Korean Journal of Family Medicine

"Hospitalization"

Original Articles

The Effect of Access to Primary Care Physicians on Avoidable Hospitalizations: A Time Series Study in Rural Areas of Tehran Province, Iran: Arash Rashidian, Sedigheh Salavati, Hanan Hajimahmoodi; Korean J Fam Med 2020;41(5):282-290. Published online May 29, 2020; DOI: https://doi.org/10.4082/kjfm.19.0028

Abstract
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Background
Avoidable hospitalizations (AHs) are defined as hospitalizations that could have been prevented through timely and effective services. AHs are, therefore, an indicator used to evaluate the access and effectiveness of primary health care services.
Methods
A retrospective time-series study spanning 8 years (2006–2013) was conducted to determine the relationship between AHs and gender, age, and access to primary health care physicians in rural areas in Tehran province, the capital of Iran. The total number of avoidable hospitalizations was 22,570; logistic regression was estimated for each year separately.
Results
Total hospitalizations and AHs increased during the study period, especially during the first 3 years of the study. AHs, as a percentage of total hospitalizations, did not change significantly throughout the study years. This value was 22.3% during the first year of study and varied between 17% and 19.6% from 2007 to 2013. No statistically significant relationship was seen between AH occurrence and access to a physician during the study years.
Conclusion
Increasing access to primary health care physicians cannot necessarily result in decreased AHs. Considering the factors influencing AHs while designing and implementing the family physicians program is important to achieve the expected results regarding the effectiveness of primary health care services.

Citations

Citations to this article as recorded by

Insufficient evidence on the effectiveness of family physician program in Iran: a systematic review of existing literature
Edris Kakemam, Alireza Hajizadeh, Leila Doshmangir
BMC Public Health.2026;[Epub] CrossRef
Government purchasing initiatives involving private providers in the Eastern Mediterranean Region: a systematic review of impact on health service utilisation
Shehla Zaidi, Jai K Das, Wafa Jamal, Ammarah Ali, Faareha Siddiqui, Aya Thabet, Hassan Salah, Awad Mataria
BMJ Open.2023; 13(2): e063327. CrossRef

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Compliance and Effectiveness of Smoking Cessation Program Started on Hospitalized Patients: Gun Hee Shin, Sung Won Yi, Yoo Seock Cheong, Eal Whan Park, Eun Young Choi; Korean J Fam Med 2016;37(3):149-155. Published online May 26, 2016; DOI: https://doi.org/10.4082/kjfm.2016.37.3.149

Abstract
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Background

Varenicline is now very useful medication for cessation; however, there is only little result of researches with varenicline for cessation of hospitalized patients. This research attempted to analyze the cessation effect of medication and compliance of hospitalized patients.

Methods

This research included data for 52 patients who were prescribed varenicline among 280 patients who were consulted for cessation during their admission period. This research checked whether smoking was stopped or not after six months and analyzed their compliance, the factors for succeeding in smoking cessation.

Results

One hundred and ninety hospitalized patients participated in smoking cessation counseling among 280 patients who included consultation from their admission departments. And varenicline was prescribed for only 80 patients after counseling. Nineteen smokers were successful in smoking cessation among 52 final participants representing the rating of success of 36.5%. The linkage between compliance of varenicline and rate of smoking successful has no statistical significance. The factors for succeeding in smoking of hospitalized patients are admission departments, diseases, and economic states.

Conclusion

Smoking cessation program has low inpatient compliance. Cooperation of each departments is very important for better compliance. Success rate of cessation was relatively high (36.5%). Cessation attempt during hospitalization is very effective strategy.

Citations

Citations to this article as recorded by

The Effect of Varenicline on Smoking Cessation in Hospitalized Patients: A Systematic Review and Meta-Analysis
Mahshid Aryanpur, Raheb Ghorbani, Sajjad Rashno, Gholamreza Heydari, Mehdi Kazempour-Dizaji, Zahra Hessami, Narges Ghorbani
Addiction and Health.2024; 16(2): 122. CrossRef
Public Health Intervention for Smoking Cessation
Soo Young Kim
Korean Journal of Family Medicine.2021; 42(5): 343. CrossRef
The effect of a multidisciplinary approach for smoking cessation in patients with Crohn’s disease: Results from an observational cohort study
Pierachille Santus, Dejan Radovanovic, Davide Raiteri, Stefano Pini, Giuseppe Spagnolo, Giovanni Maconi, Maurizio Rizzi
Tobacco Induced Diseases.2020;[Epub] CrossRef
Using Lean Quality Improvement Tools to Increase Delivery of Evidence-Based Tobacco Use Treatment in Hospitalized Neurosurgical Patients
Laurel Sisler, Oluwaseun Omofoye, Karina Paci, Eldad Hadar, Adam O. Goldstein, Carol Ripley-Moffitt
The Joint Commission Journal on Quality and Patient Safety.2017; 43(12): 633. CrossRef