ArticleJournal of education and health promotion2019
Transformation in the Iran health-care system: Has the performance of hospital emergency department been improved?
Article in Journal of education and health promotion, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Exploring the landscape of health technology assessment in Iran: perspectives from stakeholders on needs, demand and supply.Health research policy and systems · 2024Review
- Article
- The effect of Iran's health sector evolution plan on hospitals performance indicators: an interrupted time series analysis.Frontiers in health services · 2023Article
- Health Transformation Plan Achievements and Outcomes in Iran (2014-2020): A Scoping Review.Medical journal of the Islamic Republic of Iran · 2021Article
- A survey of clinical competence of new nurses working in emergency department in Iran: A descriptive, cross-sectional study.Nursing open · 2020Article
- The effect of the Iranian health transformation plan on hospitalization rate: insights from an interrupted time series analysis.BMC health services research · 2020Article
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Authors and funding
6 authors.
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Abstract
backgroundTo respond to the growing expectations of the public and to meet the needs of the society, health systems have always tried to improve their performance. This study investigated the changes in the performance and quality of emergency department (ED) after implementation of the health transformation plan (HTP) in Iran.
methodsThis was a before-after study that was conducted in Tehran's Lolagar General Hospital in 2016. The data related to the performance indices and patients' satisfaction indices were collected in the two periods of 6 months before and 6 months after the implementation of the HTP. The data were gathered by a checklist designed by the researchers.
resultsAmong performance indices, the maximum positive change was related to the failure in cardiopulmonary resuscitation, which had a reduction of 18.27%. Discharge against medical advice had a reduction of 1.11%, which is considered to be significant. Among the factors related to patients' satisfaction, the maximum changes belonged to the out-of-pocket payment, access to medicines, and giving information to the patients, which were 0.87%, 72%, and 61%, respectively.
conclusionsHTP and its supporting packages have led to positive changes in the performance of the ED of the hospital. Therefore, based on the results of this study, the continuation of this plan is recommended.
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