{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T06:02:21Z","timestamp":1775196141261,"version":"3.50.1"},"reference-count":31,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Prim Health Care Res Dev"],"published-print":{"date-parts":[[2019]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S1463423618000841_as1\">\n\t    <jats:title>Background:<\/jats:title>\n\t    <jats:p>Increased number of preventable hospitalizations (PHs) for ambulatory care sensitive conditions (ACSCs) represents less efficiency and low access to outpatient and primary health care, leading to waste of health system resources.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1463423618000841_as2\">\n\t    <jats:title>Aim:<\/jats:title>\n\t    <jats:p>The purpose of this study is to assess the quality of outpatient and primary health care using the rate of PHs for ACSCs and to estimate the economic burden of ASCS before and after the implementation of the health transformation plan (HTP) in Iran.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1463423618000841_as3\">\n\t    <jats:title>Methods:<\/jats:title>\n\t    <jats:p>This research was a before\u2013after quasi-experimental study. The study population included all patients hospitalized in the largest general hospital of Kurdistan province with five diseases such as asthma, diabetes, hypertension, congestive heart failure, and chronic obstructive pulmonary disease in 2014 (before the implementation of the HTP) and 2015 (after the implementation of the HTP). Data were analyzed by SPSS v.20 using Chi-square test.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1463423618000841_as4\">\n\t    <jats:title>Findings:<\/jats:title>\n\t    <jats:p>Total number of hospitalizations before and after the implementation of the HTP was 1501 and 1405, respectively. Moreover, the proportion of PHs in all types of the hospital admissions before and after the implementation of the HTP was 47% and 49%, respectively. There was no statistically significant difference between the number of PHs before and after the HTP. In total, PHs imposed 885 798 US$ and 9920 bed-days on health system before and after the implementation of the HTP.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1463423618000841_as5\">\n\t    <jats:title>Conclusion:<\/jats:title>\n\t    <jats:p>Despite the previous expectations of policy makers for improving quality, efficiency, and access to primary health care through implementation of the HTP, proportion of PHs is considerable and it imposes a lot of costs and bed-days on the health system both before and after the HTP.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/s1463423618000841","type":"journal-article","created":{"date-parts":[[2019,7,1]],"date-time":"2019-07-01T05:33:11Z","timestamp":1561959191000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":3,"title":["The burden of preventable hospitalizations before and after implementation of the health transformation plan in a hospital in west of Iran"],"prefix":"10.1017","volume":"20","author":[{"given":"Bakhtiar","family":"Piroozi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad","family":"Amerzadeh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hossein","family":"Safari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amjad","family":"Mohamadi-Bolbanabad","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdorrahim","family":"Afkhamzadeh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yadolah","family":"Zarezadeh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Javad","family":"Mahmoudi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sedigheh","family":"Salavati","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2019,1,1]]},"reference":[{"key":"S1463423618000841_ref29","unstructured":"SCI (2017) Statistical year book. Statistical Center of Iran Available at: https:\/\/www.amar.org.ir\/english."