AI Article Synopsis
- The study evaluates the impact of two health reforms in Iran, the Family Physician Plan (FPP) and the Health Transformation Plan (HTP), on hospitalization rates over seven years.
- The Family Physician Plan showed a slight downward trend in hospitalizations, but this change wasn't statistically significant; however, the Health Transformation Plan led to a significant increase in hospitalization rates.
- The findings suggest that while the Family Physician Plan may help reduce hospitalizations, the HTP might be causing higher admission rates, indicating a need for more integrated healthcare policies in low and middle-income countries.
Article Abstract
Background: Low and middle income countries has recently implemented various reforms toward Universal Health Coverage (UHC). This study aims to assess the impact of Family Physician Plan (FPP) and Health Transformation Plan (HTP) on hospitalization rate in Iran.
Methods: We conducted an Interrupted Time Series (ITS) design. The data was monthly hospitalization of Mazandaran province over a period of 7 years. Segmented regression analysis was applied in R version 3.6.1.
Results: A decreasing trend by - 0.056 for every month was found after implementation of Family Physician Plan, but this was not significant. Significant level change was appeared at the beginning of Health Transformation Plan and average of hospitalization rate increased by 1.04 (P < 0.001). Also hospitalization trend increased significantly nearly 0.09 every month in period after Health Transformation Plan (P < 0.001).
Conclusions: Family physician created a decreasing trend for hospitalization in urban area of Mazandaran province in Iran. HTP with lower user fee in governmental public hospitals and clinics as well as fee-for-service mechanisms, stimulated both level and trend changes in hospital admissions. Some integrated health policy is required to optimize the implementation of diverse simultaneous reforms in low and middle-income countries.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8259001 | PMC |
| http://dx.doi.org/10.1186/s12913-021-06685-w | DOI Listing |
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