Payesh
2009; 8: 135-145
Accepted for publication: 11 June 2007
[EPub a head of print-26 May 2009]

Objective(s): To investigate the effect of financing system on improvement of hospital performance in the selected countries.
Methods: This is a descriptive study. The health care system of Canada, France, USA, Australia, UK, Turkey, South Korea, Norway and Iran has been studied on. The base of selection is Garden's categorizing of countries. The questionnaire of proposed model regarding implementation of the Delphi technique were filled out by 30 professionals, professors and policy makers of health care system or people with academic or work experience in hospital management. Collected data was analyzed with statistical methods. After evaluating and analyzing the proposed and corrective ideas, the final model was designed.
Results: This study shows that application of financing system plays a key role in improvement of hospital performance along with comprehensive planning and appropriate control supervision system in a fundamental structure.
Conclusion: The experts in this field believe that by taking into consideration the social identity of hospital; financial resources and capital goods have to be provided by the governments, training costs have to be paid separately to the hospitals and floating budgets need to be considered for the hospitals.