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Mohamadi, Efat, Takian, Amirhossein, Olyaee Manesh, Alireza, Majdzadeh, Reza, Hosseinzadeh Lotfi, Farhad, Sharafi, Hamid, Hosseini Qavam Abad, Leila, Kiani, Mohammad Mehdi, Sajadi, Haniye Sadat, Goodarzi, Zahra, Yusefzadeh, Hasan Yusefzadeh, Ehsani-Chimeh, Elham, Noori Hekmat, Somayeh, Mostafavi, Hakimeh, Arabloo, Jalal. (1402). Evaluating the Efficiency of Public Hospitals in Iran: A Comparative Study Using Extended Data Envelopment Analysis, 2012-2016. سامانه مدیریت نشریات علمی, 11(4), 736-749. doi: 10.30476/jhsss.2022.95347.1584
Efat Mohamadi; Amirhossein Takian; Alireza Olyaee Manesh; Reza Majdzadeh; Farhad Hosseinzadeh Lotfi; Hamid Sharafi; Leila Hosseini Qavam Abad; Mohammad Mehdi Kiani; Haniye Sadat Sajadi; Zahra Goodarzi; Hasan Yusefzadeh Yusefzadeh; Elham Ehsani-Chimeh; Somayeh Noori Hekmat; Hakimeh Mostafavi; Jalal Arabloo. "Evaluating the Efficiency of Public Hospitals in Iran: A Comparative Study Using Extended Data Envelopment Analysis, 2012-2016". سامانه مدیریت نشریات علمی, 11, 4, 1402, 736-749. doi: 10.30476/jhsss.2022.95347.1584
Mohamadi, Efat, Takian, Amirhossein, Olyaee Manesh, Alireza, Majdzadeh, Reza, Hosseinzadeh Lotfi, Farhad, Sharafi, Hamid, Hosseini Qavam Abad, Leila, Kiani, Mohammad Mehdi, Sajadi, Haniye Sadat, Goodarzi, Zahra, Yusefzadeh, Hasan Yusefzadeh, Ehsani-Chimeh, Elham, Noori Hekmat, Somayeh, Mostafavi, Hakimeh, Arabloo, Jalal. (1402). 'Evaluating the Efficiency of Public Hospitals in Iran: A Comparative Study Using Extended Data Envelopment Analysis, 2012-2016', سامانه مدیریت نشریات علمی, 11(4), pp. 736-749. doi: 10.30476/jhsss.2022.95347.1584
Mohamadi, Efat, Takian, Amirhossein, Olyaee Manesh, Alireza, Majdzadeh, Reza, Hosseinzadeh Lotfi, Farhad, Sharafi, Hamid, Hosseini Qavam Abad, Leila, Kiani, Mohammad Mehdi, Sajadi, Haniye Sadat, Goodarzi, Zahra, Yusefzadeh, Hasan Yusefzadeh, Ehsani-Chimeh, Elham, Noori Hekmat, Somayeh, Mostafavi, Hakimeh, Arabloo, Jalal. Evaluating the Efficiency of Public Hospitals in Iran: A Comparative Study Using Extended Data Envelopment Analysis, 2012-2016. سامانه مدیریت نشریات علمی, 1402; 11(4): 736-749. doi: 10.30476/jhsss.2022.95347.1584

Evaluating the Efficiency of Public Hospitals in Iran: A Comparative Study Using Extended Data Envelopment Analysis, 2012-2016

Journal of Health Sciences & Surveillance System
دوره 11، شماره 4، دی 2023، صفحه 736-749    اصل مقاله (725.28 K)
نوع مقاله: Original Article
شناسه دیجیتال (DOI): 10.30476/jhsss.2022.95347.1584
نویسندگان
Efat Mohamadi1؛ Amirhossein Takian* 1، 2، 3؛ Alireza Olyaee Manesh* 1، 4؛ Reza Majdzadeh5؛ Farhad Hosseinzadeh Lotfi6؛ Hamid Sharafi6؛ Leila Hosseini Qavam Abad1، 7؛ Mohammad Mehdi Kiani1، 3؛ Haniye Sadat Sajadi8؛ Zahra Goodarzi4؛ Hasan Yusefzadeh Yusefzadeh9؛ Elham Ehsani-Chimeh4؛ Somayeh Noori Hekmat10؛ Hakimeh Mostafavi1؛ Jalal Arabloo11
1Health Equity Research Center (HERC), Tehran University of Medical Sciences (TUMS), Tehran, Iran
2Department of Global Health & Public Policy, School of Public Health, Tehran University of Medical Sciences (TUMS), Tehran, Iran
3Department of Health Management, Policy & Economics, School of Public Health, Tehran University of Medical Sciences (TUMS), Tehran, Iran
4National Institute for Health Research(NIHR), Tehran University of Medical Sciences (TUMS), Tehran, Iran
5School of Health and Social Care, University of Essex and Knowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, Iran
6Department of Mathematics, Science and Research Branch, Islamic Azad University, Tehran, Iran
7Department of Health Technology Assessment, Standards & Tariffs Office, Ministry of Health and Medical Education, Tehran, Iran
8Knowledge Utilization Research Center, University Research and Development Center, Tehran University of Medical Sciences, Tehran, Iran
9Department of health economics and management, school of public health, Urmia University of medical sciences, Urmia, Iran
10Research Center for Health Services Management, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
11Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran
چکیده
Background: In pursuing improving healthcare quality and enhancing efficiency, public hospitals in Iran have undergone numerous reforms over the past two decades. This study aimed to assess the efficiency of all public hospitals in Iran from 2012 to 2016.
Methods: This study was conducted as a quantitative and descriptive-analytical research project. The authors employed an innovative approach called Extended Data Envelopment Analysis (Extended-DEA), a modification of conventional DEA, to assess the technical efficiency and productivity of 568 public hospitals. They obtained nationally representative data from official annual health reports. The data were analyzed using GAMS software version 24.3.
Results: The study found that the average efficiency score for all hospitals was 0.733. Among all the hospitals, 10.1% were deemed efficient, while 2.68% had low-efficiency scores below 0.2. The Malmquist Productivity Index (MPI) showed improvement in 49.3% of hospitals and remained unchanged at 2.3%. In comparison, 48.2% of hospitals experienced a regression in productivity from 2015 to 2016. On average, the MPI was 1.07 throughout the analysis.
Conclusion: The findings of this study suggest that there is a need for increased efforts to improve the efficient utilization of resources in public hospitals. It highlights the importance of developing appropriate policy solutions and tools to address these efficiency challenges. In particular, one proposed strategy is the merger of small-sized district hospitals to establish larger and more efficient hospitals in different geographical regions across the country.

تازه های تحقیق
Amirhossein Takian (PubMed)
Alireza Olyaeemanesh (Google Scholar) (PubMed)
 
کلیدواژه‌ها
Data envelopment analysis؛ Efficiency؛ Hospital costs؛ Malmquist productivity index؛ Resource allocation
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