},{"key":"S1463423618000841_ref27","doi-asserted-by":"publisher","DOI":"10.14196\/mjiri.32.32"},{"key":"S1463423618000841_ref24","first-page":"444","article-title":"Epidemiology and heterogeneity of hypertension in Iran: a systematic review","volume":"11","author":"Rezazadeh Kermani","year":"2008","journal-title":"Archives of Iranian Medicine"},{"key":"S1463423618000841_ref23","first-page":"83","volume-title":"Islamic Republic of Iran\u2019s multiple indicator demographic and health survey (IrMIDHS) 2010","author":"Rashidian","year":"2012"},{"key":"S1463423618000841_ref9","doi-asserted-by":"publisher","DOI":"10.1080\/02813432.2017.1333303"},{"key":"S1463423618000841_ref2","doi-asserted-by":"publisher","DOI":"10.1590\/0102-311X00069014"},{"key":"S1463423618000841_ref30","first-page":"93","article-title":"Prevalence of asthma, COPD, and chronic bronchitis in Iran: a systematic review and meta-analysis","volume":"15","author":"Varmaghani","year":"2016","journal-title":"Iranian Journal of Allergy, Asthma and Immunology"},{"key":"S1463423618000841_ref1","doi-asserted-by":"publisher","DOI":"10.1177\/014107680609900818"},{"key":"S1463423618000841_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpubeco.2003.05.004"},{"key":"S1463423618000841_ref10","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-6773.2005.00403.x"},{"key":"S1463423618000841_ref21","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2008.11.001"},{"key":"S1463423618000841_ref4","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-009-1398-4"},{"key":"S1463423618000841_ref28","doi-asserted-by":"publisher","DOI":"10.1177\/014107680609900221"},{"key":"S1463423618000841_ref13","first-page":"427","article-title":"Socioeconomic inequalities in different types of disabilities in Iran","volume":"47","author":"Moradi","year":"2018","journal-title":"Iranian Journal of Public Health"},{"key":"S1463423618000841_ref14","first-page":"389","article-title":"Assessment of the efficiency of hospitals before and after the implementation of health sector evolution plan in Iran based on Pabon Lasso Model","volume":"46","author":"Moradi","year":"2017","journal-title":"Iranian Journal of Public Health"},{"key":"S1463423618000841_ref31","unstructured":"World Health Organization (2010) World Health Report, 2010: health systems financing the path to universal coverage. World Health Report, 2010: Health Systems Financing the Path to Universal Coverage."},{"key":"S1463423618000841_ref11","doi-asserted-by":"publisher","DOI":"10.1080\/02813430310000500"},{"key":"S1463423618000841_ref26","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.330.7486.289"},{"key":"S1463423618000841_ref25","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-7-134"},{"key":"S1463423618000841_ref6","doi-asserted-by":"publisher","DOI":"10.1370\/afm.1498"},{"key":"S1463423618000841_ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2011.06.057"},{"key":"S1463423618000841_ref12","doi-asserted-by":"publisher","DOI":"10.1258\/135581906778476562"},{"key":"S1463423618000841_ref15","doi-asserted-by":"publisher","DOI":"10.1590\/S0034-89102008000600010"},{"key":"S1463423618000841_ref16","doi-asserted-by":"publisher","DOI":"10.1136\/jech.57.1.17"},{"key":"S1463423618000841_ref5","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.10.078741"},{"key":"S1463423618000841_ref18","doi-asserted-by":"publisher","DOI":"10.1001\/archfami.8.6.487"},{"key":"S1463423618000841_ref7","first-page":"473","article-title":"Health insurance, primary care, and preventable hospitalization of children in a large state","volume":"7","author":"Friedman","year":"2001","journal-title":"American Journal of Managed Care"},{"key":"S1463423618000841_ref19","first-page":"39","article-title":"Iran diabetes research roadmap (IDRR) study; analysis of diabetes comorbidity studies in Iran: a review article","volume":"46","author":"Peimani","year":"2017","journal-title":"Iranian Journal of Public Health"},{"key":"S1463423618000841_ref8","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.061615"},{"key":"S1463423618000841_ref20","doi-asserted-by":"publisher","DOI":"10.15171\/ijhpm.2017.16"},{"key":"S1463423618000841_ref22","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.12.111708"}],"container-title":["Primary Health Care Research &amp; Development"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1463423618000841","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,7,1]],"date-time":"2019-07-01T05:33:19Z","timestamp":1561959199000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1463423618000841\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019]]},"references-count":31,"alternative-id":["S1463423618000841"],"URL":"https:\/\/doi.org\/10.1017\/s1463423618000841","relation":{},"ISSN":["1463-4236","1477-1128"],"issn-type":[{"value":"1463-4236","type":"print"},{"value":"1477-1128","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019]]},"assertion":[{"value":"\u00a9 The Author(s) 2019","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}],"article-number":"e87"}}