IntroductionHospitals are the most expensive health services provider in the world. Therefore, the evaluation of their performance can be used to reduce costs. The aim of this study was to determine the efficiency of the hospitals at the Kurdistan University of Medical Sciences using stochastic frontier analysis (SFA).MethodsThis was a cross-sectional and retrospective study that assessed the performance of Kurdistan teaching hospitals (n = 12) between 2007 and 2013. The Stochastic Frontier Analysis method was used to achieve this aim. The numbers of active beds, nurses, physicians, and other staff members were considered as input variables, while the inpatient admission was considered as the output. The data were analyzed using Frontier 4.1 software.ResultsThe mean technical efficiency of the hospitals we studied was 0.67. The results of the Cobb-Douglas production function showed that the maximum elasticity was related to the active beds and the elasticity of nurses was negative. Also, the return to scale was increasing.ConclusionThe results of this study indicated that the performances of the hospitals were not appropriate in terms of technical efficiency. In addition, there was a capacity enhancement of the output of the hospitals, compared with the most efficient hospitals studied, of about33%. It is suggested that the effect of various factors, such as the quality of health care and the patients’ satisfaction, be considered in the future studies to assess hospitals’ performances.

BACKGROUND: Diagnostic services are highly critical in the success of treatment processes, overly costly nonetheless. Accordingly, hospitals generally seek the private partnership in the provision of such services. This study intends to explore the incentives owned by both public and private sector in their joint provision of diagnostic services under the public-private partnership agreement.METHOD: A qualitative, exploratory study was employed in Tehran hospitals from October 2017 to March 2018. Around 25 face-to-face, semi structured interviews were conducted with the purposively recruited hospital managers, heads of diagnostic services and managers of private companies. Interviews were transcribed and analyzed using conventional content analysis, assisted by "MAXQDA-12".RESULTS: Three main categories and nine sub-categories represented the incentives of public sector, and four main categories and seven sub-categories signified those of private sector. The incentives of public sector included the status-quo remediation, upstream requirements, and personal reasons. As such, the individual, social and economic incentives and legal constraints were driving the behavior of the private sector.CONCLUSIONS: Financial problem and gain were the most noted incentives by the partners. Attention to the either side’s incentives and aims is likely to ensure the durability and effectiveness of such partnerships in the health sector.

The aim of this study was to determine the relationship between the levels of care for patients and length of stay in hospital. Materials and Methods: This was a cross-sectional descriptive study. Scientific information using related library resources, online articles and dissertations was collected and data related to variables, average stay, and need for patient care using nursing report forms and patient cases have been collected from 204 cases in Hazrat Rasool Complex, Tehran, Iran in 2013. Results: There are significant differences between the average stay in different departments. The level of care needed with an average length of stay had strong and significant correlation. Gender, age, and marital status have no significant effect on the average length of stay. Conclusion: Although the overall performance of the hospital due to the need for patient care was desirable and appropriate, a great improvement can be achieved by enhancement of the levels of patient care.

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Various disasters are still inevitable and over the last two decades, affected lives of at least 800 million people. Iran is one of the most disaster-prone countries and about 90% of the country are at risks of earthquakes or floods. Thus, the disaster management in our country is a priority. In recent years, several protocols have been put forward to manage the emergencies and disasters. In this regard, the related laws and regulations crisis management are an integrated part of any crisis management which specifies each organization role. One of the important pitfalls in managing risk reduction approach, is the lack of proper laws and regulations and their implementation. Moreover, national guidelines and protocols provides the pathways for different areas of intervention. To solve this shortcoming, a historical review of legislation in this area is helpful. This study aims to review the legislative history of disaster management in Iran, the responsible organizations, and their strong and weak points. This study might help reduce vulnerabilities and boost coordination in crisis management.