Article Text

Download PDFPDF

Medical overuse in the Iranian healthcare system: a systematic review protocol
  1. Morteza Arab-Zozani1,
  2. Mohammad Zakaria Pezeshki2,
  3. Rahim Khodayari-Zarnaq3,
  4. Ali Janati4
    1. 1 Iranian Center of Excellence in Health Management, Department of Health Services Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
    2. 2 Social Determinants of Health Research Center, Department of Community and Family Medicine, Tabriz Medical School, Tabriz University of Medical Sciences, Tabriz, Iran
    3. 3 Tabriz Health Services Management Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran
    4. 4 Iranian Center of Excellence in Health Management, Department of Health Services Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
    1. Correspondence to Dr Ali Janati; janatiali82{at}gmail.com

    Abstract

    Introduction Lack of resources is one of the main problems of all healthcare systems. Recent studies have shown that reducing the overuse of medical services plays an important role in reducing healthcare system costs. Overuse of medical services is a major problem in the healthcare system, and it threatens the quality of the services, can harm patients and create excess costs for patients. So far, few studies have been conducted in this regard in Iran. The main objective of this systematic review is to perform an inclusive search for studies that report overuse of medical services in the Iranian healthcare system.

    Method and analysis An extensive search of the literature will be conducted in six databases including PubMed, Embase, Scopus, Web of Science, Cochrane and Scientific Information Database using a comprehensive search strategy to identify studies on overuse of medical care. The search will be done without time limit until the end of 2017, completed by reference tracking, author tracking and expert consultation. The search will be conducted on 1 February 2018. Any study that reports an overuse in a service based on a specific standard will be included in the study. Two reviewers will screen the articles based on the title, abstract and full text, and extract data about type of service, clinical area and overuse rate. Quality appraisal will be assessed using the Joanna Briggs Institute checklist. Potential discrepancies will be resolved by consulting a third author.

    Ethics and dissemination Recommendations will be made to the Iranian MOHME (Ministry of Health and Medical Education) in order to make better evidence-based decisions about medical services in the future.

    PROSPERO registration number CRD42017075481

    • overuse
    • health care system
    • medical services
    • health policy
    • general medicine (see internal medicine)

    This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

    Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    Footnotes

    • Contributors MA-Z and MZP initiated and conceived the study. AJ and RK-Z participated in study design. MA-Z drafted the research protocol. MZP, AJ and RK-Z critically revised the content of the written protocol. All authors approved the final version of this protocol.

    • Funding This study was approved by Tabriz University of Medical Sciences (confirmation no. 5/d/633456, 15 January 2018; IR.TBZMED.REC.1396.908). This work was supported by the Iranian Center of Excellence in Health Management (ICEHM), School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.

    • Competing interests None declared.

    • Patient consent Not required.

    • Ethics approval This study was approved by Tabriz University of Medical Sciences (ethical confirmation number; IR.TBZMED.REC.1396.908).

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Author note This systematic review will form part of MA-Z’s PhD dissertation, supervised by AJ, MZP and RK-Z.