Volume 15, Issue 2 (May 2021)
Qom Univ Med Sci J 2021, 15(2): 92-99 |
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Shamsaii M, Shamsaii M, Mohammdnezhad S, Bahlgardi R, Esfahani P. Comparison of some hospital indicators before and after the implementation of the transformation plan in training hospitals affiliated to Zabol University of Medical Sciences. Qom Univ Med Sci J 2021; 15 (2) :92-99
URL: http://journal.muq.ac.ir/article-1-2744-en.html
URL: http://journal.muq.ac.ir/article-1-2744-en.html
Monire Shamsaii1 
, Mohammadjavad Shamsaii2 , Sorosh Mohammdnezhad1 , Reyhane Bahlgardi1 , Parvaneh Esfahani * 3
, Mohammadjavad Shamsaii2 , Sorosh Mohammdnezhad1 , Reyhane Bahlgardi1 , Parvaneh Esfahani * 3
1- Department of Health Services Management, School of Public Health, Zabol University of Medical Sciences, Zabol, Iran.
2- Department of Operating Room, School of Allied Medical Sciences , Zabol University of Medical Sciences, Zabol, Iran.
3- Department of Health Services Management, School of Public Health, Zabol University of Medical Sciences, Zabol, Iran. ,p.isfehani@mail.com
2- Department of Operating Room, School of Allied Medical Sciences , Zabol University of Medical Sciences, Zabol, Iran.
3- Department of Health Services Management, School of Public Health, Zabol University of Medical Sciences, Zabol, Iran. ,
Abstract: (1855 Views)
Background and Objectives: The health sector evolution plan was implemented in 2014 with three approaches financial protections of people, establishing justice in access to health services and improving quality of services in hospitals. This study aimed to compare some hospital indicators before and after the implementation of the transformation plan in training hospitals affiliated to Zabol University of Medical Sciences.
Methods: This descriptive-analytic study was carried out in 3 training hospitals of Zabol University of Medical Sciences in 2019. 8 hospital indicators were monthly extracted at 2 stages (3 years before and after the implementation of HTP 2014) by referring to the statistics unit of hospital. Paired sample t-test was run in the SPSS software 19 to compare the obtained data.
Results: Results showed that implementation of health system transformation plan on the bed occupancy rate (P = 0.040) and active bed ratio (P = 0.003) in hospital A, number of surgeries (P = 0.032) in hospital B and the bed occupancy rate (P = 0.000), active bed to fixed ratio (P = 0.014) and number of surgeries (P = 0.014) and patient-to-population ratio (P = 0.042) were effective in hospital C. Changes in the ratio of burn, Psychiatric, ICU beds to population and patient-to-population ratio and ratio of beds to fixed, number of surgeries were statistically significant (P <0.05).
Conclusions: The implementation of the transformation plan has been accompanied by significant changes in some hospital indicators of the hospitals.
Methods: This descriptive-analytic study was carried out in 3 training hospitals of Zabol University of Medical Sciences in 2019. 8 hospital indicators were monthly extracted at 2 stages (3 years before and after the implementation of HTP 2014) by referring to the statistics unit of hospital. Paired sample t-test was run in the SPSS software 19 to compare the obtained data.
Results: Results showed that implementation of health system transformation plan on the bed occupancy rate (P = 0.040) and active bed ratio (P = 0.003) in hospital A, number of surgeries (P = 0.032) in hospital B and the bed occupancy rate (P = 0.000), active bed to fixed ratio (P = 0.014) and number of surgeries (P = 0.014) and patient-to-population ratio (P = 0.042) were effective in hospital C. Changes in the ratio of burn, Psychiatric, ICU beds to population and patient-to-population ratio and ratio of beds to fixed, number of surgeries were statistically significant (P <0.05).
Conclusions: The implementation of the transformation plan has been accompanied by significant changes in some hospital indicators of the hospitals.
