Comparing the Drug Prescription before and after the Implementation of Health System Reform Plan in Southeastern Community Pharmacies of Iran
Abstract
Background: In Iran, the health system reform plan (HSRP) has been implemented since 2014. We aimed to evaluate the prescriptions in Zabol city before and after the implementation of this national plan.
Methods: 2000 prescriptions received to six pharmacies in Zabol city were evaluated. 1000 prescriptions were randomly selected in April 2014 and the pharmacy code, distance from clinic, type of insurance, number of drugs prescribed, total price of drugs, price of the drugs under insurance coverage and not under insurance coverage, and most prescribed drugs were compared with 1000 prescriptions randomly selected from the same pharmacies in April 2015.
Results: Of 68822 prescriptions before HSRP, 71.8% and after HSRP, of 56536 prescriptions, 66.5% were related to pharmacies close to clinic. The mean number of the prescriptions reduced from 260.4±132.2 to 242.9±102.3 and that of prescribed drugs in each prescription reduced from 3.42±1.6 to 3.1±1.4 (both P<0.001), while the price of the drugs did not change (P>0.05).
Conclusion: HSRP reduced the number of the drugs prescribed, but not the price, although the type of drugs most commonly prescribed varied between the two study phases. HSRP was successful in Zabol city regarding reducing the total number of drugs prescribed.
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25. Zarei E, Pouragha B, Khodakarim S. Out of Pocket Payment by Inpatients of Public Hospitals After Health Sector Evolution Plan A Cross-Sectional Study in Tehran City. Journal of Hospital. 2017;16(3):9-17.
26. Moradi T, Naghdi S, Brown H, Ghiasvand H, Mobinizadeh M. Decomposing inequality in financial protection situation in Iran after implementing the health reform plan: What does the evidence show based on national survey of households' budget? Int J Health Plann Manage 2018:In press.
27. Allard J, Carthey J, Cope J, Pitt M, Woodward S. Medication errors: causes, prevention and reduction. Br J Haematol 2002;116(2):255-65.
28. Moradi DM, Izadpanah F, Torabi M, Pourhossein Mm, Mohamad Ga, Baazi A. Determination of the current status and reasons for prescription errors and medication use in amir-al-momenin teaching hospital in zabul (90-91). TEB VA TAZKIEH 2015;24(3):33-42.
2. Conklin TP. Health care in the United States: an evolving system. Michigan Family Review 2002;7(1).
3. Naghavi M, Abolhassani F, Pourmalek F, et al. The burden of disease and injury in Iran 2003. Popul Health Metr 2009;7:9.
4. Rajabi F, Esmailzadeh H, Rostamigooran N, Majdzadeh R, Doshmangir L. Future of health care delivery in iran, opportunities and threats. Iran J Public Health 2013;42(Suppl 1):23-30.
5. Vosoogh Moghaddam A, Damari B, Alikhani S, et al. Health in the 5th 5-years Development Plan of Iran: Main Challenges, General Policies and Strategies. Iran J Public Health 2013;42(Suppl 1):42-9.
6. Ghiasvand H, Abolghasem Gorji H, Maleki M, Hadian M. Catastrophic Health Expenditure Among Iranian Rural and Urban Households, 2013-2014. Iran Red Crescent Med J 2015;17(9):e30974.
7. Zakeri M, Olyaeemanesh A, Zanganeh M, et al. The financing of the health system in the Islamic Republic of Iran: A National Health Account (NHA) approach. Med J Islam Repub Iran 2015;29:243.
8. Rostamigooran N, Esmailzadeh H, Rajabi F, Majdzadeh R, Larijani B, Dastgerdi MV. Health system vision of Iran in 2025. Iran J Public Health 2013;42(Suppl 1):18.
9. Moradi-Lakeh M, Vosoogh-Moghaddam A. Health Sector Evolution Plan in Iran; Equity and Sustainability Concerns. Int J Health Policy Manag 2015;4(10):637-40.
10. Rajabi F, Esmailzadeh H, Rostamigooran N, Majdzadeh R. What must be the Pillars of Iran's Health System in 2025? Values and Principles of Health System Reform Plan. Iran J Public Health 2013;42(2):197-205.
11. Gibson TB, Ozminkowski RJ, Goetzel RZ. The effects of prescription drug cost sharing: a review of the evidence. Am J Manag Care 2005;11(11):730-40.
