decreased by 11% and 8100 laboratory services. Also, after the implementation of the Auto Stop Order program on 27 costly tests, the cost of the tests was reduced by 16% and the amount was 445,004,725 Rials.

Conclusion: Using the Auto Stop Order program can lead to rational prescribing of tests according to clinical guidelines, reducing the cost of patients' and resource control, and saving hospital laboratory costs. Therefore, managers and policy makers of the health system should create a suitable platform to use this program as a way to reduce costs in the laboratories of public hospitals in the country.
Keywords: Auto Stop Order, Test, Cost.
Full-Text [PDF 1045 kb]   (327 Downloads)    
Type of Study: Research | Subject: Special
Received: 2022/08/11 | Accepted: 2022/11/14 | Published: 2023/12/01
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Nazari M, Yazdani S, Rahimi F. The effect of Implementation of Automatic Stop Order program on the management of the request and the cost of frequent and costly tests in Shahid Rajaei Educational and medical center. aumj 2023; 12 (4) :395-407
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Volume 12, Issue 4 (Autumn 2023) Back to browse issues page
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