Volume 22, Issue 1 (January-February 2023)
Payesh 2023, 22(1): 19-28 |
Back to browse issues page
Majid Babaei 
1, Mohammadreza Pashaei2 , Yaghoub Yousefi1 , Mohammadreza Sheikhy-Chaman3 , Rana Hoseini1
1, Mohammadreza Pashaei2 , Yaghoub Yousefi1 , Mohammadreza Sheikhy-Chaman3 , Rana Hoseini1
1- Social Determinants of Health Research Center, Urmia University of Medical Sciences, Urmia, Iran
2- School of Medicine, Urmia University of Medical Sciences, Urmia, Iran
3- School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
2- School of Medicine, Urmia University of Medical Sciences, Urmia, Iran
3- School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
Abstract: (1357 Views)
Objective(s): Investigating performance indicators is one of the most important components for the evaluation of health care and treatment outcomes in hospitals. The purpose of this study was to investigate the performance indicators of the teaching and non-teaching hospitals in West Azerbaijan province, Iran and compare these with the standard indicators of the Ministry of Health.
Methods: The present study was a cross-sectional descriptive study in 2019. The statistical population included all hospitals of West Azarbaijan province (22 teaching hospitals affiliated with Urmia University of Medical Sciences) and 8 non-teaching hospitals). The standard checklist of the Ministry of Health was used to record information and calculate performance indicators of hospitals. The data were analyzed using Excel 2016 and SPSS22 software.
Results: In terms of the bed occupancy ratio index, 32% of teaching hospitals in the province were in desirable condition, 18% in average condition, and 50% in undesirable condition. However, 100% of teaching hospitals that located in the center of the province were in desirable condition. While this index in non-teaching hospitals was desirable at 25%, average at 25%, and undesirable at 50%. In terms of the patient stay, 77% favorable, 5% average, and 18% undesirable in teaching hospitals, and 87.5% desirable and 12.5% undesirable in non-teaching hospitals. Also, 95% of teaching hospitals and 100% of non-teaching hospitals were in the desirable condition in terms of the patient admission per bed.
Conclusion: The condition of hospitals in West Azarbaijan province in terms of the bed occupancy ratio index of most teaching hospitals and in terms of the index of average patient stay and the index of the ratio of patient admission per bed, and most of thenNon-teaching hospitals were in a desirable condition. To improve the performance indicators further, new planning and policies are recommended.
Methods: The present study was a cross-sectional descriptive study in 2019. The statistical population included all hospitals of West Azarbaijan province (22 teaching hospitals affiliated with Urmia University of Medical Sciences) and 8 non-teaching hospitals). The standard checklist of the Ministry of Health was used to record information and calculate performance indicators of hospitals. The data were analyzed using Excel 2016 and SPSS22 software.
Results: In terms of the bed occupancy ratio index, 32% of teaching hospitals in the province were in desirable condition, 18% in average condition, and 50% in undesirable condition. However, 100% of teaching hospitals that located in the center of the province were in desirable condition. While this index in non-teaching hospitals was desirable at 25%, average at 25%, and undesirable at 50%. In terms of the patient stay, 77% favorable, 5% average, and 18% undesirable in teaching hospitals, and 87.5% desirable and 12.5% undesirable in non-teaching hospitals. Also, 95% of teaching hospitals and 100% of non-teaching hospitals were in the desirable condition in terms of the patient admission per bed.
Conclusion: The condition of hospitals in West Azarbaijan province in terms of the bed occupancy ratio index of most teaching hospitals and in terms of the index of average patient stay and the index of the ratio of patient admission per bed, and most of thenNon-teaching hospitals were in a desirable condition. To improve the performance indicators further, new planning and policies are recommended.
Keywords: Performance indicators, hospital, bed occupancy ratio, average patient stay, ratio of patient admission to per bed
type of study: Descriptive |
Subject:
Helath Services Management
Received: 2022/12/13 | Accepted: 2023/01/11 | ePublished ahead of print: 2023/01/16 | Published: 2023/02/7
Received: 2022/12/13 | Accepted: 2023/01/11 | ePublished ahead of print: 2023/01/16 | Published: 2023/02/7
References
1. Amerioun A, Tofighi Sh, Mahdavi S, Mamaghani H, Meskarpour Amiri M. Assessment of International Joint Commission (IJC) accreditation standard in a military hospital laboratory. Iranian Journal of Military Medicine 2011;13:75-80 [Persian]
2. Babaie, M. The effect of health indicators and macroeconomic variables on the level of life expectancy: comparison of developing and developed countries with the panel data approach. Studies in Medical Sciences 2020;31:568-75 [Persian]
3. Haghdoost AA, Mehrolhassani MH, Khajehkazemi R, Fallah MS, Dehnavieh R. Monitoring Indicators of Iranian Health System Reform Plan. Hakim Research Journal 2013;16:171-81 [Persian]
