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Table 3 The effect of two major health system reforms on cost of health sevices in Iran

From: Effect of two major health reforms on health care cost and utilization in Fars Province of Iran: family physician program and health transformation plan

 

GPvisitC

SPvisitC

MedicationC

RadiologyC

LaboratoryC

Pre-intervention

Initial level

92.97 (0.000)

104.66 (0.000)

749.37

(0.000)

50.76 (0.000)

147.89 (0.000)

Initial trend

1.01 (0.000)

1.23 (0.000)

−1.36

(0.194)

3.65

(0.000)

1.92

(0.000)

Post-FPP

Trend after FPP

32.33 (0.000)

4.97 (0.000)

31.85

(0.000)

−2.54

(0.000)

−1.57

(0.147)

Change in level after FPP (short-term)

70.23 (0.127)

−52.37 (0.000)

− 187.41 (0.000)

−52.24 (0.000)

−42.14

(0.015)

Change in trend after FPP (long-term)

31.32 (0.000)

3.73 (0.001)

33.22

(0.000)

−6.19

(0.000)

−3.49

(0.003)

Post-HTP

Trend after HTP

7.18 (0.000)

3.86 (0.000)

16.85

(0.000)

6.51

(0.000)

6.19

(0.000)

Change in level after HTP (short-term)

− 149.30 (0.002)

72.64 (0.000)

−5.32

(0.939)

75.16 (0.000)

101.85 (0.000)

Change in trend after HTP (long-term)

−25.15 (0.000)

−1.10 (0.333)

−15

(0.000)

9.06

(0.000)

7.77

(0.000)

Model significance

F-statistics

726.18 (0.000)

359.52 (0.000)

357.18

(0.000)

141.88 (0.000)

105.34 (0.000)

Adjusted R2

0.974

0.949

0.949

0.881

0.846

Engel and Granger co-integration*

With intercept

−3.797

(0.003)

−7.365

(0.000)

−7.048

(0.000)

−4.253

(0.000)

−6.237

(0.000)

With intercept and trend

−3.768

(0.018)

− 7.322

(0.000)

− 7.013

(0.000)

− 4.217

(0.004)

−6.187

(0.000)

  1. GP General Practitioner
  2. SP Specialist
  3. C Cost
  4. HTP Health Transformation Plan
  5. FPP Family Physician Program
  6. * ADF stationarity test on residuals