Hospital Efficiency Measurement before and after Health Sector Evaluation Plan in Southwest of Iran: A DEA-Panel Data Study
- سال انتشار: 1400
- محل انتشار: دومین کنفرانس بین المللی بهداشت، بحران و ایمنی
- کد COI اختصاصی: HCSCONF02_009
- زبان مقاله: انگلیسی
- تعداد مشاهده: 318
نویسندگان
Ph.D. candidate in Health Policy, School of health management and information sciences, Iran university of medical sciences, Tehran, Iran
Department of Health Services Management, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Associate Professor, Department of Biostatistics and Epidemiology, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Assistant Professor, Department of Health Services Management, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
چکیده
Efficiency is one of the most important indicators of hospital performance evaluation. The study was conducted to measure the efficiency of public hospitals. This was a cross-sectional and panel data study. Data were retrospectively collected using hospital records and hospital information system. In this study, panel data of ۱۷ public hospitals affiliated with Ahvaz University of Medical Sciences, in southwest of Iran were studied during ۲۰۱۲-۲۰۱۶. The output-based data envelopment analysis technique and variable return to scale assumption (VRS) were used. Regression model was used to assess factors affecting hospital efficiency. Data were analyzed using Deap۲.۱ and R software. The mean of technical efficiency, managerial efficiency, and scale efficiency of the hospitals during ۲۰۱۲-۲۰۱۶ were ۰.۲۳۰, ۰.۲۷۲ and ۰.۷۳۲, respectively. Assessment of return to scale results over ۵ years showed that ۶۵% (۱۱ cases) of hospitals had a decreasing return to scale, ۲۴% (۴ cases) had a constant return to scale, and ۱۲% (۲ cases) had an increasing return to scale. Also, mean of technical managerial, and scale efficiency in specialized hospitals were higher than other hospitals (۰.۳۳۱, ۰.۳۵۳, and ۰.۸۷۳). Beta regression analysis showed the effect of both variable length of stay and number of beds on hospital efficiency was significant (p-value < ۰.۰۵). The results showed that efficiency of selected public hospitals was the poor. Technical efficiency and managerial efficiency were lower than scale efficiency rate. Also, Multi- specialized hospitals were in critical status considering resource management and economies of scale.کلیدواژه ها
Hospital efficiency, Resource, Health care reformمقالات مرتبط جدید
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