Performance Analysis of Hospitals Affiliated to Mashhad University of Medical Sciences Using the Pabon Lasso Model: A Six-Year-Trend Study

kalhor, roohollah; Ramandi, Fatemeh Darzi; Rafiei, Sima; Tabatabaee, Seyed Saeed; Azmal, Mohammad; Kalhor, Leila

doi:10.17795/bhs-38629

Cited by 9 publications

(5 citation statements)

References 4 publications

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“…In the DEA model, the performance score varies from 1 in the Universities of Ardebil, Bojnourd, Bushehr, Dezful, Gilan, Gonabad, and Kordestan to 0.371 in Kashan University. A considerable part of the studies took place inside the country in the case of efficiency of health systems where focus was made on the hospitals [5,7,[66][67][68][69][70][71][72] and this has indicated different degrees of inefficiency in the sector of hospital services of the country. Of the studies achieved on a comprehensive scale in regard to the evaluation of performance of the health system in Iran in the case of efficiency of all the scopes (education, research, health, and treatment), reference can be made to the study by Rashdian and his colleagues.…”

Section: Discussionmentioning

confidence: 99%

“…There is an endless interest in the design and application of a combination of methods and frameworks for measuring the performance of these organizations [5]. With regard to the obvious relationship between the definition of technical efficiency and the definition of health systems performance, efficiency has been expressed as the most important and prevalent mechanics and key for measurement and evaluation of the performance [1,6,7]. The first effort made for evaluating the performance of health systems by applying the concept of efficiency was made by WHO in 2000; having evaluated the efficiency of health systems in 191 countries of the world [8].…”

Section: Introductionmentioning

confidence: 99%

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Performance evaluation and ranking of regional primary health care and public health Systems in Iran

Rashidian

Jahanmehr

Farzadfar

et al. 2021

BMC Health Serv Res

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Background The present study has been undertaken with the aim to evaluate performance and ranking of various universities of medical sciences that are responsible for providing public health services and primary health care in Iran. Methods Four models; Weighted Factor Analysis (WFA), Equal Weighting (EW), Stochastic Frontier Analysis (SFA), and Data Envelopment Analysis (DEA) have been applied for evaluating the performance of universities of medical sciences. This study was commenced based on the statistical reports of the Ministry of Health and Medical Education (MOHME), census data from the Statistical Center of Iran, indicators of Vital Statistics, results of Multiple Indicator of Demographic and Health Survey 2010, and results of the National Survey of Risk Factors of non-communicable diseases. Results The average performance scores in WFA, EW, SFA, and DEA methods for the universities were 0.611, 0.663, 0.736 and 0.838, respectively. In all 4 models, the performance scores of universities were different (range from 0.56–1, 0.53–1, 0.73–1 and 0.83–1 in WFA, EW, SFA and DEA models, respectively). Gilan and Rafsanjan universities with the average ranking score of 4.75 and 41 had the highest and lowest rank among universities, respectively. The universities of Gilan, Ardabil and Bojnourd in all four models had the highest performance among the top 15 universities, while the universities of Rafsanjan, Ahvaz, Kerman and Jiroft showed poor performance in all models. Conclusions The average performance scores have varied based on different measurement methods, so judging the performance of universities based solely on the results of a model can be misleading. In all models, the performance of universities has been different, which indicates the need for planning to balance the performance improvement of universities based on learning from the experiences of well-performing universities.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Performance evaluation and ranking of regional primary health care and public health Systems in Iran

Rashidian

Jahanmehr

Farzadfar

et al. 2021

BMC Health Serv Res

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“…30 Finally, a previous study on the Affiliated Hospital of the Medical College of Iran showed that the average ALOS was 4.1, 31 3.2 32 and 4.1-4.6 days. 33 In 2018, ALOS in many APEC countries is 4-10 days, 34 China's general hospitals have ALOS of 8.5 days, while Beijing's 10 general public hospitals have ALOS of 11.3 days, and the 8 hospitals with a more comprehensive nature have an ALOS of 7.31 days.…”

Section: Discussionmentioning

confidence: 99%

Changes in efficiency of tertiary public general hospitals during the reform of public hospitals in Beijing, China

Zhu

Song

2021

Health Planning & Management

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Background: In March 2009, the Chinese government formally launched a new round of healthcare reform. As the city with the highest concentration of high-quality medical resources in China, in the past 10 years, Beijing has also been exploring medical reforms. This article studied the performance and development of the 10 tertiary general public hospitals managed by Beijing Municipal Hospital Management Centre to provide policy basis for further deepening Beijing public hospital reform and improving hospital efficiency.

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“…[11] Since then, this model has been used numerous times to assess hospital performances. [2,[12][13][14][15][16][17][18][19] The Pabón-Lasso model is a graphical presentation of hospital performance in which vertical and horizontal lines are set at the average values of BOR and BTR, respectively. These lines form axes that divide the graph into four sectors representing different productivity levels based on these commonly used performance indicators.…”

Section: Introductionmentioning

confidence: 99%

Assessing the Performance of Non-specialised Private Hospitals in Malaysia Using the Pabón‐lasso Model

Samsudin,

Lim,

Rochmah

et al. 2023

Preprint

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Background The government has rapidly promoted the privatisation of healthcare to improve systemic performance based on the theory that markets improve efficiency. This study aims to measure the efficiency of private hospitals following private healthcare expansion and venture into the medical tourism industry through extensive governmental support. Methods Inpatient utilisation of 101 private, non-specialised hospitals in Malaysia in 2014 and 2018 from the Health Informatics Centre, Ministry of Health Malaysia database was studied using paired samples t-test, analysis of variance (ANOVA), and the Pabón-Lasso model. Results Better quantitative performance was found among larger hospitals, those with hospital accreditation, and those participating in medical tourism activities. There is a scale effect of efficiency between smaller and larger hospitals. However, when compared within respective size categories, Category 1 (small hospitals with less than 100 beds) has the highest percentage of efficient hospitals (39.3 per cent in 2014 and 35.7 per cent in 2018 in Sector 3 of the Pabón Lasso graphs). Conclusion This study has found that a higher bed occupancy rate (BOR) and longer average length of stay (ALoS) are associated with larger private hospitals, hospital accreditation, and participation in medical tourism activities in Malaysia. There is a need to expedite strategic hospitals partnership for resource optimisation and capacity pooling towards producing better performance.

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Performance Analysis of Hospitals Affiliated to Mashhad University of Medical Sciences Using the Pabon Lasso Model: A Six-Year-Trend Study

Abstract: Background: Nowadays, productivity and efficiency are considered a culture and a perspective in both life and work environments. This is the starting point of human development.

Cited by 9 publications

References 4 publications

Performance evaluation and ranking of regional primary health care and public health Systems in Iran

Performance evaluation and ranking of regional primary health care and public health Systems in Iran

Changes in efficiency of tertiary public general hospitals during the reform of public hospitals in Beijing, China

Assessing the Performance of Non-specialised Private Hospitals in Malaysia Using the Pabón‐lasso Model

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