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- A Scoping Review of Components of Physician-induced Demand for Designing a Conceptual Framework
- Marita Mohammadshahi, Shahrooz Yazdani, Alireza Olyaeemanesh, Ali Akbari Sari, Mehdi Yaseri, Sara Emamgholipour Sefiddashti
- J Prev Med Public Health. 2019;52(2):72-81. Published online December 31, 2018
- DOI: https://doi.org/10.3961/jpmph.18.238
- 13,616 View
- 269 Download
- 9 Crossref
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Abstract
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Supplementary Material - Objectives
The current study presents a new conceptual framework for physician-induced demand that comprises several influential components and their interactions.
Methods
This framework was developed on the basis of the conceptual model proposed by Labelle. To identify the components that influenced induced demand and their interactions, a scoping review was conducted (from January 1980 to January 2017). Additionally, an expert panel was formed to formulate and expand the framework.
Results
The developed framework comprises 2 main sets of components. First, the supply side includes 9 components: physicians’ incentive for pecuniary profit or meeting their target income, physicians’ current income, the physician/population ratio, service price (tariff), payment method, consultation time, type of employment of physicians, observable characteristics of the physician, and type and size of the hospital. Second, the demand side includes 3 components: patients’ observable characteristics, patients’ non-clinical characteristics, and insurance coverage.
Conclusions
A conceptual framework that can clearly describe interactions between the components that influence induced demand is a critical step in providing a scientific basis for understanding physicians’ behavior, particularly in the field of health economics. -
Summary
Citations
Citations to this article as recorded by
- Differential effect of China’s Zero Markup Drug Policy on provider-induced demand in secondary and tertiary hospitals
Xiaoxi Zhang, Armand Zimmerman, Hongyu Lai, Yanyan Zhang, Zhongyi Tang, Shenglan Tang, Osondu Ogbuoji
Frontiers in Public Health.2024;[Epub] CrossRef - Diverticulitis is a population health problem: Lessons and gaps in strategies to implement and improve contemporary care
Stephanie Lee Stovall, Jennifer A Kaplan, Joanna K Law, David R Flum, Vlad V Simianu
World Journal of Gastrointestinal Surgery.2023; 15(6): 1007. CrossRef - Incentivisation practices and their influence on physicians’ prescriptions: A qualitative analysis of practice and policy in Pakistan
Mishal Khan, Afifah Rahman-Shepherd, Muhammad Naveed Noor, Sabeen Sharif, Meherunissa Hamid, Wafa Aftab, Afshan Khurshid Isani, Robyna Irshad Khan, Rumina Hasan, Sadia Shakoor, Sameen Siddiqi, Julia Robinson
PLOS Global Public Health.2023; 3(6): e0001890. CrossRef - Unnecessary ultrasonography as supplier‐induced demand in diagnosis of primary breast cancer in Iran: A cross‐sectional study
Mohammad Akbari, Abbas Assari Arani, Mohammad Esmaeil Akbari, Bahram Sahabi, Alireza Olyaeemanesh, Sajad Noorian
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Neda Kabiri, Rahim Khodayari‐zarnaq, Manouchehr Khoshbaten, Ali Janati
World Medical & Health Policy.2021; 13(3): 548. CrossRef - Appropriateness of angiography for suspected coronary artery disease
Marita Mohammadshahi, Sara Emamgholipour Sefiddashti, Minoo Alipouri Sakha, Alireza Olyaeemanesh, Shahrooz Yazdani
Indian Heart Journal.2021; 73(3): 376. CrossRef - Hospital-based health technology assessment in Brazil: current experiences and challenges
Patricia Coelho de Soárez, Vera Lúcia Edais Pepe, Hillegonda Maria Dutilh Novaes
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Frontiers in Public Health.2021;[Epub] CrossRef
Original Article- Effects of Iranian Economic Reforms on Equity in Social and Healthcare Financing: A Segmented Regression Analysis
- Hamed Zandian, Amirhossein Takian, Arash Rashidian, Mohsen Bayati, Telma Zahirian Moghadam, Satar Rezaei, Alireza Olyaeemanesh
- J Prev Med Public Health. 2018;51(2):83-91. Published online February 6, 2018
- DOI: https://doi.org/10.3961/jpmph.17.050
- 10,627 View
- 199 Download
- 11 Crossref
-
Abstract
PDF
- Objectives
