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首页> 外文期刊>The International journal of health planning and management >The impact of the “ Health Transformation Plan Health Transformation Plan ” and related policies on the prevalence rate of cesarean section in Iran: Insights from an interrupted time series analysis
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The impact of the “ Health Transformation Plan Health Transformation Plan ” and related policies on the prevalence rate of cesarean section in Iran: Insights from an interrupted time series analysis

机译：“卫生转型计划卫生转型计划”的影响及相关政策对伊朗剖宫产的普及率：中断时间序列分析的见解

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Summary Background The high prevalence of cesarean section represents a major public health challenge worldwide. In 2014, the Iranian Health Transformation Plan (HTP) included programs promoting vaginal delivery. Aim The aim of this study was to investigate the effect of the HTP on the rate of cesarean section in Iran. Method The interrupted time series analysis (ITSA) was used. Cesarean section– and vaginal delivery–related monthly data were collected from eight public hospitals affiliated with the Lorestan University of Medical Sciences, from March 2012 to February 2019. The autocorrelation plots and the Durbin‐Watson test were used for evaluating the autocorrelation between data points in the generalized least squares regression model. Results The ITSA showed that the rate of cesarean section decreased immediately after the HTP, by ?0.002 per 1000 persons (95% CI, ?0.004 to ?0.001; P = .069). After the HTP, a significant decreasing trend of cesarean section per month was computed (?0.003; 95% CI, ?0.005 to 0.012; P = .043). Conclusion The present study showed that the implementation of the HTP policy was effective in reducing the rate of cesarean section. This policy should continue, involving relevant stakeholders, raising mothers' awareness and motivation, and providing financial support.
机译：摘要背景剖宫产的高患病率是全世界的主要公共卫生挑战。 2014年，伊朗卫生转型计划（HTP）包括促进阴道分娩的方案。目的本研究的目的是调查HTP对伊朗剖宫产率的影响。方法使用中断的时间序列分析（ITSA）。从2012年3月到2019年3月，从洛斯坦医学院隶属于洛斯坦医学院附属的八个公立医院收集了剖宫产和阴道分娩的每月数据。自相关地块和Durbin-Watson测试用于评估数据点之间的自相关在广义最小二乘因子回归模型中。结果ITSA表明，HTP后剖宫产截面率立即下降，每1000人（95％CI，Δ0.004; 0.069）。在HTP之后，计算每月剖宫产截面的显着降低趋势（？0.003; 95％CI，？0.005至0.012; p = .043）。结论本研究表明，HTP政策的实施是有效降低剖宫产率。该政策应继续，涉及相关利益攸关方，提高母亲的意识和动机，并提供财政支持。

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