Volume 16, Issue 4 (July-August 2017)
Payesh 2017, 16(4): 411-419 |
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Hamed Zandian, Sogand Tourani, Farideh Moradi, Telma Zahirian Moghadam. Effect of Health Sector Evolution Plan on the Prevalence and costs of Caesarean section and natural childbirth. Payesh 2017; 16 (4) :411-419
URL: http://payeshjournal.ir/article-1-90-en.html
URL: http://payeshjournal.ir/article-1-90-en.html
1- Social Determinants of Health (SDH) Research Center, Ardabil University of Medical Sciences, Ardabil. Iran
2- School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
3- Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran
2- School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
3- Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran
Abstract: (4200 Views)
Objective (s): In recent decades, rates of cesarean delivery as a percentage of all live births have increased in Iran. This study aimed to examine the effect of Health Sector Evolution (HSE) plan on prevalence and costs of different types of delivery in Ardabil University of Medical Sciences in 2015.
Methods: This was a cross-sectional and retrospective study. The study population was all women who were admitted to the specialized hospital of obstetrics and gynecology of Ardabil University of Medical Sciences between May 2013 and May 2015. The sampling was done based on simple random sampling method and data was obtained by self-constructed checklist based on medical records. Also, data analysis was done by STATA software.
Results: The descriptive results showed that about 55% of the participants were in age 25 to 30, 98% of them were married, and about 12% were covered by rural insurance, notwithstanding it shows their location. Analytical results showed that there was a significant difference between the prevalence of the Vaginal delivery (t=-7/987, p<0/001) and cesarean (t=6/988, p<0/001) before and after of HSE. Total cost of vaginal delivery and cesarean changed significantly before and after of HSE (p<0/001).
Conclusion: This study showed that the prevalence of cesarean delivery was decreased, consequently we can understand that HSE had a positive effect on the prevalence of the cesarean and decreased it 0.79 relatively. Moreover, HSE decreased the cost of cesarean significantly but the cost of vaginal delivery was increased significantly after HSE implementation. We can conclude that the HSE achieved its objective greatly.
Methods: This was a cross-sectional and retrospective study. The study population was all women who were admitted to the specialized hospital of obstetrics and gynecology of Ardabil University of Medical Sciences between May 2013 and May 2015. The sampling was done based on simple random sampling method and data was obtained by self-constructed checklist based on medical records. Also, data analysis was done by STATA software.
Results: The descriptive results showed that about 55% of the participants were in age 25 to 30, 98% of them were married, and about 12% were covered by rural insurance, notwithstanding it shows their location. Analytical results showed that there was a significant difference between the prevalence of the Vaginal delivery (t=-7/987, p<0/001) and cesarean (t=6/988, p<0/001) before and after of HSE. Total cost of vaginal delivery and cesarean changed significantly before and after of HSE (p<0/001).
Conclusion: This study showed that the prevalence of cesarean delivery was decreased, consequently we can understand that HSE had a positive effect on the prevalence of the cesarean and decreased it 0.79 relatively. Moreover, HSE decreased the cost of cesarean significantly but the cost of vaginal delivery was increased significantly after HSE implementation. We can conclude that the HSE achieved its objective greatly.
type of study: Descriptive |
Accepted: 2017/06/17 | ePublished ahead of print: 2017/06/25 | Published: 2017/07/15
Accepted: 2017/06/17 | ePublished ahead of print: 2017/06/25 | Published: 2017/07/15
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