One of the main objectives of the Targeted Subsidies Law (TSL) in Iran was to improve equity in healthcare financing. This study aimed at measuring the effects of the TSL, which was implemented in Iran in 2010, on equity in healthcare financing. Methods: Segmented regression analysis was applied to assess the effects of TSL implementation on the Gini and Kakwani indices of outcome variables in Iranian households. Data for the years 1977-2014 were retrieved from formal databases. Changes in the levels and trends of the outcome variables before and after TSL implementation were assessed using Stata version 13. Results: In the 33 years before the implementation of the TSL, the Gini index decreased from 0.401 to 0.381. The Gini index and its intercept significantly decreased to 0.362 (p<0.001) 5 years after the implementation of the TSL. There was no statistically significant change in the gross domestic product or inflation rate after TSL implementation. The Kakwani index significantly increased from -0.020 to 0.007 (p<0.001) before the implementation of the TSL, while we observed no statistically significant change (p=0.81) in the Kakwani index after TSL implementation. Conclusions: The TSL reform, which was introduced as part of an economic development plan in Iran in 2010, led to a significant reduction in households’ income inequality. However, the TSL did not significantly affect equity in healthcare financing. Hence, while measuring the long-term impact of TSL is paramount, healthcare decision-makers need to consider the efficacy of the TSL in order to develop plans for achieving the desired equity in healthcare financing. -
Summary
Citations
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Journal of Preventive Medicine and Public Health.2024; 57(1): 65. CrossRef - Decomposition of Socioeconomic Inequality in Cardiovascular Disease Prevalence in the Adult Population: A Cohort-based Cross-sectional Study in Northwest Iran
Farhad Pourfarzi, Telma Zahirian Moghadam, Hamed Zandian
Journal of Preventive Medicine and Public Health.2022; 55(3): 297. CrossRef - Inequality in Private Health Care Expenditures: A 36-Year Trend Study of Iranian Households
Ehsan Aghapour, Mehdi Basakha, Seyed Hossein Mohaqeqi Kamal, Abolghasem Pourreza
Journal of Preventive Medicine and Public Health.2022; 55(4): 379. CrossRef - Establishing optimal illuminance for pedestrian reassurance using segmented regression
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Lighting Research & Technology.2022; : 147715352210806. CrossRef - Socio-economic inequality in prevalence of type 2 diabetes among adults in north-west of Iran: a Blinder-Oaxaca decomposition
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Journal of Diabetes & Metabolic Disorders.2022; 21(2): 1519. CrossRef - Assessing unmet health-care needs of the elderly in west of Iran: A case study
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International Journal of Human Rights in Healthcare.2021; 14(5): 452. CrossRef - Measuring inequalities in the selected indicators of National Health Accounts from 2008 to 2016: evidence from Iran
Mohammad Hossein Mehrolhassani, Vahid Yazdi-Feyzabadi, Marzieh Lashkari
Cost Effectiveness and Resource Allocation.2020;[Epub] CrossRef - Analysis of the Health Sector Evolution Plan from the perspective of equity in healthcare financing: a multiple streams model
Telma Zahirian Moghadam, Pouran Raeissi, Mehdi Jafari-Sirizi
International Journal of Human Rights in Healthcare.2019; 12(2): 124. CrossRef - The effect of Iranian health system reform plan on payments and costs of coronary artery bypass surgery in private hospitals of Iran
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International Journal of Human Rights in Healthcare.2019; 12(3): 208. CrossRef - Explaining the challenges of academic professional ethics training from the perspective of faculty members at Ardabil University of Medical Sciences: a qualitative study
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International Journal of Human Rights in Healthcare.2019; 12(2): 138. CrossRef - Equity in healthcare financing: a case of Iran
Faride Sadat Jalali, Abdosaleh Jafari, Mohsen Bayati, Peivand Bastani, Ramin Ravangard
International Journal for Equity in Health.2019;[Epub] CrossRef
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