Efficiency of Iranian Hospitals Before and After Health Sector Evolution Plan: A Systematic Review and Meta-Analysis Study

Frontiers in Public Health

Ali Alimohammadi¹  Mohammadreza Amiresmaili²  Mojtaba Didehdar⁴  Saeed Amini⁵  Ali Kazemi-Karyani⁶  Behzad Karami Matin⁶  Yahya Salimi⁷ 

[1] Department of Forensic Medicine, School of Medicine, Arak University of Medical Sciences, Arak, Iran;Department of Health Management, Policy Making and Economics, Kerman University of Medical Sciences, Kerman, Iran;Department of Health Services Management, Arak University of Medical Sciences, School of Health, Arak, Iran;Department of Medical Parasitology and Mycology, School of Medicine, Arak University of Medical Sciences, Arak, Iran;Molecular and Medicine Research Center, Khomein University of Medical Sciences, Khomein, Iran;Research Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran;Social Development and Health Promotion Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran;

关键词: efficiency;    hospital;    ownership;    costs;    Iran;   

DOI  :  10.3389/fpubh.2021.727669

来源: DOAJ

【 摘 要 】

Purpose: Aging, chronic diseases, and development of expensive and advanced technologies has increased hospitals costs which have necessitated their efficiency in utilization of resources. This systematic review and meta-analysis study has assessed the efficiency of Iranian hospitals before and after the 2011 Health Sector Evolution Plan (HSEP).Methods: Internal and external databases were searched using specified keywords without considering time limitations. The retrieved articles were entered into EndNote considering inclusion and exclusion criteria, and the final analysis was performed after removing duplicates. Heterogeneity between the studies was assessed using Q and I2 tests. A forest plot with 95% confidence intervals (CI) was used to calculate different types of efficiency. The data were analyzed using STATA 14.Results: Random pooled estimation of hospitals technical, managerial, and scale efficiencies were 0.84 (95%CI = 0.78, 0.52), 0.9 (95%CI = 0.85, 0.94), and 0.88 (95%CI = 0.84, 0.91), respectively. Sub-group analysis on the basis of study year (before and after HSEP in 2011) indicated that random pool estimation of technical (0.86), managerial (0.91), and scale (0.90) efficiencies of Iranian hospitals for 2011 and before were better than technical (0.78), managerial (0.86), and scale (0.74) efficiencies after 2011.Conclusion: Type of hospital ownership was effective on hospital efficiency. However, HSEP has not improved hospital efficiency, so it is necessary for future national plans to consider all aspects.

【 授权许可】

Unknown