Factors Affecting the Appropriate Angiography Prescription in Iranian Hospitals

ABSTRACT Background Inappropriate angiography prescriptions impose substantial financial and clinical burdens on healthcare systems. This study aimed to develop a comprehensive model for appropriate angiography prescription by examining supply‐and demand‐side factors in public and private hospitals in Iran. Methods Data were collected from domestic and international databases covering the period from 1998 to 2023 and analyzed through exploratory and confirmatory factor analysis. Results Results indicated that physician density and information asymmetry were the most influential factors in the public sector, while physician income and patient insistence dominated in the private sector. Patient preferences and intolerance of uncertainty were key demand‐side determinants. Conclusions The findings support policy interventions targeting behavioral and structural drivers of inappropriate prescriptions.

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Publication Details

Journal
Health care science
Published
2026-02-28
DOI
https://doi.org/10.1002/hcs2.70059
Primary Topic
Healthcare Policy and Management
Type
article
Field-Weighted Citation Impact
0.00
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article

Factors Affecting the Appropriate Angiography Prescription in Iranian Hospitals

fakhreddin hejazi, Leila Riahi, Atieh Sadat Bigdeli, Aniseh Nik Ravan
Health care science
Healthcare Policy and Management
article

Factors Affecting the Appropriate Angiography Prescription in Iranian Hospitals

fakhreddin hejazi, Leila Riahi, Atieh Sadat Bigdeli, Aniseh Nik Ravan
article en

Abstract

ABSTRACT Background Inappropriate angiography prescriptions impose substantial financial and clinical burdens on healthcare systems. This study aimed to develop a comprehensive model for appropriate angiography prescription by examining supply‐and demand‐side factors in public and private hospitals in Iran. Methods Data were collected from domestic and international databases covering the period from 1998 to 2023 and analyzed through exploratory and confirmatory factor analysis. Results Results indicated that physician density and information asymmetry were the most influential factors in the public sector, while physician income and patient insistence dominated in the private sector. Patient preferences and intolerance of uncertainty were key demand‐side determinants. Conclusions The findings support policy interventions targeting behavioral and structural drivers of inappropriate prescriptions.

Health care science
Islamic Azad University South Tehran Branch (IR), Qom University of Medical Science and Health Services (IR)
No poverty
Openalex Percentile: Top 35%
Healthcare Policy and Management
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