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Shojaei, Payam, Pourmohammadi, Kimia, Hatam, Nahid, Bastani, Peivand, Hayati, Ramin. (1401). Identification and Prioritization of Critical Factors Affecting the Performance of Iranian Public Hospitals using the Best-Worst Method: A Prospective Study. سامانه مدیریت نشریات علمی, 47(6), 549-557. doi: 10.30476/ijms.2021.91256.2237
Payam Shojaei; Kimia Pourmohammadi; Nahid Hatam; Peivand Bastani; Ramin Hayati. "Identification and Prioritization of Critical Factors Affecting the Performance of Iranian Public Hospitals using the Best-Worst Method: A Prospective Study". سامانه مدیریت نشریات علمی, 47, 6, 1401, 549-557. doi: 10.30476/ijms.2021.91256.2237
Shojaei, Payam, Pourmohammadi, Kimia, Hatam, Nahid, Bastani, Peivand, Hayati, Ramin. (1401). 'Identification and Prioritization of Critical Factors Affecting the Performance of Iranian Public Hospitals using the Best-Worst Method: A Prospective Study', سامانه مدیریت نشریات علمی, 47(6), pp. 549-557. doi: 10.30476/ijms.2021.91256.2237
Shojaei, Payam, Pourmohammadi, Kimia, Hatam, Nahid, Bastani, Peivand, Hayati, Ramin. Identification and Prioritization of Critical Factors Affecting the Performance of Iranian Public Hospitals using the Best-Worst Method: A Prospective Study. سامانه مدیریت نشریات علمی, 1401; 47(6): 549-557. doi: 10.30476/ijms.2021.91256.2237

Identification and Prioritization of Critical Factors Affecting the Performance of Iranian Public Hospitals using the Best-Worst Method: A Prospective Study

Iranian Journal of Medical Sciences
مقاله 6، دوره 47، شماره 6، بهمن 2022، صفحه 549-557    اصل مقاله (299.58 K)
نوع مقاله: Original Article(s)
شناسه دیجیتال (DOI): 10.30476/ijms.2021.91256.2237
نویسندگان
Payam Shojaei1؛ Kimia Pourmohammadi* 2، 3؛ Nahid Hatam2؛ Peivand Bastani2؛ Ramin Hayati4
1Department of Management, School of Economics, Management and Social Sciences, Shiraz University, Shiraz, Iran
2Health Human Resources Research Center, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran
3Department of Health Care Management, Shiraz Branch, Islamic Azad University, Shiraz, Iran
4Department of Public Health, School of Health, Fasa University of Medical Sciences, Fasa, Iran
چکیده
Background: In the ever-changing healthcare environment, policymakers and managers need a comprehensive evaluation system to accurately identify and prioritize factors affecting hospital performance. The present study aimed to identify and rank critical factors affecting hospital performance using the best-worst method (BWM). 
Methods: A cross-sectional study was conducted during 2016-2019 to identify and prioritize factors affecting the performance of Iranian public hospitals using the BWM. Initially, the content validity ratio (CVR) was used to screen the identified factors. Then, using a linear programming formula, a pairwise comparison between the best/worst criterion with all other identified criteria was performed.
Results: The most important internal factor was efficiency, and its associated indicators were mainly related to financial factors. Among all external factors, the most prominent were economic, legal, and political factors, which were negatively affected by budgeting policies and the payment system. A megatrend was also identified in the form of a national health insurance system as well as a shift from employer-based to government-subsidized insurance coverage.
Conclusion: External factors (economic and political) had a greater impact on the performance of public hospitals than internal factors (efficiency and effectiveness).

کلیدواژه‌ها
Operations research؛ Hospitals؛ Health services؛ Employee performance appraisal
سایر فایل های مرتبط با مقاله
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