Document Type : Original Article
Authors
- 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
Abstract
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.
Keywords
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