ArticleOsong public health and research perspectives2023
The COVID-19 pandemic and healthcare utilization in Iran: evidence from an interrupted time series analysis.
Article in Osong public health and research perspectives, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 7 citations in OpenAlex.
- An Investigation of the Factors Reducing the Use of Hospital Services: A Systematic Review.Health science reports · 2026Review
- Impact of COVID-19 on consumption patterns and healthcare expenditures in general dentistry and outpatient physician visits.BMC health services research · 2026Article
- Changes in usual source of care utilization during the COVID-19 pandemic: a comparative analysis by chronic disease status.BMC health services research · 2026Article
- Changes and backlogs in the provision and utilization of essential health services in Afghanistan during and after the COVID-19 pandemic.BMC health services research · 2025Article
- Utilization of upper gastrointestinal tumor inpatient services affected by COVID-19 in China 2018-2021: an interrupted time series analysis.Frontiers in public health · 2025Article
- From Routine to Crisis: The Impact of COVID-19 Pandemic on Antibiotic Consumption in Iran.Health science reports · 2024Article
- A tale of two times: an exploration of healthcare utilization patterns before and during COVID-19 in Iran.BMC public health · 2024Article
- Time series analysis of COVID-19's impact on physician and dentist visits in Iran.Scientific reports · 2024Article
- The strongest predictors of compliance with health protocols among marketers and guilds based on the transtheoretical model.BMC public health · 2024Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundThis study aimed to examine the effect of the coronavirus disease 2019 (COVID-19) outbreak on the hospitalization rate, emergency department (ED) visits, and outpatient clinic visits in western Iran.
methodsWe collected data on the monthly hospitalization rate, rate of patients referred to the ED, and rate of patients referred to outpatient clinics for a period of 40 months (23 months before and 17 months after the COVID-19 outbreak in Iran) from all 7 public hospitals in the city of Kermanshah. An interrupted time series analysis was conducted to examine the impact of COVID-19 on the outcome variables in this study.
resultsA statistically significant decrease of 38.11 hospitalizations per 10,000 population (95% confidence interval [CI], 24.93-51.29) was observed in the first month of the COVID-19 outbreak. The corresponding reductions in ED visits and outpatient visits per 10,000 population were 191.65 (95% CI, 166.63-216.66) and 168.57 (95% CI, 126.41-210.73), respectively. After the initial reduction, significant monthly increases in the hospitalization rate (an increase of 1.81 per 10,000 population), ED visits (an increase of 2.16 per 10,000 population), and outpatient clinic visits (an increase of 5.77 per 10,000 population) were observed during the COVID-19 pandemic.
conclusionOur study showed that the utilization of outpatient and inpatient services in hospitals and clinics significantly declined after the COVID-19 outbreak, and use of these services did not return to pre-outbreak levels as of June 2021.
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