Evidence map›Paper›PMID 42800997›Full record

ReviewHealth science reports2026

An Investigation of the Factors Reducing the Use of Hospital Services: A Systematic Review.

Sedighe Sadat Tabatabaei Far, Majid Alizadeh, Erfan Kharazmi, Zahra Kavosi

Abstract readReview
In one paragraph

Review in Health science reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Sedighe Sadat Tabatabaei FarStudent Research Committee, School of Health Management and Information Sciences Shiraz University of Medical Sciences Shiraz Iran.
Majid AlizadehStudent Research Committee, School of Health Management and Information Sciences Shiraz University of Medical Sciences Shiraz Iran.ORCID https://orcid.org/0000-0003-2332-4481
Erfan KharazmiHealth Human Resources Research Center, School of Health Management and Information Sciences Shiraz University of Medical Sciences Shiraz Iran.ORCID https://orcid.org/0000-0002-2138-896X
Zahra KavosiHealth Human Resources Research Center, School of Health Management and Information Sciences Shiraz University of Medical Sciences Shiraz Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Hospital service utilization has declined in many health systems due to policy shifts, limited resources, and alternative care approaches. This study aimed to systematically review the factors contributing to a reduction in the use or volume of hospital services. Methods: In this systematic review, articles published from 2018 to 2023 were reviewed by searching relevant keywords based on the PRISMA guidelines. The systematic search was conducted using English-language texts related to the research question, "What are the factors reducing hospital services?" and electronic databases such as PubMed, Scopus, Science Direct, ProQuest, and Web of Science. The CASP checklist was used to evaluate the methodological quality of the included studies. Two researchers performed all the stages; finally, the selected articles were summarized in tables. Results: The database search yielded a total of 3705 articles, of which 30 were included in the review. The results of extracting the findings from the articles indicated four main concepts of factors reducing hospital services: "therapeutic factors," "administrative-support factors," "preventive factors," and "technological factors." The studies assessed the impact of medications, treatment pathways, guidelines and standards, and treatment methods as effective therapeutic factors. Regulations were considered administrative or support factors, while health measures to control the spread of COVID-19 and various vaccines were shown as preventive factors. Additionally, remote care and the use of new tools were categorized as technological factors influencing the reduction of hospital services. Conclusion: Therapeutic factors such as medications, managerial factors like regulations, preventive factors like vaccines, and factors related to new tools such as artificial intelligence were shown to be among the factors which reduce the use of hospital services. Therefore, if the focus on reducing services is hospital-centered, these factors should be considered in policy-making related to health service delivery.

Indexed as

hospitalizationhospital serviceslength of stayreduction

Identifiers

PMID42800997
PMCPMC13615344

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.