The impacts of family physician plan and health transformation plan on hospitalization rates in Iran: an interrupted time series.

Szczegóły
Abstrakt

Tytuł:: The impacts of family physician plan and health transformation plan on hospitalization rates in Iran: an interrupted time series.
Autorzy:: Rouhani S; Department of Public Health, School of Health, Mazandaran University of Medical Sciences, Sari, Iran.
Esmaeili R; Department of Public Health, School of Health, Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran.
Yazdani Charati J; Department of Biostatistics, School of Health, Mazandaran University of Medical Sciences, Sari, Iran.
Khandehroo M; Department of Public Health, School of Health, Mazandaran University of Medical Sciences, Sari, Iran. .
Źródło:: BMC health services research [BMC Health Serv Res] 2021 Jul 05; Vol. 21 (1), pp. 658. Date of Electronic Publication: 2021 Jul 05.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Original Publication: London : BioMed Central, [2001-
MeSH Terms:: Health Care Reform*
Physicians, Family*
Hospitalization ; Humans ; Interrupted Time Series Analysis ; Iran/epidemiology
References:: Bull World Health Organ. 2013 Dec 1;91(12):942-9. (PMID: 24347733)
Br J Gen Pract. 2017 May;67(658):e352-e360. (PMID: 28347986)
Int J Health Policy Manag. 2019 Apr 13;8(6):384-386. (PMID: 31256572)
J Clin Pharm Ther. 2002 Aug;27(4):299-309. (PMID: 12174032)
Lancet. 2019 Aug 24;394(10199):619-621. (PMID: 31448726)
Arch Iran Med. 2019 May 01;22(5):262-268. (PMID: 31256600)
Health Policy Plan. 2012 Jan;27(1):76-83. (PMID: 21278077)
Lancet. 2012 Sep 8;380(9845):944-7. (PMID: 22959391)
BMJ Open. 2019 Jan 15;9(1):e021761. (PMID: 30647030)
Health Place. 2001 Mar;7(1):27-38. (PMID: 11165153)
Int J Health Policy Manag. 2020 Oct 13;:. (PMID: 33059428)
BMC Health Serv Res. 2015 Jan 28;15:42. (PMID: 25627936)
BMC Health Serv Res. 2020 May 6;20(1):382. (PMID: 32375767)
J Multidiscip Healthc. 2020 May 13;13:411-423. (PMID: 32494150)
Int J Epidemiol. 2017 Feb 1;46(1):348-355. (PMID: 27283160)
Med J Islam Repub Iran. 2018 Dec 05;32:121. (PMID: 30815416)
Anesth Analg. 2019 Aug;129(2):618-633. (PMID: 31008746)
Int J Health Policy Manag. 2017 Feb 11;6(10):573-586. (PMID: 28949473)
Arch Fam Med. 1998 Jul-Aug;7(4):352-7. (PMID: 9682689)
Int J Epidemiol. 2018 Dec 1;47(6):2082-2093. (PMID: 29982445)
BMC Health Serv Res. 2015 Apr 03;15:137. (PMID: 25889013)
Contributed Indexing:: Keywords: Family medicine; Health reform; Hospital admission; Referral system
Entry Date(s):: Date Created: 20210706 Date Completed: 20210707 Latest Revision: 20210709
Update Code:: 20240105
PubMed Central ID:: PMC8259001
DOI:: 10.1186/s12913-021-06685-w
PMID:: 34225708
: Czasopismo naukowe

Pełny tekst

Background: Low and middle income countries has recently implemented various reforms toward Universal Health Coverage (UHC). This study aims to assess the impact of Family Physician Plan (FPP) and Health Transformation Plan (HTP) on hospitalization rate in Iran.
Methods: We conducted an Interrupted Time Series (ITS) design. The data was monthly hospitalization of Mazandaran province over a period of 7 years. Segmented regression analysis was applied in R version 3.6.1.
Results: A decreasing trend by - 0.056 for every month was found after implementation of Family Physician Plan, but this was not significant. Significant level change was appeared at the beginning of Health Transformation Plan and average of hospitalization rate increased by 1.04 (P < 0.001). Also hospitalization trend increased significantly nearly 0.09 every month in period after Health Transformation Plan (P < 0.001).
Conclusions: Family physician created a decreasing trend for hospitalization in urban area of Mazandaran province in Iran. HTP with lower user fee in governmental public hospitals and clinics as well as fee-for-service mechanisms, stimulated both level and trend changes in hospital admissions. Some integrated health policy is required to optimize the implementation of diverse simultaneous reforms in low and middle-income countries.

Informacja