First author/references | Year of publication | Location | Study design | Method of study | Main findings |
---|---|---|---|---|---|
Zarei [16] | 2015 | Tehran | Cross-sectional | A public hospital was selected and information from 2013 and 2014 was compared | Physicians were able to reduce CS by 3 to 7% compared to last year |
Piroozi [17] | 2016 | Kurdistan | Descriptive-analytic | Data were collected in 2013 and 1 year after the implementation of the HTP in public hospitals, Social Security Hospitals and 1 private hospital | CS decreased by 14.62% compared to the year before the plan was implemented in 9 public state hospitals. In social welfare hospitals, CS rate worsened in 2 hospitals. In the private hospital, a 0.21% increase in CS was observed. Results were statistically significant |
Seidali [18] | 2016 | Khuzestan | Descriptive-analytic | Data were collected 6 months after the implementation of the plan and compared with the previous year in public hospitals | After implementation of the HTP, CS rate decreased from 49.56% to 32.10%. Results were statistically significant |
Rooeintan [19] | 2016 | Fars | Cross-sectional | Information was collected from private and public hospitals between 2013 and 2014 | CS dropped from 64.7% to 58.6%. Findings about the decrease or increase in private hospitals were unclear. The results were not statistically significant |
Dehghan [20] | 2017 | Yazd | Descriptive-analytic | Information was collected and compared between 2013 and 2014 in 15 public and private hospitals | CS decreased from 52.64% to 47.37%. In public hospitals, it decreased from 45.2% to 36.71% and in private hospitals from 56.7% to 54.36%. Results were statistically significant |
Fouladi [21] | 2017 | Qom | Descriptive-analytic | Two public hospitals were selected and data were compared 2 years before and 2 years after the implementation of the plan | The rate of CS in hospital A decreased from 49.43% to 41% and in hospital B from 46.76% to 43.36%. Results were not statistically significant |
Zaboli [22] | 2017 | Kerman | Cross-sectional | Seven public hospitals were selected and information was reviewed 6 months before the plan and 6 months after | CS decreased from 48.02% to 43.43%. Results were not statistically significant |
Zandian [23] | 2017 | Ardabil | Cross-sectional | Information between 2013 and 2015 was collected from a public hospital | CS decreased from 60.5% to 43%. Results were statistically significant |
Karami Matin [24] | 2018 | Kermanshah | Time series analysis | Information from 15 public hospitals was reviewed between 2012 and 2016 | CS dropped by 11% a month after the implementation of the plan, and after the implementation of the plan, the monthly increase was 0.0017%. Results showed that the plan was not effective in reducing CS. |
Rezaie [25] | 2018 | Fars | Descriptive-analytic | Between 2014 and 2015, information was collected from a public hospital | CS was reduced from 47.57% to 38.70%. Results were statistically significant |
Yusefi [26] | 2018 | Fars | Descriptive-analytic | Information was collected from 10 public hospitals between 2013 and 2015 | CS decreased. Results were statistically significant |
Jabbari [27] | 2018 | Isfahan | Quasi-experimental | Data was collected from 22 public and 6 private hospitals in 6 months before and after the implementation of the HTP | CS decreased. Results were statistically significant |