Alaei Sefollah, Alhani Fatemeh, Navipour Hassan
Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Jalal Al-Ahmad, P.O. Box 14115-331, Tehran, Iran.
BMC Health Serv Res. 2018 Apr 12;18(1):282. doi: 10.1186/s12913-018-2934-z.
Community-oriented nursing care is an important model of nursing care. Counseling and Nursing Care Service Centers (CNCSCs) have been providing these private services to the Iranian community for nearly two decades. Resource management, cost-benefit analysis and affordability are important steps in providing these services. The present study was conducted to explore the challenges of financial transactions between CNCSCs and their clients.
This study has a qualitative design and was conducted on a total of 30 participants, consisting of CNCSC managers, staff, physicians and clients who were selected through purposive theoretical sampling. Data were collected through in-depth interviews and direct observations and were analyzed using conventional qualitative content analysis.
The analysis of the data led to the extraction of three main categories, including the flaunted atmosphere due to direct financial transaction, instability in determining tariffs for nursing services and the use of strategies for cost-effective services and client satisfaction.
To increase affordability and satisfaction and expand private community-based nursing. Services, appropriate financial policies should be designed and applied that can lead to transparent and simple financial transactions with the clients by way of indirect monetary exchanges. These policies should be designed in a systematic manner with integrity, facilitate inter-sectorial cooperation in the health sector and be cost-effective for the clients, insurance companies and the health system.
以社区为导向的护理是一种重要的护理模式。咨询与护理服务中心（CNCSCs）近二十年来一直在为伊朗社区提供这些私人服务。资源管理、成本效益分析和可承受性是提供这些服务的重要步骤。本研究旨在探讨CNCSCs与其客户之间财务交易的挑战。
本研究采用定性设计，共对30名参与者进行了研究，包括CNCSC经理、工作人员、医生和客户，他们通过目的理论抽样选取。通过深入访谈和直接观察收集数据，并使用常规定性内容分析进行分析。
数据分析得出三个主要类别，包括直接财务交易导致的炫耀氛围、护理服务收费确定的不稳定性以及具有成本效益的服务和客户满意度策略的运用。
为了提高可承受性和满意度并扩大基于社区的私人护理服务，应设计并应用适当的财务政策，通过间接货币交换实现与客户透明且简单的财务交易。这些政策应系统、诚信地设计，促进卫生部门的跨部门合作，并对客户、保险公司和卫生系统具有成本效益。
