Bulletin of the World Health Organization

The impact of rural health system reform on hospitalization rates in the Islamic Republic of Iran: an interrupted time series

Arash Rashidian, Hossein Joudaki, Elham Khodayari-Moez, Habib Omranikhoo, Bijan Geraili & Mohamad Arab

Volume 91, Number 12, December 2013, 942-949

Table 2. Hospitalizations in the intervention group and in the non-equivalent comparison group during the study period, Islamic Republic of Iran, April 2003 to September 2012

Parameter Apr 2003–Mar 2004 Apr 2004– Mar 2005 Apr 2005– Mar 2006 Apr 2006– Mar 2007 Apr 2007– Mar 2008 Apr 2008– Mar 2009 Apr 2009– Mar 2010 Apr 2010– Mar 2011 Apr 2011– Mar 2012 Apr 2012– Sep 2012a
Intervention group
Population covered by rural protection scheme 710 000 703 717 706 492 694 535 719 224 700 302 700 960 702 991 702 586 703 513
Total number of rural hospitalizations 31 442 32 315 35 171 42 167 47 158 39 482 39 931 40 746 43 878 22 907
Number of rural hospitalizations, monthly average 2 620 2 693 2 931 3 514 3 930 3 290 3328 3395 3656 3818
Monthly rural hospitalization rateb 3.69 3.83 4.15 5.06 5.46 4.7 4.75 4.83 5.2 5.43
Comparison group
Population covered by MSIO fund for civil servants 130 098 134 862 140 072 144 214 149 180 142 097 145 521 151 126 155 126 158 379
Total number of urban hospitalizations 12 059 13 190 13 378 13 814 14 287 8340 9415 11 597 12 225 6061
Number of urban hospitalizations, monthly average 1 005 1 099 1 115 1 151 1 191 695 785 966 1019 1010
Monthly urban hospitalization rateb 7.72 8.15 7.96 7.98 7.98 4.89 5.39 6.39 6.57 6.38

MSIO, Medical Services Insurance Organization.

a Covers a six-month period.

b Hospitalizations per 1000 inhabitants.