Induced Demand after Implementing the Health Reform Plan in Selected Emergency Departments Affiliated to Isfahan University of Medical Sciences: a Cross-Sectional Study

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Shahverdi Sahar; ABAZARI PARVANEH; YAZDANNIK AHMADREZA; REZVANI MAJID

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Journal: Frontiers in Emergency Medicine Year:2020 | Volume:4 | Issue:3 Page(s): 0-0

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Information Journal Paper

Title

Induced Demand after Implementing the Health Reform Plan in Selected Emergency Departments Affiliated to Isfahan University of Medical Sciences: a Cross-Sectional Study

Author(s)

Shahverdi Sahar | ABAZARI PARVANEH | YAZDANNIK AHMADREZA | REZVANI MAJID | Issue Writer Certificate

Keywords

Emergency Service

Hospital

Health Care Reform

Health Care Sector

Iran

Abstract

Introduction: Exactly recognizing the effect of health reform plan (HRP) in emergency departments (EDs) is crucial given the large portion of budget assigned to this plan and the effect of introducing this plan on inducing demand and the associated potentially-unbearable costs. Objective: The present study was conducted to assess the demand induced after implementing the HRP in the selected EDs of Isfahan University of Medical Sciences, Isfahan, Iran. Method: The present quantitative and descriptive study collected data related to certain Emergency Services, performance indicators and working hours of emergency staff using a researcher-made checklist and based on Hospital records and information in the years before and after implementing the HRP in Iran, i. e. 2013 and 2015. The data collected were analyzed in SPSS-21. Results: The obtained results suggested significant increases in emergency admissions (69. 97%), radiographic images (65%), clinical tests (27. 27%) and specialist visits (69. 95%). Significantly increases observed in the performance indicators in the ED included the mean Hospitalization duration by 61. 14%, the bed occupancy rate by 15. 71% and the working hours of the nursing staff by 11. 43% and those of emergency medicine specialists by 44. 72% in the first year after implementing the HRP compared to in the year before the implementation. Conclusion: Although implementing the HRP in Iran significantly changed the performance indicators in the ED, certain infrastructure such as human resource management and the increased demand are considered the main time-consuming and costly challenges in EDs.

Cites

Investigation the Factors Related to Induced Demand for Patients with Cardiovascular Diseases

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APA: Copy

Shahverdi, Sahar, YAZDANNIK, AHMADREZA, & REZVANI, MAJID. (2020). Induced Demand after Implementing the Health Reform Plan in Selected Emergency Departments Affiliated to Isfahan University of Medical Sciences: a Cross-Sectional Study. (FRONTIERS IN EMERGENCY MEDICINE) ADVANCED JOURNAL OF EMERGENCY MEDICINE, 4(3), 0-0. SID. https://sid.ir/paper/351157/en

Vancouver: Copy

Shahverdi Sahar, YAZDANNIK AHMADREZA, REZVANI MAJID. Induced Demand after Implementing the Health Reform Plan in Selected Emergency Departments Affiliated to Isfahan University of Medical Sciences: a Cross-Sectional Study. (FRONTIERS IN EMERGENCY MEDICINE) ADVANCED JOURNAL OF EMERGENCY MEDICINE[Internet]. 2020;4(3):0-0. Available from: https://sid.ir/paper/351157/en

IEEE: Copy

Sahar Shahverdi, AHMADREZA YAZDANNIK, and MAJID REZVANI, “Induced Demand after Implementing the Health Reform Plan in Selected Emergency Departments Affiliated to Isfahan University of Medical Sciences: a Cross-Sectional Study,” (FRONTIERS IN EMERGENCY MEDICINE) ADVANCED JOURNAL OF EMERGENCY MEDICINE, vol. 4, no. 3, pp. 0–0, 2020, [Online]. Available: https://sid.ir/paper/351157/en

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