IDEAS home Printed from https://ideas.repec.org/a/bla/ijhplm/v34y2019i1pe264-e273.html
   My bibliography  Save this article

The impact of health transformation plan on hospitalization rates in Iran: An interrupted time series

Author

Listed:
  • Bakhtiar Piroozi
  • Arash Rashidian
  • Amirhossein Takian
  • Mohammad Amerzadeh
  • Minoo Alipouri Sakha
  • Obeidollah Faraji
  • Ghobad Moradi

Abstract

Objective The study aims to assess the impact of health transformation plan (HTP) as a major health system reform on hospitalization rate in Iran. Health transformation plan adopted different measures to increase the coverage of basic health insurance, increase the quality of outpatient visit care, improve and expand the family physician program, expand health services to suburban areas, reduce out‐of‐pocket (OOP) payments for inpatient services, and update tariffs to more realistic ones. Methods We selected Kurdistan province, a province that was not a patient referral hub, for the collection of monthly hospitalization data over a period of 50 months. Interrupted time series (ITS) analysis was carried out, and segmented regression analysis was employed to assess the abrupt (or short‐term) and gradual (or long‐term) effects of HTP on hospitalization rate. Results Although before the intervention, there was no significant increase or decline in hospitalization rate in the Kurdistan province, after the implementation of HTP, a significant increase in the intercept and slope of hospitalization rate was observed (P

Suggested Citation

  • Bakhtiar Piroozi & Arash Rashidian & Amirhossein Takian & Mohammad Amerzadeh & Minoo Alipouri Sakha & Obeidollah Faraji & Ghobad Moradi, 2019. "The impact of health transformation plan on hospitalization rates in Iran: An interrupted time series," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(1), pages 264-273, January.
    • Handle: RePEc:bla:ijhplm:v:34:y:2019:i:1:p:e264-e273
    DOI: 10.1002/hpm.2645
    as