Type of Study: Original Article |
Subject:
مدیریت بهداشتی
Received: 2020/02/12 | Accepted: 2021/05/24 | Published: 2021/05/31
Received: 2020/02/12 | Accepted: 2021/05/24 | Published: 2021/05/31
References
1. [1] Mosadeghrad AM, Esfahani P. [Unnecessary length of stay of patients in Iranian hospitals: A systematic review and meta-analysis (Persian)]. Jundishapur Sci Med J. 2018; 17(5):529-44. https://www.sid.ir/fa/journal/ViewPaper.aspx?id=550577
2. [2] WHO. The world health report 2000: Health systems: Improving performance. Geneva: World Health Organization; 2000. https://apps.who.int/iris/handle/10665/42281
3. [3] Mosadeghrad A M, Esfahani P, Nikafshar M. [Hospitals' efficiency in Iran: Asystematic review and meta-analysis of two decades of research (Persian)]. J Payavard Salamat. 2017; 11(3):318-31. https://www.sid.ir/en/journal/ViewPaper.aspx?ID=595817
4. [4] Moradi-Lakeh M, Vosoogh-Moghaddam A. Health sector evolution plan in Iran; Equity and sustainability concerns. Int J Health Policy Manag. 2015; 4(10):637-40. [DOI:10.15171/ijhpm.2015.160] [PMID] [PMCID] [DOI:10.15171/ijhpm.2015.160]
5. [5] Barnum H, Kutzin J. Public hospitals in developing countries: Resource use, cost, financing. United States: World Banks; 1993. https://books.google.com/book/about/Public_Hospitals_in_Developing_Countries.html?id=cSDAAAACAAJsource=kp_book_description
6. [6] Barrett DJ. The evolving organizational structure of academic health centers: The case of the university of Florida. Acad Med. 2008; 83(9):804-8. [DOI:10.1097/ACM.0b013e318181d054] [PMID] [DOI:10.1097/ACM.0b013e318181d054]
7. [7] Mosadeghrad AM. Patient choice of a hospital: Implications for health policy and management. Int J Health Care Qual Assur. 2014; 27(2):152-64. [DOI:10.1108/IJHCQA-11-2012-0119] [PMID] [DOI:10.1108/IJHCQA-11-2012-0119]
8. [8] WHO. World health statistics 2019: Monitoring health for the SDGs sustainable development goals. Geneva: World Health Organization; 2019. https://books.google.com/books/about/World_Health_Statistics_2019.html?id=C9oizQEACAAJ&source=kp_book_description
9. [9] Chisholm D, Evans DB. Improving health system efficiency as a means of moving towards universal coverage. Geneva: World Health Organization; 2010. https://www.who.int/healthsystems/topics/financing/healthreport/28UCefficiency.pdf
10. [10] Emamgholipour S, Jaafaripooyan E, Mohammadshahi M, Yazani EM. [The effect of Health Sector Evolution Plan on the performance indices of emergency department in hospitals of Tehran & Iran universities of medical sciences: Interrupted time series analysis (Persian)]. Iran J Emerg Med. 2018; 5(1):9. https://www.magiran.com/paper/1792327?lang=en
11. [11] Emami Razavi SH. [Health system reform plan in Iran: Approaching universal health coverage (Persian)]. Hakim Health Sys Res. 2016; 18(4):329-35. https://www.sid.ir/en/journal/ViewPaper.aspx?ID=596828
12. [12] Ameriyoun A, Delavari A. [Comparative analysis of the crisis plan in Sepah hospitals (Persian)] [PhD. dissertation]. Tehran: Baghiyatallah University of Medical Sciences; 2008.
13. [13] Toroski M, Golmakani E, Sodagar H, Hosseini S, Rajabzadeh R, Borhaninejad V. [Survey of bed efficiency for hospitals of North Khorasan university of medical sciences by using standard functional criteria of the ministry of health (Persian)]. J North Khorasan Univ Med Sci. 2014; 6(3):637-44. [DOI:10.29252/jnkums.6.3.637] [DOI:10.29252/jnkums.6.3.637]
14. [14] Tehewy Mahi Al, Salem B, Habil I, El Okda S. Evaluation of accreditation program in nongovernmental organizations' health units in Egypt: Short-term outcomes. Int J Qual Health Care. 2009; 21(3):183-9. [DOI:10.1093/intqhc/mzp014] [PMID] [DOI:10.1093/intqhc/mzp014]
15. [15] Sharif M, Motaghi M, Sehhat M. [Compression of clinical indicators before and after the implementation of clinical governance and accreditation programs in beheshti hospital-2012 (Persian)]. Beyhagh. 2015; 20(2):14-25. https://www.sid.ir/en/Journal/ViewPaper.aspx?ID=525574
16. [16] Sajadi HS, Sajadi ZS, Sajadi FA, Hadi M, Zahmatkesh M. The comparison of hospitals' performance indicators before and after the Iran's hospital care transformations plan. J Educ Health Promot. 2017; 6:89. [DOI:10.4103/jehp.jehp_134_16] [PMID] [PMCID] [DOI:10.4103/jehp.jehp_134_16]
17. [17] OECD. Length of hospital stay [Internet]. 2021.[DOI:10.1787/8dda6b7a-en] [DOI:10.1787/8dda6b7a-en]
18. [18] Piroozi B, Moradi G, Nouri B, Mohamadi Bolbanabad A, Safari H. Catastrophic health expenditure after the implementation of health sector evolution plan: A case study in the west of Iran. Int J Health Policy Manage. 2016; 5(7):417-23. [DOI:10.15171/ijhpm.2016.31] [PMID] [PMCID] [DOI:10.15171/ijhpm.2016.31]
19. [19] Dargahi H, Darrudi A, Rezaei Abgoli M. [The effect of iran health system evolution plan on Tehran university of medical sciences hospitals' performance indicators: A case study using the Pabon Lasso model (Persian)]. J Sch Public Health Inst Public Health Res. 2018; 16(3):228-39. https://sjsph.tums.ac.ir/article-1-5675-en.html
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