جستجوی مقالات مرتبط با کلیدواژه "pabon lasso" در نشریات گروه "پزشکی"

There is limited evidence about the effect of the corona disease epidemic on the efficiency of hospitals in Iran. This study was conducted with the aim of investigating the effect of the Covid-19 epidemic on the productivity of public hospitals in Ilam province.

This retrospective descriptive research has investigated the performance of 9 hospitals in Ilam province during a four-year period(1397-1400) based on the Pabon Lasso graphic model. The desired data were extracted from the HIS system of the hospitals and the key performance indicators of BOR, BTR and ALOS were calculated. The Pabon Lasso diagram was drawn with Excel software.

The results showed that the bed occupancy percentage in teaching hospitals is significantly higher than non-teaching hospitals (P<0.05). Based on the results, the percentage of bed occupancy and the rate of bed rotation after the covid 19 pandemic has decreased significantly (P<0.05). The average length of the stay of patients also increased after the pandemic (P<0.05). Overall evaluation of hospital efficiency based on the Pabén Lasso model shows that the frequency of hospitals located in Nakara district has decreased from 4 hospitals before the pandemic to 3 hospitals, although hospitals in Kara district have not changed during this period.

Most of the researched hospitals, especially non-teaching hospitals, have low bed occupancy. Weakness in the service delivery chain, especially diagnostic services and specialized and super-specialized services, is one of the main reasons for this situation. Moving towards a change in the way hospitals are managed and having more flexibility in the structure and implementation in the short term and prioritizing large hospitals with a complete chain of services can lead to a way out of the current inefficient situation.

Approximately 85% of Iranian hospitals are general hospitals. Considering the limitation of resources, improvement of hospital efficiency is an absolute necessity. Efficiency, as the output-input ratio, indicates the use of the lowest amount of inputs to produce the greatest amount of outputs. The aim of this study was to determine the efficiency of general hospitals in Iran and identification of the factors affecting the efficiency of the hospitals.

In this cross-sectional and descriptive study we used the Pabon Lasso model and three performance indicators. i.e., bed occupancy rate (BO), the average length of stay (ALS), and hospital bed turnover (BT) to determine the efficiency of the Iranian general hospitals in 2017. Data were analyzed by SPSS software and charts were drawn using Power BI software.

There were 834 general hospitals with 108257 beds in Iran in 2017. The average BO, ALS, and BT were 62.8%, 2.6 days, and 93 times respectively. Only 15% of the general hospitals were located in zone III of the Pabon lasso model and had acceptable efficiency (high BO and BT). Factors such as hospital ownership, type, size, age of hospital building, and staff number were significantly related to hospital efficiency. Private and social security hospitals, non-teaching hospitals, and hospitals with 100-200 beds and 2-4 staff per bed had more efficiency in comparison to the teaching hospitals.

Because of the low efficiency of most general hospitals policymakers and senior managers should take necessary measures for the improvement of the efficiency of the hospitals.

Assessment of hospital performance plays an important role in improving the quantity and quality of services. The purpose of this study was to evaluate the performance of the teaching hospitals of Kermanshah University of Medical Sciences using Pabon Lasso model during 2006-2011.

This descriptive-analytical study was carried out to assess the performance of six teaching hospitals of Kermanshah University of Medical Sciences during 2006-2011 using Pabon Lasso Model. This model uses three indexes of bed occupancy rate, bed turnover rate and the average length of stay, simultaneously. The data were collected using a standardized checklist, and Excel software was used for analyzing the data and charting Pabon Lasso.

The results showed that one of the studied hospitals had high bed occupancy rate and low turnover rate, two hospitals had high turnover rate and low bed occupancy rate, one hospital had high bed occupancy rate and high bed turnover rate, and two hospitals had low bed turnover rate and high bed occupancy rate.

According to this study, about 85 percent of hospitals had low performance in indexes of bed occupancy rate, bed turnover rate or both. So, the reasons for the low performance must be evaluated and analyzed. Also, based on the characteristics of the hospitals, proper strategies can be applied to improve the performance of hospitals and increase the efficiency of resources.