The Effect of Health System Transformation Plan on The Efficiency of Selected Hospitals in Ahvaz

There is no doubt that determining the efficiency of hospitals is one of the key steps that must be taken. Therefore, performance appraisal can help health plan executives to better understand its strengths and weaknesses. The purpose of this study is to evaluate the effect of health system transformation plan on the efficiency of selected hospitals in Ahvaz in the period 2012 to 2017.

Data related to seven hospitals implementing the project and one control hospital in 2012, 2013, 2016 and 2017 were collected. The efficiency of hospitals was calculated using data envelopment analysis technique using CCR method and WinDeap2 v 2.1 software. Independent t-test and Poisson using Stata v 15.1 software were used for inferential analysis.

The highest efficiency of hospitals were related to 2017 with average 0.987 and the efficiency of two hospitals in 2016 and 2017 was 1 and the other two hospitals have experienced an upward trend during these two years. Efficiency, number of hospital admissions, number of outpatient admissions and number of surgeries before the transformation plan were significantly different from after, but this difference was not true for the number of active beds, number of physicians and number of nurses.

Totally the efficiency of hospitals implementing transformation plan has been experienced an upward trend. considering the health system transformation plan in 2014, the improvement of the efficiency, the number of outpatient admissions, the number of hospital admissions and the number of surgeries was probably due to the transformation plan.