ArticleBMC health services research2020
The effect of the Iranian health transformation plan on hospitalization rate: insights from an interrupted time series analysis.
Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- Financial Protection Indexes and the Iranian Health Transformation Plan: A Systematic Review.The Yale journal of biology and medicine · 2021Pooled it
- Exploring the effects of the health transformation plan on the quality of clinical education in teaching hospitals: a qualitative study.BMC medical education · 2026Article
- The impact of the COVID-19 pandemic on governmental hospitals performance indicators in city of Yazd, Iran: an interrupted time-series analysis.BMC health services research · 2025Article
- The impact of the Covid-19 pandemic on outpatient visits for patients with cancer in Iran: an interrupted time series analysis.Archives of public health = Archives belges de sante publique · 2025Article
- Article
- Comparison of the market share of public and private hospitals under different Medical Alliances: an interrupted time-series analysis in rural China.BMC health services research · 2024Article
- Impact of COVID-19 pandemic on road traffic injuries in Iran: An interrupted time-series analysis.PloS one · 2024Article
- The impact of the Iranian health transformation plan policy on equitable access to medical imaging services in West Iran.BMC research notes · 2023Article
- Health care utilization and its association with sociodemographic factors among slum-dwellers with type 2 diabetes in Tabriz, Iran: A cross-sectional study.Health science reports · 2023Article
- Nurses' perception of emergency department overcrowding: A qualitative study.Journal of education and health promotion · 2023Article
- The effect of Iran's health sector evolution plan on hospitals performance indicators: an interrupted time series analysis.Frontiers in health services · 2023Article
- The effect of COVID-19 on public hospital revenues in Iran: An interrupted time-series analysis.PloS one · 2022Article
- Evaluating memory dysfunction after spinal anesthesia among patients undergoing elective surgery: Descriptive-analytical study.Annals of medicine and surgery (2012) · 2021Article
- The effect of Iran's health transformation plan on hospital performance: Kerman province.PloS one · 2021Article
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Authors and funding
7 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHealthcare 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.
methodsThis 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.
resultsIn the first month of the HTP implementation, an increase of 2.627 [95% CI: 1.62-3.63] was noted (P < 0.001). Hospitalization rate increased by 0.68 [95% CI: 0.32-0.85] after the HTP implementation compared to the first month after the launch of the HTP (P < 0.001). After the HTP implementation, monthly hospitalization rate per 1000 persons significantly increased by 0.049 [95% CI: 0.023-0.076] (P < 0.001).
conclusionsThe HTP implementation has resulted in an increased hospitalization rate. Health planners should continue to further improve this service. ITSA can play a role in evaluating the impact of a given health policy.
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