Volume 31, Issue 197 (5-2021)                   J Mazandaran Univ Med Sci 2021, 31(197): 177-182 | Back to browse issues page

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Khandehroo M, Rouhani S, Yazdani Charati J, Esmaeili R. Impact of Health System Reforms on Inpatient Cost in Iran: A Case Study of Behshahr Imam Khomeini Hospital Using Interrupted Time Series. J Mazandaran Univ Med Sci 2021; 31 (197) :177-182
URL: http://jmums.mazums.ac.ir/article-1-15874-en.html
Abstract:   (1197 Views)
 Background and purpose: Inpatient costs constitute a major part of health systems expenditure. The aim of this study was to investigate the changes in the level and trends of average inpatient cost in Behshahr Imam Khomeini Hospital during implementation of the Family Physician Plan (FPP) and Health Transformation Plan (HTP).
Materials and methods: In this longitudinal study based on Interrupted Time Series (ITS), the data included monthly average inpatient cost in Behshahr Imam Khomeini Hospital during seven years (2011-2018). Data analysis was conducted in segmented regression model in R 3.6.1.
Results: The growth rate of the number of inpatient cases was negative for two consecutive years after implementation of the FPP. The highest growth rate of average inpatient cost was 83% that occurred in 2014 (the first year after implementation of HTP). The change in the level of average inpatient cost
at the beginning of the HTP was significant (P<0.001) compared to before that which increased by 3,896,826 Rials.
Conclusion: Over the past decade, change in the average cost of hospitalization has experienced a heterogeneous trend influenced by the FPP and the HTP. Further studies are recommended to investigate the impacts of different components and packages of these reforms on health spending.
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Type of Study: Brief Report | Subject: Health Services Management

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