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Research article
Hamed Dehnavi
Tehran University of Medical Sciences
Corresponding Author
ORCiD: https://orcid.org/0000-0002-8183-4458
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background and aim
Health care utilization according to the real needs of the population is crucial to realization of universal health coverage. Access to health care as one of the intermediate goals of the health system has been a key consideration for policymakers. The purpose of the present research was to examine the state of inpatient service utilization in Iran.
Methods
This descriptive-analytical study uses a longitudinal design. National data obtained from the Ministry of Health and the Statistical Center of Iran for the period 2012–2017 were used to calculate hospital beds per capita and inpatient admission per capita. Data were analyzed in SPSS, and ArcGIS for Power BI was used for visualization.
Findings
The inpatient admission rate across the country increased by 32% from 2012 to 2017. Over the same period, hospital beds per capita increased by 15.7% from 1.34 to 1.55 per 1,000 people, and inpatient admission per capita increased by 23.9% from 113.6 to 140.8 per 1,000 people. There are wide variations between provinces in inpatient admission per capita. Yazd Province and Kohgiluyeh and Boyer-Ahmad Province had the highest and lowest inpatient admission per capita with 248 and 101 per 1,000 people, respectively.
Conclusion
Access to hospital beds nationwide has a significant effect on inpatient service utilization. policymakers should consider demographic, epidemiological, and socioeconomic factors when determining the health needs of various regions of the country and distribute resources accordingly.
Keywords
Hospital, utilization, inpatient admission, bed per capita, Iran
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This preprint is under consideration at BMC Health Services Research. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Hamed Dehnavi
Tehran University of Medical Sciences
Corresponding Author
ORCiD: https://orcid.org/0000-0002-8183-4458
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Under Review
Version 1
Posted 23 Mar, 2021
No community comments so far
Editorial decision: Withdrawn by author
On 16 Mar, 2021
Submission checks complete
On 16 Mar, 2021
Editor invited
On 14 Mar, 2021
First submitted
On 13 Mar, 2021
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background and aim
Health care utilization according to the real needs of the population is crucial to realization of universal health coverage. Access to health care as one of the intermediate goals of the health system has been a key consideration for policymakers. The purpose of the present research was to examine the state of inpatient service utilization in Iran.
Methods
This descriptive-analytical study uses a longitudinal design. National data obtained from the Ministry of Health and the Statistical Center of Iran for the period 2012–2017 were used to calculate hospital beds per capita and inpatient admission per capita. Data were analyzed in SPSS, and ArcGIS for Power BI was used for visualization.
Findings
The inpatient admission rate across the country increased by 32% from 2012 to 2017. Over the same period, hospital beds per capita increased by 15.7% from 1.34 to 1.55 per 1,000 people, and inpatient admission per capita increased by 23.9% from 113.6 to 140.8 per 1,000 people. There are wide variations between provinces in inpatient admission per capita. Yazd Province and Kohgiluyeh and Boyer-Ahmad Province had the highest and lowest inpatient admission per capita with 248 and 101 per 1,000 people, respectively.
Conclusion
Access to hospital beds nationwide has a significant effect on inpatient service utilization. policymakers should consider demographic, epidemiological, and socioeconomic factors when determining the health needs of various regions of the country and distribute resources accordingly.
Figure 1
Figure 2
Figure 3
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