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首页> 外文期刊>Eastern Mediterranean Health Journal: Al-Magallat al-Sihhiyyat li-Sarq al-Mutawassit >Effects of the Health Transformation Plan on caesarean section rate in the Islamic Republic of Iran: an interrupted time series
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Effects of the Health Transformation Plan on caesarean section rate in the Islamic Republic of Iran: an interrupted time series

机译：《健康转型计划》对伊朗伊斯兰共和国剖腹产率的影响：时间序列中断

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摘要

Background : In recent decades, the rate of caesarian section (C-section) has increased in the Islamic Republic of Iran. A reform in the Iranian health system – the Health Transformation Plan (HTP) – was launched in 2014 in which one of the objectives of HTP is decreasing the rate of C-section. Aims : This study aimed to assess the effects of the Health Transformation Plan (HTP) on the C-section rate in the Islamic Republic of Iran. Methods : This study was an interrupted time series analysis that used segmented regression analysis to assess the immediate and long-term effects of the HTP on C-section rate in two groups of hospitals affiliated and not affiliated to the Ministry of Health and Medical Education (MoHME) in Kurdistan province. Study samples were selected using the data on monthly C-section rate collected over a period of four years. Results : We observed significant decreases in C-section rate immediately after the HTP in both groups of hospitals by 0.0629 and 0.0013, respectively (P 0.05). In the long run, we observed no significant decrease in the regression slope of C-section rate in both groups. Conclusions : The implementation of HTP decreased the C-section rate. However, the reduction does not meet expectations.
机译：背景：最近几十年来，伊朗伊斯兰共和国剖腹产的比例有所增加。伊朗卫生系统的一项改革-健康转型计划（HTP）-于2014年启动，其中一项HTP的目标是降低剖腹产率。目的：本研究旨在评估《健康转型计划》（HTP）对伊朗伊斯兰共和国剖腹产率的影响。方法：本研究是一个中断的时间序列分析，使用分段回归分析来评估卫生与医学教育部下属和不下属两家医院中HTP对剖腹产率的近期和长期影响（ MoHME）。使用四年内每月剖腹产率的数据选择研究样本。结果：我们观察到两组医院HTP结束后即刻剖腹产率显着降低，分别降低了0.0629和0.0013（P <0.05）。从长远来看，我们观察到两组剖腹产率的回归斜率均没有显着降低。结论：HTP的实施降低了剖腹产率。但是，减少量没有达到预期。

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