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Original Article | Open Access

Factors Affecting the Appropriate Angiography Prescription in Iranian Hospitals

Atieh Sadat Bigdeli1 , Leila Riahi1 ( ), Fakhreddin Hejazi2 , Aniseh Nik Ravan1 
Department of Health Services Administration, SR.C., Islamic Azad University, Tehran, Iran
Department of Cardiology, Qom University of Medical Sciences, Qom, Iran
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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.

Graphical Abstract

Factors influencing appropriate angiography prescriptions.

Keywords

appropriate prescriptionclinical and non‐clinical featureIranprivate centerpublic center

References

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Health Care Science
Volume 5 Issue 3,
June 2026
Pages 240-248
DOI: 10.1002/hcs2.70059

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Cite this article:
Bigdeli AS, Riahi L, Hejazi F, et al. Factors Affecting the Appropriate Angiography Prescription in Iranian Hospitals. Health Care Science, 2026, 5(3): 240-248. https://doi.org/10.1002/hcs2.70059

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Received: 06 February 2025
Revised: 31 July 2025
Accepted: 13 August 2025
Published: 28 February 2026
© 2026 The Author(s). Tsinghua University Press.

This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.