Evaluating the Efficiency of Public Hospitals in Iran: A Comparative Study Using Extended Data Envelopment Analysis, 2012-2016
Author(s):
Efat Mohamadi , Amirhossein Takian * , Alireza Olyaee Manesh , Reza Majdzadeh , Farhad Hosseinzadeh Lotfi , Hamid Sharafi , Leila Hosseini Qavam Abad , Mohammad Mehdi Kiani , Haniye Sadat Sajadi , Zahra Goodarzi , Hasan Yusefzadeh Yusefzadeh , Elham Ehsani-Chimeh , Somayeh Noori Hekmat , Hakimeh Mostafavi , Jalal Arabloo
Article Type:
Research/Original Article (دارای رتبه معتبر)
Abstract:
Background
In pursuing improving healthcare quality and enhancing efficiency, public hospitals in Iran have undergone numerous reforms over the past two decades. This study aimed to assess the efficiency of all public hospitals in Iran from 2012 to 2016.Methods
This study was conducted as a quantitative and descriptive-analytical research project. The authors employed an innovative approach called Extended Data Envelopment Analysis (Extended-DEA), a modification of conventional DEA, to assess the technical efficiency and productivity of 568 public hospitals. They obtained nationally representative data from official annual health reports. The data were analyzed using GAMS software version 24.3.Results
The study found that the average efficiency score for all hospitals was 0.733. Among all the hospitals, 10.1% were deemed efficient, while 2.68% had low-efficiency scores below 0.2. The Malmquist Productivity Index (MPI) showed improvement in 49.3% of hospitals and remained unchanged at 2.3%. In comparison, 48.2% of hospitals experienced a regression in productivity from 2015 to 2016. On average, the MPI was 1.07 throughout the analysis.Conclusion
The findings of this study suggest that there is a need for increased efforts to improve the efficient utilization of resources in public hospitals. It highlights the importance of developing appropriate policy solutions and tools to address these efficiency challenges. In particular, one proposed strategy is the merger of small-sized district hospitals to establish larger and more efficient hospitals in different geographical regions across the country.Keywords:
Language:
English
Published:
Journal of Health Sciences and Surveillance System, Volume:11 Issue: 4, Oct 2023
Pages:
736 to 749
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