Evidence map›Paper›PMID 32799980›Full record

ArticlePrimary health care research & development2019

The burden of preventable hospitalizations before and after implementation of the health transformation plan in a hospital in west of Iran.

Bakhtiar Piroozi, Mohammad Amerzadeh, Hossein Safari, Amjad Mohamadi-Bolbanabad, Abdorrahim Afkhamzadeh, Yadolah Zarezadeh, Javad Mahmoudi, Sedigheh Salavati

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In one paragraph

Article in Primary health care research & development, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact, top 89% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Bakhtiar PirooziAssistant Professor in Health Policy, Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran.
Mohammad AmerzadehDepartment of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Hossein SafariAssistant Professor in Health Policy, Health Promotion Research Center, Iran University of Medical Sciences, Tehran, Iran.
Amjad Mohamadi-BolbanabadAssistant Professor in Health Services Management, Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran.
Abdorrahim AfkhamzadehAssociate Professor of Community Medicine, Social Determinants of Health Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran.
Yadolah ZarezadehAssociate Professor of Medical Education, Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran.
Javad MahmoudiBachelor of Medical Recording, Student Research Committee, Kurdistan University of Medical Sciences, Sanandaj, Iran.
Sedigheh SalavatiAssistant Professor in Health Policy, Maragheh University of Medical Sciences, Maragheh, Iran.
Kurdistan University of Medical Sciences · IRIran University of Medical Sciences · IRTehran University of Medical Sciences · IRUniversity of Maragheh · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIncreased number of preventable hospitalizations (PHs) for ambulatory care sensitive conditions (ACSCs) represents less efficiency and low access to outpatient and primary health care, leading to waste of health system resources.

aimThe purpose of this study is to assess the quality of outpatient and primary health care using the rate of PHs for ACSCs and to estimate the economic burden of ASCS before and after the implementation of the health transformation plan (HTP) in Iran.

methodsThis research was a before-after quasi-experimental study. The study population included all patients hospitalized in the largest general hospital of Kurdistan province with five diseases such as asthma, diabetes, hypertension, congestive heart failure, and chronic obstructive pulmonary disease in 2014 (before the implementation of the HTP) and 2015 (after the implementation of the HTP). Data were analyzed by SPSS v.20 using Chi-square test.

findingsTotal number of hospitalizations before and after the implementation of the HTP was 1501 and 1405, respectively. Moreover, the proportion of PHs in all types of the hospital admissions before and after the implementation of the HTP was 47% and 49%, respectively. There was no statistically significant difference between the number of PHs before and after the HTP. In total, PHs imposed 885 798 US$ and 9920 bed-days on health system before and after the implementation of the HTP.

conclusionDespite the previous expectations of policy makers for improving quality, efficiency, and access to primary health care through implementation of the HTP, proportion of PHs is considerable and it imposes a lot of costs and bed-days on the health system both before and after the HTP.

Indexed as

Cost of IllnessAmbulatory CareFemaleHealth Plan ImplementationHospitalizationHumansIranMaleMiddle AgedPrimary Health Careambulatory carehealth expenditurehealth system reformhospitalizationprimary health care

Identifiers

PMID32799980
PMCPMC6609975
OpenAlexW2954374758

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.