    Download full text from publisher

    File URL: https://doi.org/10.1002/hpm.2645
    Download Restriction: no
    File URL: https://libkey.io/10.1002/hpm.2645?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Van der Heyden, J. H. A. & Demarest, S. & Tafforeau, J. & Van Oyen, H., 2003. "Socio-economic differences in the utilisation of health services in Belgium," Health Policy, Elsevier, vol. 65(2), pages 153-165, August.
    2. Ariel Linden, 2015. "Conducting interrupted time-series analysis for single- and multiple-group comparisons," Stata Journal, StataCorp LLC, vol. 15(2), pages 480-500, June.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Castro, P. & Pedroso, R. & Lautenbach, S. & Vicens, R., 2020. "Farmland abandonment in Rio de Janeiro: Underlying and contributory causes of an announced development," Land Use Policy, Elsevier, vol. 95(C).
    2. Yanhong Gong & Xiaoxv Yin & Yunxia Wang & Yongbin Li & Geng Qin & Liqun Liu & Wei Zhou & Fujian Song & Xiaoxin Dong & Shiyi Cao & Chen Yang & Huajie Yang & Jun Xie & Junan Liu & Zuxun Lu, 2014. "Social Determinants of Community Health Services Utilization among the Users in China: A 4-Year Cross-Sectional Study," PLOS ONE, Public Library of Science, vol. 9(5), pages 1-7, May.
    3. Maricela Cruz & Hernando Ombao & Daniel L. Gillen, 2022. "A Generalized Interrupted Time Series Model for Assessing Complex Health Care Interventions," Statistics in Biosciences, Springer;International Chinese Statistical Association, vol. 14(3), pages 582-610, December.
    4. KAMKOUM, Arnaud Cedric, 2023. "The Federal Reserve’s Response to the Global Financial Crisis and its Effects: An Interrupted Time-Series Analysis of the Impact of its Quantitative Easing Programs," Thesis Commons d7pvg, Center for Open Science.
    5. Han, Sungil & Riddell, Jordan R., 2024. "A new college campus and crime: Focusing on crime opportunity and gentrification in downtown Orlando, Florida," Journal of Criminal Justice, Elsevier, vol. 95(C).
    6. Christopher Ksoll & Kristine Bos & Sarah Hughes & Anthony Harris & Arif Mamun, "undated". "Evaluation Design Report for the Benin Power Compact's Electricity Generation Project and Electricity Distribution Project," Mathematica Policy Research Reports 9f8974513ee745aaac3b5c62e, Mathematica Policy Research.
    7. Christopher David Absell, 2023. "British slave emancipation and the demand for Brazilian sugar," Cliometrica, Springer;Cliometric Society (Association Francaise de Cliométrie), vol. 17(1), pages 125-154, January.
    8. Hoeck, Sarah & François, Guido & Van der Heyden, Johan & Geerts, Joanna & Van Hal, Guido, 2011. "Healthcare utilisation among the Belgian elderly in relation to their socio-economic status," Health Policy, Elsevier, vol. 99(2), pages 174-182, February.
    9. Nancy M. Wells & Nilda Graciela Cosco & Derek Hales & Muntazar Monsur & Robin C. Moore, 2023. "Gardening in Childcare Centers: A Randomized Controlled Trial Examining the Effects of a Garden Intervention on Physical Activity among Children Aged 3–5 Years in North Carolina," IJERPH, MDPI, vol. 20(11), pages 1-16, May.
    10. Cassandra R. Chambers & Wayne E. Baker, 2020. "Robust Systems of Cooperation in the Presence of Rankings: How Displaying Prosocial Contributions Can Offset the Disruptive Effects of Performance Rankings," Organization Science, INFORMS, vol. 31(2), pages 287-307, March.
    11. Drew M. Anderson & David B. Monaghan & Jed Richardson, 2024. "Can the Promise of Free Education Improve College Attainment? Lessons from the Milwaukee Area Technical College Promise," Research in Higher Education, Springer;Association for Institutional Research, vol. 65(8), pages 1747-1770, December.
    12. Katherine Baicker & Theodore Svoronos, 2019. "Testing the Validity of the Single Interrupted Time Series Design," CID Working Papers 364, Center for International Development at Harvard University.
    13. Bratu, Cristina & Dahlberg, Matz & Engdahl, Mattias & Nikolka, Till, 2020. "Spillover effects of stricter immigration policies," Journal of Public Economics, Elsevier, vol. 190(C).
    14. Unar-Munguía, Mishel & Monterubio Flores, Eric & Colchero, M.A., 2019. "Apparent consumption of caloric sweeteners increased after the implementation of NAFTA in Mexico," Food Policy, Elsevier, vol. 84(C), pages 103-110.
    15. Plewis, Ian, . "Adopting Hybrid Bt Cotton: Using Interrupted Time-Series Analysis to Assess Its Effects on Farmers in Northern India," Review of Agrarian Studies, Foundation for Agrarian Studies, vol. 9(2).
    16. Graham Cookson & Simon Jones & Ioannis Laliotis, 2017. "Cancelled Procedures in the English NHS: Evidence from the 2010 Tariff Reform," Health Economics, John Wiley & Sons, Ltd., vol. 26(12), pages 126-139, December.
    17. Corazza, Ilaria & Ferrari, Amerigo & Bonciani, Manila, 2023. "Effectiveness of measures to preserve labour and childbirth companionship at the times of COVID-19 outbreak," Health Policy, Elsevier, vol. 129(C).
    18. Luming Shang & Sofia Dermisi & Youngjun Choe & Hyun Woo Lee & Yohan Min, 2023. "Assessing Office Building Marketability before and after the Implementation of Energy Benchmarking and Disclosure Policies—Lessons Learned from Major U.S. Cities," Sustainability, MDPI, vol. 15(11), pages 1-23, May.
    19. Alexander Karaivanov & Dongwoo Kim & Shih En Lu & Hitoshi Shigeoka, 2022. "COVID-19 vaccination mandates and vaccine uptake," Nature Human Behaviour, Nature, vol. 6(12), pages 1615-1624, December.
    20. Helge Arends, 2017. "Equal Living Conditions vs. Cultural Sovereignty? Federalism Reform, Educational Poverty and Spatial Inequalities in Germany," Publius: The Journal of Federalism, CSF Associates Inc., vol. 47(4), pages 673-706.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:bla:ijhplm:v:34:y:2019:i:1:p:e264-e273. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: http://www.blackwellpublishing.com/journal.asp?ref=0749-6753 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.