The Trend of Financial Resources Structure of Selected Hospitals of Isfahan University of Medical Sciences: 2011–2021



Mohammadisefiddashti F^{1, 3} ; Mohammadi H² ; Rezayatmand R^{1, 3}
Source: Journal of Health Administration Published:2024

Abstract

Introduction: Financial analysis provides important information to hospital managers and causes resources to be allocated more accurately. The aim of this study was to identify the structure of financial resources of selected hospitals of Isfahan University of Medical Sciences, Isfahan, Iran, during 2011–2021. Methods: This descriptive study was conducted based on data from the selected hospitals affiliated with the Isfahan University of Medical Sciences. The data were obtained from budget and financial departments of Isfahan University of Medical Sciences and hospital information system, and then were processed in Microsoft Excel 2016. Results: The total revenue, hospital revenue from national budget and hospital special revenue have always been on an upward trend in current prices. In constant prices, the total revenue of hospitals increased by 20% in 2021 compared to 2011, and the trend of hospital special revenue has also been decreasing in most of these years. On average, operational revenue had the largest share and non-operational revenue as well as donation and charity had the least share of hospital financial resources. The average share of hospital special revenue (56.41%) was higher than the average share of hospital revenue from public budget (43.59%). Conclusion: Clarifying the structure of the hospital revenue can provide policy makers with a more comprehensive analysis of the current situation. The results of this study indicated the downward trend of the real hospital special revenue in these years, which indicates the fact that the revenue generating capacity of public hospitals is decreasing. The significant decrease in operating revenues of hospitals and the lack of compensation by the government in the form of hospital revenue from ministerial budget have faced a serious challenge to the self-governance of these hospitals. Therefore, health policy makers should pay serious and urgent attention to the revision or modification of the self-management plan in public hospitals. © 2024 The Author(s); Published by Iran University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.