Why the study?
Does the Health Sector Evolution Plan (HSEP) reduce 30-day readmission rates and improve readmission-free survival in hospitalized patients?
Population
157,969 hospital admissions in the biggest referral hospital of Northwest Iran between 2011-2017
Comparison
Health Sector Evolution Plan implementation vs Pre-reform period
Design
Cohort
Follow-up
30 days (for readmission rate)
Key result
The Iranian Health Sector Evolution Plan was associated with a higher risk of 30-day readmission (OR 1.22; 95% CI 1.15-1.30; P<0.001) compared to the pre-reform period.
Authors
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Raises caution for HSEP effects on readmissions; leaves open whether complementary strategies improve outcomes.
Cohort (n=157,969)
No
Does the Health Sector Evolution Plan (HSEP) reduce 30-day readmission rates and improve readmission-free survival in hospitalized patients?
Odds Ratio: 1.22 (95% CI 1.15–1.3)
p-value: p=<0.001
The implementation of the Iranian Health Sector Evolution Plan was associated with an increased risk of 30-day readmission and decreased readmission-free time, suggesting the need for complementary post-discharge strategies.
Janati et al. (2021) conducted a cohort in Hospitalization (n=157,969). Health Sector Evolution Plan (HSEP) vs. Pre-reform period was evaluated on Overall 30-day readmission rate (OR 1.22, 95% CI 1.15-1.30, p=<0.001). The Iranian Health Sector Evolution Plan was associated with a higher risk of 30-day readmission (OR 1.22; 95% CI 1.15-1.30; P<0.001) compared to the pre-reform period.
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