12. Jo JS, Kim YM, Paek KW, Bea MH, Chun K, Lee S. Factors Contributing to Increases in Prescription Drug Expenditures Borne by National Health Insurance in South Korea. Yonsei Med J 2016;57(4):1016-21.
13. Zabol city. Availabale from URL: https://www.sbportal.ir/fa/cities/zabol [cited 2018 29.03].
14. education Moham. Health Sector Evolution Portal. Availabale from URL: http://tahavol.behdasht.gov.ir/ [cited 2018. 30.3].
15. Jamshidbeigi Y, Abbasi M. Assessment of nurses, patient satisfaction, patient attendants in educational hospitals in Ahvaz city health development plan in 2015. Journal of Clinical Nursing and Midwifery 2017;6(1):9-18.
16. Nakhaei Z, Abdolreza GZ, Jalalmanesh S. A survey on nurses’satisfaction concerning the health system reform plan in hospitals affiliated to birjand university of medical sciences in 2016. JRUMS 2017;16(1): 61-72.
17. Hashemi B, Baratloo A, Forouzafar MM, Motamedi M, Tarkhorani M. Patient satisfaction before and after executing health sector evolution plan. Iranian Journal of Emergency Medicine 2015;2(3):127-33.
18. Bastani P, Lotfi F, Moradi M, Ahmadzadeh M. The Performance Analysis of Teaching Hospitals Affiliated with Shiraz University of Medical Sciences Before and After Health System Reform Plan Using Pabon Lasso Model. JRUMS 2016;15(8): 781-792.
19. Nabilou B, Yusefzadeh H, Salem Safi P. Performance assessment of health system reform plan in the hospitals affiliated with urmia university of medical sciences. J Urmia Nurs Midwifery Fac 2017;14(11):896-905.
20. Zadeh ZG, Sajadi HS, Sajadi FS, Aghili G, Hadi M. The comparison of selected statistical indicators of a hospital before and after the implementation of health reform plan: Isfahan-2015. Journal of Health in the Field. 2017;4(4):9-16.
21. Faridfar N, Alimohammadzadeh K, Seyedin SH. The impact of health system reform on clinical, paraclinical and surgical indicators as well as patients' satisfaction in Rasoul-e-Akram hospital in 2013 to 2014. RJMS 2016;22(140): 92-99.
22. Izadpanah F, Kashani HH, Sharif M. Preventing Medicine mistakes in pediatric and neonatal patients. J Med Life 2015;8(Spec Iss 3):6-12.
23. Friedman AL, Geoghegan SR, Sowers NM, Kulkarni S, Formica RN. Medication errors in the outpatient setting: classification and root cause analysis. Arch Surg 2007;142(3):278-83.
24. Mohamadi E, Zaraei G. Investigating the Effect of Health Care Improvement Plan on the Payment of the Insured in Iranian Health Insurance Organization (Case Study: Hospitalized Patients in Collegiate Hospitals of Ilam City in December 2013 and 2014). SJIMU 2017;24(6):178-88.
25. Zarei E, Pouragha B, Khodakarim S. Out of Pocket Payment by Inpatients of Public Hospitals After Health Sector Evolution Plan A Cross-Sectional Study in Tehran City. Journal of Hospital. 2017;16(3):9-17.
26. Moradi T, Naghdi S, Brown H, Ghiasvand H, Mobinizadeh M. Decomposing inequality in financial protection situation in Iran after implementing the health reform plan: What does the evidence show based on national survey of households' budget? Int J Health Plann Manage 2018:In press.
27. Allard J, Carthey J, Cope J, Pitt M, Woodward S. Medication errors: causes, prevention and reduction. Br J Haematol 2002;116(2):255-65.
28. Moradi DM, Izadpanah F, Torabi M, Pourhossein Mm, Mohamad Ga, Baazi A. Determination of the current status and reasons for prescription errors and medication use in amir-al-momenin teaching hospital in zabul (90-91). TEB VA TAZKIEH 2015;24(3):33-42.
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| Issue | Vol 6, No1-2 (Winter 2018) | |
| Section | Original Article(s) | |
| Keywords | ||
| Health Care Costs Pharmaceutical Services Prescriptions Iran | ||
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How to Cite
1.
Moradi M, Jami H, Izadpanah F. Comparing the Drug Prescription before and after the Implementation of Health System Reform Plan in Southeastern Community Pharmacies of Iran. J Pharm Care. 2018;6(1-2):13-18.
