Akram Mokhtari - Department of Health Economics and Management, School of Public Health, Urmia University of Medical Sciences, Urmia, Iran
Bahram Nabilou - Department of Health Economics and Management, School of Public Health, Urmia University of Medical Sciences, Urmia, Iran
Siamak Aghlmand - Department of Health Economics and Management, School of Public Health, Urmia University of Medical Sciences, Urmia, Iran
Hasan Yusefzadeh - Department of Health Economics and Management, School of Public Health, Urmia University of Medical Sciences, Urmia, Iran

Background: The importance of paying attention to improving productivity in different health system departments  has become increasingly evident. This is due to increased costs of health care goods and services, limited resources and production facilities. This study aims to measure the productivity of hospitals' Medical Records Departments (MRD) affiliated with Urmia University of Medical Sciences to provide a comprehensive analysis of their performance. Methods: In this study, total productivity and total factor productivity changes of medical record departments in hospitals affiliated with Urmia University of Medical Sciences were calculated. This was conducted through Kendrick-Creamer and Malmquist indexes in ۲۰۱۶-۲۰۲۰, and has examined the trend of each one of them. Input variables included the number of personnel and equipment. Output variables encompassed the number of outpatient and inpatient medical records prepared for patients, responses to letters, and patients referred to the studied MRD. After estimating the production function, the elasticity of production factors and the return to the scale of medical record departments were calculated.Total productivity changes and production function were estimated via Deap۲,۱ and Frontier۴,۱ softwares by applying input minimization and variable returns to scale assumptions. Results: The results of the Malmquist index indicated that the average total productivity changes of medical records departments of hospitals during the study period were equal to ۱,۰۹۶. This is greater than one; therefore, it can be concluded that productivity has decreased by about ۹.۶۰۰ % during the study period. Changes in technological efficiency have had the greatest impact on reducing productivity, to other factors. In addition, the results of Kendrick-Creamer index during the years under review demonstrated that the average total productivity of production factors obtained, was equal to ۱۸۷۲۵.۵۳۰ services. Conclusion: There is decreased productivity due to technological changes in the studied departments. This is because of the lack of sufficient knowledge of the medical records department staff in the use of technology and equipment for providing efficient services . Holding training courses for the appropriate use of technology by personnel can be useful in this regard.  

Medical record department, Efficiency, Productivity, Urmia