“…Accordingly, health care professionals need to act more efficiently in allocating scarce resources (4,5). In healthcare systems, the nature of outputs differs from other organizations, thus evaluating performance and measuring efficiency in health care are more difficult, and there is disagreement regarding the best approaches (1,6). Nonetheless, measuring hospital performance can be useful for stakeholders, including managers who evaluate the hospital's current status and monitor its activities over time, clients who must choose between different health care providers, providers who improve the quality of their health services to attract more consumers, and finally policymakers who establish more efficient mechanisms for allocating scarce resources (7).…”