4. Mohammadbaigi A, Hemmati M, Rahbar A, Anbari Z, Kayal S, Mohammadsalehi N, et al. Efficacy analysis of educational hospitals of Qom Medical University by Pabon Lasso Model and comparing with national standards. Journal of Hospital 2015;14:111-8 [Persian]
5. Ebadi F, Ansari H, Rezapoor A. Study of Daily Bed Occupancy Costs And Performance Indexes in Selected Hospitalat of Iran University of Medical Sciences in 1381. Journal of Health Administration 2005;7:37-44 [Persian]
6. Miraki T, Rezaei S, Jahanmehr N, Mohammadi M, Gharibi F. Assessment of performance of the hospitals of Kurdistan University of Medical Sciences by use of Pabon Lasso Model (2007-2011). Scientific Journal of Kurdistan University of Medical Sciences 2014;19:114-23 [Persian]
7. Van der Bij JD, Vissers JM. Monitoring health care processes: a framework for performance indicators. International Journal of Health Care Quality Assurance 1999;12:214-21 [DOI:10.1108/09526869910280393]
8. Tofighi Sh, Fallah M.S, Khajeh Azad M. Quality evaluation of knowledge management in a military hospital based on the Baldrige excellence model. Journal of Military Medicine 2012;13:213-6 [Persian]
9. Bahadori M, Ghardashi F, Ravangard R, Hosseini SM. The Evaluation of Hospital Performance in Iran: A Systematic Review Article .Iranian Journal of Public Health 2016;45:855-66 [DOI:10.5812/traumamon.31382]
10. Toroski M, Golmakani E, Sodagar H, Hosseini S, Rajabzadeh R, Borhaninejad V, et al. Survey of bed efficiency for hospitals of North Khorasan University of Medical Sciences by using standard functional criteria of the ministry of health. Journal of North Khorasan University of Medical Sciences 2014;6:637-44 [Persian] [DOI:10.29252/jnkums.6.3.637]
11. Ghorbani R, Ahmadian K, Ranjbar Z. To Compare the Performance Indexes of Selected Hospital with National Standards. Journal of Health Promotion Management 2017;6:1-7 [Persian] [DOI:10.21859/jhpm-07031]
12. Janati A, Imani A, Almaspoor Khangah H. Evaluation and Comparison of Performance Indicators in Hospitals of East Azerbaijan Province with the Same Standards of Ministry of Health. Journal of Management and Medical Informatics School 2017;3:190-200 [Persian]
13. Amzat J, Razum O. African Culture and Health. Towards a Sociology of Health Discourse in Africa. Cham: Springer International Publishing 2018:65-77 [DOI:10.1007/978-3-319-61672-8_5]
14. Budimir V, Lutilsky ID, Dragija M. Performance measurement as the basis for hospitals strategic management. Springer: Country Experiences in Economic Development, Management and entrepreneurship 2017:825-45 [DOI:10.1007/978-3-319-46319-3_53]
15. Asadi H, Habibi Soola A, Hamidi R, Ershadifard S, Rezapour A, Davari M. Performance Indicators of Hospitals Affiliated To Ardabil University Of Medical Sciences In 2019. Payesh 2021;20:285-93 [Persian] [DOI:10.52547/payesh.20.3.285]
16. Amery H, Jafari A, Vafaei Nasab M, Nikokaran J. The Simultaneous Assessment of Efficiency Indicators in University-affiliated and University-Nonaffiliated Hospitals via Pabon Lasso Model Applicatio. The Journal of Toloo-e-Behdasht 2014;13:94-103 [Persian]
17. Reisi-Nafchy M, Drees F, Mirzaeian R. Assessment of performance indicators in Hospitals University of Medical Sciences based on the standards of the Ministry of Health. Journal of Shahrekord University of Medical Sciences 2014;15:60-7 [Persian]
18. Rafiei M, Ayatollahi S, Behboodian J. Bed occupancy rate modeling in Shiraz hospitals. Journal of Inflammatory Diseases 2008;12:56-62 [Persian]
19. Bahadori M, Teymourzadeh E, Mastari Farahani H. Factors Affecting Human Resources' Productivity in a Military Health Organization. Journal of Military Medicine 2013;15:75-86 [Persian]
20. Fazeli E, Vafaei F, Jamshidi Navid B. Investigation on efficacy of the hospitals affiliated to Ilam University of Medical Sciences by DEA method. Journal of Ilam University of Medical Sciences 2015;23:89-97 [Persian]
21. Zahiri M, Keliddar I. Performance evaluating in hospitals affiliated in AHWAZ University of Medical Sciences based on PABON LASSO model. Journal of Hospital 2012;11:37-44 [Persian]
22. Farajzadegan Z, Javadi A, Asgari G, Manzoori L. Indicators of utilization as a means for assessment of health Information Management Systems. Health Information Management 2007;4:23-31 [Persian]
23. Khalesi N, Mikelani M. A Study of Hospital Management Performance at Isfahan Alzahra Hospital as Compared with Standard Indexes. Journal of Health Administration 2001;4:12-20 [Persian]
24. Jonaidi Jafari N, Sadeghi M, Izadi M, Ranjbar R. Comparison of performance indicators in one of hospitals of Tehran with national standards. Journal of Military Medicine 2011;12:223-8 [Persian]
25. Naderi Manesh K, Nasiripour A, Masoudi Asl S, Babouei A, Ostovar R, Rezanjad M. The Study of the Status of Performance Indicators in Selected Educational and Non-Educational Hospitals of Tehran Province. Armaghane-Danesh 2020;25:104-17 [Persian] [DOI:10.52547/armaghanj.25.1.104]
26. Cvetkovic A, Cvetkovic D, Stojic V, Zdravkovic N. Length of Hospital Stay and Bed Occupancy Rates in Former Yugoslav Republics 1989-2015. Frontiers in Pharmacology 2016;7:417 [DOI:10.3389/fphar.2016.00417]
| Rights and Permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |