do medical records outsourcing affect insurance deductions? an interrupted time series in qazvin’s trauma center

Introduction: the reform in medical records processes is recognized as one of the effective measures implemented forreducing insurance deductions. the present study aimed to evaluate the effect of outsourcing the medical records unit onthe insurance deductions in qazvin trauma center within 2013-2018.methods: the present study was a descriptive and analytical study which was conducted in qazvin trauma center. theintervention variable was the performance of the outsourcing plan in the medical records unit. changes in the level andtrend of basic insurance deductions before and after outsourcing were at the significance level of 0.05 using theindependent t-test and segmented regression model in stata software (version15).results: the percentages of deductions before and after performing the outsourcing contract were measured at0.038±0.112 and 0.194±0.068 for the health insurance (p <0.001), respectively. these values were reported as0.077±0.028 and 0.031±0.126 for the social security insurance (p<0.001), respectively, and they were obtained at0.105±0.060 and 0.124±0.087 for the armed forces insurance (p=0.369), respectively. finally, for the relief committeeinsurance, these percentages were reported as 0.154±0.078 and 0.183±0.080 (p=0.209), respectively.conclusions: as evidenced by the obtained results, the level of y-intercept increased in all observations after outsourcing.therefore, it can be concluded that outsourcing the services of the records unit did not directly affect the insurancedeductions and the insurance deductions can be attributed to some other reasons, apart from the outsourced tasks.