نوع مقاله : مقاله پژوهشی

نویسندگان

1 استادیار اقتصاد سلامت، دانشکده بهداشت، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران.

2 استادیار گروه قلب و عروق، دانشکده پزشکی، دانشگاه علوم پزشکی کرمانشاه، کرمانشاه، ایران

3 کارشناس ارشد مدارک پزشکی، واحد مدیریت اطلاعات سلامت، بیمارستان واسعی، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران

4 کارشناس مدارک پزشکی، واحد مدیریت اطلاعات سلامت، معاونت درمان، دانشگاه علوم پزشکی سبزوار، سبزوار ایران

5 کارشناسی ارشد مدیریت خدمات بهداشتی، عضو هیات علمی دانشکده بهداشت، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران

6 دانشیار اقتصاد سلامت، گروه مدیریت و اقتصاد سلامت، دانشکده بهداشت، دانشگاه علوم پزشکی ارومیه، ارومیه، ایران

چکیده

زمینه و هدف: طی سال‌های گذشته، هزینه خدمات بیمارستانی به‌شدت افزایش یافته است؛از این رو توجه به مدیریت صحیح هزینه‌ها در بیمارستان‌ها و ضرورت استفاده بهینه از امکانات و منابع موجود ناگزیر از به‌کارگیری تحلیل‌های اقتصادی هستیم. هدف مطالعه حاضر بررسی انواع کارایی بیمارستان‌های تحت پوشش دانشگاه علوم پزشکی سبزوار، قبل و بعد از استقرار طرح تحول نظام سلامت بود.
مواد و روش‌ها: این مطالعه توصیفی- تحلیلی برای سنجش کارایی فنی، مقیاس و مدیریتی بیمارستان‌های تحت پوشش دانشگاه علوم پزشکی سبزوار با استفاده از مدل تحلیل فراگیر داده‌ها و همچنین مدل پابن لاسو طی سال‌های 1392 و 1396 انجام گردید.
یافته‌ها: میانگین کارایی فنی و مقیاس بیمارستان‌ها از 0/945 در سال 1392 به 0/924 در سال 1396 رسیده است. همچنین میانگین تغییرات بهره‌وری کل معادل 0.978 بوده که نشانه بهبود وضعیت بهره‌وری طی دوره مطالعه است.
نتیجه‌گیری: یکی از علل افزایش تعداد بیمارستان‌های با کارایی فنی و مقیاس یک، شروع فعالیت بیمارستان حشمتیه و استفاده بهینه از منابع توسط بیمارستان نام‌برده می‌باشد. در این پژوهش، نتایج شاخص مالم کوئیست و مدل پابن لاسو تا حدود زیادی یکدیگر را تأیید می‌کند و مبنی بر بهبود عملکرد بیمارستان‌ها پس از استقرار طرح تحول سلامت می‌باشد ولی مقادیر انواع کارایی محاسبه‌شده از طریق روش تحلیل پوششی داده‌ها نشانگر کاهش جزئی عملکرد بیمارستان‌های سبزوار پس از اجرای طرح تحول می‌باشد. از این رو توزیع صحیح منابع، کمک مؤثری به بهبود وضعیت عملکردی بیمارستان‌ها می‌کند.

کلیدواژه‌ها

عنوان مقاله [English]

Evaluating Hospital Performance by using Graphic and Mathematical Models before and after the implementation of the Health System Reform in Sabzevar University of Medical Sciences

نویسندگان [English]

  • Alireza Ghorbani 1
  • Javad Azimivaghar 2
  • Maryam Shahabianfar 3
  • Elahe kabirian 4
  • Mohammad Ali Yaghobi far 5
  • Hasan Yousef zadeh 6

1 Assistant Professor of Health Economics, Department of Public Health, School of Health, Sabzevar University of Medical Sciences, Sabzevar, Iran

2 Assistant Professor of Echocardiography, Department of Cardiology, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran

3 M.Sc. of Medical Records, Health Information Management Department, Vasei Hospital, Sabzevar University of Medical Sciences, Sabzevar, Iran

4 B.Sc. of Medical Records, Health Information Department, Deputy of Health, Sabzevar University of Medical Sciences, Sabzevar, Iran

5 M.Sc. of Health Services Management, Instructor of Public Health Department, School of Health, Sabzevar University of Medical Sciences, Sabzevar, Iran

6 Associate Professor of Health Economics, Department of Health Economics and Management, School of Health, Urmia University of Medical Sciences, Urmia, Iran

چکیده [English]

Introduction: The cost of hospital services has increased sharply, so we must pay attention to the proper management of costs in hospitals and the need to make optimal use of available facilities and resources by using economic analysis. This study aimed to investigate the types of efficiency of hospitals in Sabzevar University of Medical Sciences before and after establishing the Health System Reform.
Materials and Methods: This descriptive-analytical study was conducted to measure hospitals' technical, scale, and managerial efficiency under the auspices of Sabzevar University of Medical Sciences using the comprehensive data analysis model and Pabon Lasso model in 2014 and 2018.
Results: Hospitals' average technical efficiency and scale had increased from 0.945 in 2014 to 0.924 in 2018. Also, the average change in total productivity was equal to 0.978, which indicates an improvement in the productivity situation during the study period.
Conclusion: One of the reasons for the increase in the number of hospitals with technical efficiency and scale 1 is the start of Heshmatieh Hospital and the optimal use of resources by the above hospital. In this study, the Malmquist index and Pabon Lasso model show that hospitals' performance has improved after establishing the Health Reform Plan. Still, the values of various types of performance calculated through data envelopment analysis show a slight decrease in performance. Sabzevar hospitals are after the implementation of the Reform plan. Therefore, the correct distribution of resources effectively improves the hospital's function.

کلیدواژه‌ها [English]

  • Efficiency
  • Evaluation
  • Hospital
  • Lasso
  • Performance Pabon Sabzevar
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