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- Title
Healthcare reform and productivity of Hospital: a DEA-based analysis from South West of Iran.
- Authors
Vahedi, Sajad; Zahiri, Mansour; Pirani, Narges; Torabipour, Amin
- Abstract
Background: Different healthcare reforms could affect the productivity of hospitals. The aim of this study was to track hospital productivity before and after the recent Iranian healthcare reform in Khuzestan province, South West of Iran. Methods: Hospital productivity was evaluated through data envelopment analysis (DEA) and Malmquist productivity index (MPI) from 2011 to 2015 for 17 Iranian public hospitals before and after the health sector transformation plan. We assumed an output-oriented model with variable returns to scale (VRS) to estimate the productivity and efficiency of each hospital. The DEAP V.2.1 software was used for data analysis. Results: After the transformation plan, the averages of technical efficiency, managerial efficiency and scale efficiency in the studied hospitals had negative changes, but technology efficiency had positive changes.44.4% of general hospitals, 25% of multi-specialized hospitals, and 100% of specialized hospitals had positive productivity changes after implementing the health sector evolution plan. The Malmquist productivity index (MPI) had low positive changes from 2013 to 2016 (MPI = 0.13 out of 1) but the mean productivity score had no change after the health sector evolution plan. Conclusions: The total productivity before and after the health sector evolution plan had no change in Khuzestan province. This and the increase in the utilization of impatient services seemed to be a sign of good performance. But apart from technology efficiency, other efficiency indices had negative changes. It is suggested that in health reforms in Iran, more attention should be paid to the allocation of resources in the hospital.
- Subjects
IRAN; EVALUATION of organizational effectiveness; LENGTH of stay in hospitals; LABOR productivity; ACADEMIC medical centers; CROSS-sectional method; HOSPITAL utilization; HEALTH care reform; MEDICAL care use; PUBLIC hospitals; DESCRIPTIVE statistics; RESEARCH funding; DATA analysis software; NURSE-patient ratio; HEALTH care rationing
- Publication
Cost Effectiveness & Resource Allocation, 2023, Vol 21, Issue 1, p1
- ISSN
1478-7547
- Publication type
Article
- DOI
10.1186/s12962-022-00403-x