The effect of Iran's health transformation plan on hospital performance: Kerman province
Iran has performed Health Transformation Plan (HTP) from 2014 to obtain its defined goals. This study assesses and compares university and non-university hospitals' efficiency and productivity in Kerman provinces, Iran. The data of 19 selected hospitals, two years before and two years after Hea...
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| Veröffentlicht in: | PloS one 2021-02, Vol.16 (2), p.e0247155-e0247155 |
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| creator | Goudarzi, Reza Tasavon Gholamhoseini, Mohammad Noori Hekmat, Somayeh YousefZadeh, Setareh Amini, Saeed |
| description | Iran has performed Health Transformation Plan (HTP) from 2014 to obtain its defined goals. This study assesses and compares university and non-university hospitals' efficiency and productivity in Kerman provinces, Iran. The data of 19 selected hospitals, two years before and two years after Health Transformation Plan, was collected in this cross-sectional study. These data included the variables of physician and nurse number, and active beds as inputs and bed occupancy rate and inpatient admission adjusted with the length of stay as outputs. Data Envelopment Analysis method used to measure hospital efficiency. Malmquist Productivity Index is used to measure the efficiency change model before and after the plan. The efficiency and effect of the plan on hospitals' efficiency and productivity were assessed using R software. The results indicated that all hospitals' average efficiency before the HTP was 0.843 and after the HTP was increased to 0.874. However, it was not significant (P>0.05). Productivity also had a decreasing trend. Based on the DEA method results, it was found that university and non-university hospitals' efficiency and productivity did not increase significantly after the HTP. Therefore, it is recommended that attention be paid to hospitals' performance indicators regarding how resources are allocated and decisions made. |
| doi_str_mv | 10.1371/journal.pone.0247155 |
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This study assesses and compares university and non-university hospitals' efficiency and productivity in Kerman provinces, Iran. The data of 19 selected hospitals, two years before and two years after Health Transformation Plan, was collected in this cross-sectional study. These data included the variables of physician and nurse number, and active beds as inputs and bed occupancy rate and inpatient admission adjusted with the length of stay as outputs. Data Envelopment Analysis method used to measure hospital efficiency. Malmquist Productivity Index is used to measure the efficiency change model before and after the plan. The efficiency and effect of the plan on hospitals' efficiency and productivity were assessed using R software. The results indicated that all hospitals' average efficiency before the HTP was 0.843 and after the HTP was increased to 0.874. However, it was not significant (P>0.05). Productivity also had a decreasing trend. Based on the DEA method results, it was found that university and non-university hospitals' efficiency and productivity did not increase significantly after the HTP. Therefore, it is recommended that attention be paid to hospitals' performance indicators regarding how resources are allocated and decisions made.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0247155</identifier><identifier>PMID: 33596262</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Administration ; Computer and Information Sciences ; Data envelopment analysis ; Decision making ; Disease management ; Drafting software ; Editing ; Efficiency ; Engineering and Technology ; Futures ; Health care ; Health care policy ; Health care reform ; Health policy ; Health services ; Hospitals ; Hypotheses ; Influence ; Informatics ; Leadership ; Linear programming ; Management ; Managers ; Medical education ; Medical research ; Medicine and Health Sciences ; Methods ; Optimization ; Patients ; People and Places ; Physicians ; Productivity ; Research facilities ; Social Sciences</subject><ispartof>PloS one, 2021-02, Vol.16 (2), p.e0247155-e0247155</ispartof><rights>COPYRIGHT 2021 Public Library of Science</rights><rights>2021 Goudarzi et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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This study assesses and compares university and non-university hospitals' efficiency and productivity in Kerman provinces, Iran. The data of 19 selected hospitals, two years before and two years after Health Transformation Plan, was collected in this cross-sectional study. These data included the variables of physician and nurse number, and active beds as inputs and bed occupancy rate and inpatient admission adjusted with the length of stay as outputs. Data Envelopment Analysis method used to measure hospital efficiency. Malmquist Productivity Index is used to measure the efficiency change model before and after the plan. The efficiency and effect of the plan on hospitals' efficiency and productivity were assessed using R software. The results indicated that all hospitals' average efficiency before the HTP was 0.843 and after the HTP was increased to 0.874. However, it was not significant (P>0.05). Productivity also had a decreasing trend. Based on the DEA method results, it was found that university and non-university hospitals' efficiency and productivity did not increase significantly after the HTP. 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One</addtitle><date>2021-02-17</date><risdate>2021</risdate><volume>16</volume><issue>2</issue><spage>e0247155</spage><epage>e0247155</epage><pages>e0247155-e0247155</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Iran has performed Health Transformation Plan (HTP) from 2014 to obtain its defined goals. This study assesses and compares university and non-university hospitals' efficiency and productivity in Kerman provinces, Iran. The data of 19 selected hospitals, two years before and two years after Health Transformation Plan, was collected in this cross-sectional study. These data included the variables of physician and nurse number, and active beds as inputs and bed occupancy rate and inpatient admission adjusted with the length of stay as outputs. Data Envelopment Analysis method used to measure hospital efficiency. Malmquist Productivity Index is used to measure the efficiency change model before and after the plan. The efficiency and effect of the plan on hospitals' efficiency and productivity were assessed using R software. The results indicated that all hospitals' average efficiency before the HTP was 0.843 and after the HTP was increased to 0.874. However, it was not significant (P>0.05). Productivity also had a decreasing trend. Based on the DEA method results, it was found that university and non-university hospitals' efficiency and productivity did not increase significantly after the HTP. Therefore, it is recommended that attention be paid to hospitals' performance indicators regarding how resources are allocated and decisions made.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>33596262</pmid><doi>10.1371/journal.pone.0247155</doi><tpages>e0247155</tpages><orcidid>https://orcid.org/0000-0001-5546-2876</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Administration Computer and Information Sciences Data envelopment analysis Decision making Disease management Drafting software Editing Efficiency Engineering and Technology Futures Health care Health care policy Health care reform Health policy Health services Hospitals Hypotheses Influence Informatics Leadership Linear programming Management Managers Medical education Medical research Medicine and Health Sciences Methods Optimization Patients People and Places Physicians Productivity Research facilities Social Sciences |
| title | The effect of Iran's health transformation plan on hospital performance: Kerman province |
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