Evidence map›Paper›PMID 34674684›Full record

ArticleBMC health services research2021

Investigating the effect of health transformation plan on the public hospitals performance indicators; a case study from Iran.

Mohammad Ranjbar, Mohammad Bazyar, Hassan Jafari, Mohsen Pakdaman, Vahid Pirasteh

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.4field-weighted citation impact, top 16% 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

4 citing papers in PubMed, 9 citations in OpenAlex.

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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

5 authors at 2 institutions in 1 country.

Mohammad RanjbarHealth policy and management research center, Department of Health Services Management, School of public health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Mohammad BazyarDepartment of Health Management and Economics, Ilam University of Medical Sciences, Ilam, Iran.
Hassan JafariHealth policy and management research center, School of public health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Mohsen PakdamanHealth policy and management research center, Department of Health Services Management, School of public health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Vahid PirastehDepartment of Health Services Management, School of public health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. vahidpirasteh@gmail.com.
Shahid Sadoughi University of Medical Sciences and Health Services · IRMedical University of Ilam · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealth systems need constant changes and reforms in their structure to adapt to changing conditions and meet the needs of society. One of the fundamental changes in the health system of Iran is the health transformation plan (HTP), the effects of which must be examined from different aspects. Therefore, the purpose of this study is to investigate the effect of HTP on the performance indicators of public hospitals in Yazd city, Iran.

methodsThis cross-sectional study was carried out in all public hospitals in city of Yazd. Six performance indicators were examined monthly and in two time periods of 12 months before and 12 months after the implementation of Health Transformation Plan (HTP). The data was analyzed by SPSS software program version 22, using the paired T-test, and the Interrupted Time Series (ITS) model.

findingsFindings showed that the performance indicators of the studied hospitals have improved after the implementation of the HTP. According to the ITS model, the implementation of HTP did not have a significant effect on the level and trend of the bed rotation distance, average length of stay and the ratio of surgical operations to bed indicators. However, it had a statistically significant effect on the level and trend of mortality and hospitalization rates. Moreover, the implementation of HTP had a significant effect on the level of the bed occupancy rate, but did not have a significant effect on the trend of this indicator.

conclusionBased on the research findings, all the selected indicators changed to some extent after the implementation of HTP, which showed the effect of this plan on the performance of hospitals. However, not all indicators were statistically significant as the findings sub-section revealed.

Indexed as

Health Care ReformHealth PlanningCross-Sectional StudiesHospitals, PublicHumansIranHealth Transformation PlanInterrupted Time Series ModelPerformance IndicatorsPublic Hospitals

Identifiers

PMID34674684
PMCPMC8532262
OpenAlexW3205559962

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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.