جستجوی مقالات مرتبط با کلیدواژه « Scale efficiency » در نشریات گروه « پزشکی »

Due to the limited resources in the health system, it is necessary to measure the efficiency of health organizations. The purpose of this study was to evaluate the efficiency of pre-hospital emergency centers in medical sciences universities of Iran.

In this study, the efficiency of pre-hospital emergency care in medical sciences universities of Iran was evaluated by using the data analysis technique from 2015 to 2018. The inputs included the number of road stations, urban stations, ambulances, and manpower. The outputs included the mean bedside time, the number of dispatches to the hospital, and the travel number for traffic accident and non-accident patients. Data were collected through the accident and non-accident registry system in Khuzestan and Lorestan provinces (fourth planning region) and then analyzed using DEAP 2.1 software.

The mean scores of technical, managerial, and scale efficiency for the whole region were 0.889 ±0.025, 0.994 ±0.008, and 0.889 ±0.024, respectively. Therefore, there is a potential for upgrading technical and scale efficiency by 10%. The results showed that manpower was the main slack of production factors which reduced relative efficiency.

Overall, the efficiency of pre-hospital emergency centers was appropriate in Khuzestan and Lorestan Medical Sciences Universities (in the fourth planning region).

Hospitals with high performance and optimal use of resources are among the ultimate goals of healthcare policy makers. The current study aimed at assessing the efficiency of hospitals affiliated to Hamadan University of Medical Sciences, Hamadan, Iran, using data envelopment analysis and Tobit regression in 2017.

In the current descriptive study, the statistical population included all hospitals affiliated to Hamedan University of Medical Sciences (n = 15). The required information and statistics were collected from the Deputy of Treatment at the university in two stages using the standard checklist provided by the Iranian Ministry of Health and Medical Education. The efficiency of data envelopment analysis was assessed in the first stage. The input variables of data envelopment analysis included the number of staff (physicians, paramedics, etc.) and the number of active beds, and the output variables included the number of patients (outpatients and admissions) and the number of surgeries and occupied beds. In the second stage, efficiency as a dependent variable, and hospital size and population were considered as independent variables in Tobit regression. Deep2.1 software was used to estimate the data envelopment analysis and Stata 15 software was used for Tobit regression.

The average technical efficiency of the hospitals was 0.933. The average management efficiency was 0.951, and the average efficiency of the scale was 977.0. Of the total hospitals surveyed, six hospitals had a capacity of < 1, and nine hospitals have an efficiency of 1. Also, hospital size and population size were significant as an environmental variable in Tobit regression.

In hospitals with < 1 efficiency there is a surplus in the number of input variables. It is recommended that the hospitals shift toward maximum efficacy by optimizing the number of staff and active beds

Maintaining and providing the health care are of the proprieties of each health system. Therefore، those involved in health sector should always do their best to provide high quality services. Increasing the efficiency of health system is one of the issues emphasized by the policy-makers. This study was aimed to compare between Iran and the Selected Countries on the Efficiency of expenses in Health Sector by Data Envelopment Analysis (1998 -2008).

In this applied descriptive study، the Data Envelopment Analysis (DEA) Method was used to determine the efficiency of Iranian health sector and the other selected countries (N: 40).

The findings revealed that the health sector in Iran had a technical efficiency of 77. 2% during the period of 1998-2008. Iran held the 16th rank among all countries under study.

The technical efficiency of the health sector in Iran is about 70% of the optimal level. As the mere increase in the expenses of the health sector cannot lead to improvement of health indices، health policy-makers should increase the efficiency of these expenses by means of appropriate policy making and implementation of these policies. Developing public insurance، improving life style، making organizational modifications، and paying more attention to the preventive measures can result in raising the efficiency of these expenses.