Volume 23, Issue 3 (May-June 2024)
Payesh 2024, 23(3): 389-403 |
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Ethics code: IR.SBMU.RETECH.REC.1402.547
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Tohidlou E, Zali A, Shoar M, Piri H, Mohammadi G, Azizmohammad Looha M. The impact of implementing the Health Transformation Plan on the performance of hospitals affiliated with Shahid Beheshti University of Medical Sciences in Tehran Province, Iran. Payesh 2024; 23 (3) :389-403
URL: http://payeshjournal.ir/article-1-2224-en.html
URL: http://payeshjournal.ir/article-1-2224-en.html
Esmaeil Tohidlou1 
, Alireza Zali2 , Maryam Shoar3 , Hassan Piri4 , Gohar Mohammadi5 , Mehdi Azizmohammad Looha *6
, Alireza Zali2 , Maryam Shoar3 , Hassan Piri4 , Gohar Mohammadi5 , Mehdi Azizmohammad Looha *6
1- Vice Chancellor of International affairs, Shahid Beheshti University of Medical Sciences, Tehran Iran
2- Functional Neurosurgery Research Center, Shohada Tajrish Comprehensive Neurosurgical Center of Excellence, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3- Department of Industrial Management, Faculty of Management, North Tehran Branch, Islamic Azad University, Tehran, Iran
4- School of Traditional Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
5- Vice Chancellor in Administration and Resources Development affairs, Shahid Beheshti University of Medical Sciences, Tehran Iran
6- Basic and Molecular Epidemiology of Gastrointestinal Disorders Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2- Functional Neurosurgery Research Center, Shohada Tajrish Comprehensive Neurosurgical Center of Excellence, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3- Department of Industrial Management, Faculty of Management, North Tehran Branch, Islamic Azad University, Tehran, Iran
4- School of Traditional Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
5- Vice Chancellor in Administration and Resources Development affairs, Shahid Beheshti University of Medical Sciences, Tehran Iran
6- Basic and Molecular Epidemiology of Gastrointestinal Disorders Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Abstract: (1422 Views)
Objective (s): The Health Transformation Plan, initiated in 2014 in Iran and sought to protect public assets, promote equitable access to healthcare services, and enhance service quality. This study evaluated the performance indicators of hospitals affiliated with a medical university before and after the implementation of the plan.
Methods: This cross-sectional study encompassed 15 teaching medical centers affiliated with Shahid Beheshti University of Medical Sciences in Tehran province, Iran from 2009 to 2019, consisting of five years prior to the implementation of the plan (pre-2014) and five years following its implementation. Seven key performance indicators, including bed occupancy rate, length of stay, admission ratio, number of hospitalized patients, number of hospitalized referrals, number of surgeries, and number of cesarean sections, were investigated as primary variables.
Results: The majority of performance indicators exhibited significant increase after the implementation of the Health Transformation Plan, with the exception of the number of cesarean sections and median length of hospital stay. Individual hospital analysis revealed a decrease in median length of stay in most hospitals post-implementation, while the median values of other performance indicators generally showed an increase across different hospitals. Notably, Imam Hossein, Taleghani, and Loghman Hakim hospitals had the highest number of registered beds.
Conclusion: The implementation of the Health Transformation Plan demonstrated a relatively positive impact on the performance indicators of hospitals, resulting in favorable changes in trends and medians of these indicators from 2015 to 2019.
Methods: This cross-sectional study encompassed 15 teaching medical centers affiliated with Shahid Beheshti University of Medical Sciences in Tehran province, Iran from 2009 to 2019, consisting of five years prior to the implementation of the plan (pre-2014) and five years following its implementation. Seven key performance indicators, including bed occupancy rate, length of stay, admission ratio, number of hospitalized patients, number of hospitalized referrals, number of surgeries, and number of cesarean sections, were investigated as primary variables.
Results: The majority of performance indicators exhibited significant increase after the implementation of the Health Transformation Plan, with the exception of the number of cesarean sections and median length of hospital stay. Individual hospital analysis revealed a decrease in median length of stay in most hospitals post-implementation, while the median values of other performance indicators generally showed an increase across different hospitals. Notably, Imam Hossein, Taleghani, and Loghman Hakim hospitals had the highest number of registered beds.
Conclusion: The implementation of the Health Transformation Plan demonstrated a relatively positive impact on the performance indicators of hospitals, resulting in favorable changes in trends and medians of these indicators from 2015 to 2019.
Keywords: Health Transformation Plan, performance indicators, medical-educational centers, Tehran Province
type of study: Descriptive |
Subject:
Helath Services Management
Received: 2023/07/18 | Accepted: 2024/02/26 | ePublished ahead of print: 2024/05/8 | Published: 2024/06/1
Received: 2023/07/18 | Accepted: 2024/02/26 | ePublished ahead of print: 2024/05/8 | Published: 2024/06/1
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