Health Management & Information Science

Health Management & Information Science

The Prevalence of Ta’zir Medical Offences before and after the Implementation of Healthcare Reform Program (2013-2016): The Case of Shiraz University of Medical Sciences

Document Type : Articles

Authors
Babak Behzadi
Abdul Khaleq Keshavarzai
Mohammad Hossein Pour
5th Floor, Central Building, Shiraz University of Medical Sciences, Zand Avenue, Shiraz ,Iran
Abstract
Introduction: There are different problem-solving courts for prosecuting medical offencesdue to the broadness of healthcare sector as well as the variety of offences in this sector. One of these courts in Iran is the Commission of Ta’zir Offences which prosecutes specific offences in this domain. Due to the implementation of National HealthCare Reform Program since the second half of May 2013, this study was carried out to compare the prevalence of Ta’zir medical offences in Shiraz University of Medical Sciences before and after the implementation of this program.Methods: This was an applied, cross-sectional study. The sample size of the study includedall cases related to medical offences argued in the cases of Commission number 11 in theDepartment of Governmental Discretionary Punishment of Shiraz University of MedicalSciences during two periods: before(15/2/2012 -15/2/2013) and after the implementation ofHealthcare Reform Program (15/2/2015-15/2/2016). A designed form was used to collectdata in which the medical cases available in the Department of Governmental DiscretionaryPunishment were recorded. Data were analyzed, using descriptive and inferential statisticsincluding Paired-Samples T-Test. SPSS version 16 was used to analyze the data and thesignificance level was considered 0.05.Results: The results showed that the total number of Ta’zir medical offences was 169 beforethe Healthcare Reform Program and increased to 431 cases after the Healthcare ReformProgram. Employment of medical and paramedical professionals who had no legal workpermit before the implementation of Healthcare Reform Program was significantly (P<0.05(different from that after its implementation ) Mean:2.5- Std-Deviation: 3.28-P=0.02 (and also additional patient fees (Mean: 0.91- Std-Deviation: 19.56-P=0.02).Conclusion: It is recommended that the Iranian Ministry of Health and Medical Educationshould increase monitoring the physicians’ performance after the implementation ofHealthcare Reform Program to prevent the violations of patients’ rights.Keywords: Violation of laws, Punishment, Healthcare reforms, Treatment, Iran
  1. Behzadi B, Ravanshadnia M. Collection of laws, regulations, regulations and guidelines for the treatment of the Ministry of Health and Medical Education in Iran. Shiraz: Saray Ahle Ghalam Publications; 2013.
  2. Amozegar M. Prosecutor and Prosecutor of Guilty Physician. Tehran: Majd; 2006.
  3. Ziaee M, Saberi Olya T, Norouzi Roshanavand F, Sadeghpour Z. A Descriptive Study of Commission Records of Article 11 in the Sanctions Unit of the Department of Mashhad University of Medical Sciences during 2007 to 2015. Iranian of Mashhad Medical Council. 2016;7(20):51-3. Persian.
  4. Badakhsh H. Malpractic claim of gynecologyists received by medical council. Kashan University of Medical Sciences. 2006;4(7):76-81.
  5. Noras M. How to deal with the medical professional malpractice and infringments in Iran. Bojnord; National conference on- quality promotion; clinical gverance approach; 2013.
  6. Wikipedia. Definition of Ta’zir Iran. c2018. Available from: https://fa.wikipedia.org/wiki
  7. Ziaei M, Saberi A, Nowroozi M, Rostanavand F, Sadeghpour A. Descriptive study of the Commission’s records of Article 11 in the Unit of Treatment of Mashhad University of Medical Sciences in Mashhad. Mashhad University of Medical Sciences. 2017;2(2):15-25.
  8. Pourshirvani N. Performing family physician plan in Iran. achievements and challenges. Tehran: National Congress of Eleventh Government Function Criticism in health domain; 2015.
Health Management & Information Science
Volume 5, Issue 4 - Serial Number 4
32
Autumn 2018
Pages 152-156