학술논문
The effect of the Iranian health transformation plan on hospitalization rate: insights from an interrupted time series analysis
Document Type
article
Author
Source
BMC Health Services Research, Vol 20, Iss 1, Pp 1-8 (2020)
Subject
Language
English
ISSN
1472-6963
Abstract
Abstract Background Healthcare policy- and decision-makers make efforts to build and maintain high-performing and effective health systems, implementing effectiveness programs and health reforms. In May 2014, the Iranian Ministry of Health and Medical Education has launched a series of ambitious reforms, known as the Health Transformation Plan (HTP). This study aimed to determine the effect of the HTP on hospitalization rate in Iranian public hospitals affiliated to the Ministry of Health and Medical Education. Methods This study was designed as a quasi-experimental, counterfactual study utilizing the interrupted time series analysis (ITSA), comparing the trend of hospitalization rate before and after the HTP implementation in 16 hospitals in the Lorestan province. Data was collected from March 2012 to February 2019. Results In the first month of the HTP implementation, an increase of 2.627 [95% CI: 1.62–3.63] was noted (P