Comparison of Performance Indicators of Educational Hospitals Affiliated with Kermanshah University of Medical Sciences Before and After the Implementation of Healthcare Reform Plan

Abstract

Background: The most important factor representing the performance and utilization of hospital services are hospital indicators. Objectives: The aim of study was comparison performance indices before and after health reform plan in Kermanshah and compared with the standard of the Iranian Ministry of Health. Methods: the study was comparative and descriptive-analytical that performed cross-sectional in 2017 and conducted in seven educational hospitals in Kermanshah. The data were related to 37 indices in five areas from hospitals that were submitted to the Department of Statistics in Deputy of Treatment. The data were collected using data extraction form. The validity of the form was confirmed by 7 experts. Data analyzed using SPSS 20. Results: results showed that comparing indices of bed and hospital stay, patient indices, and indicators for outpatient and inpatient department services from para-clinical services except endoscopic increased and the mortality indices decreased. Comparing indices with Pabon-laso and standards show that status of some indices for several years before and one year after health reform plan were in unfavorable condition. Conclusions: results showed that the implementation of the health reform plan may have caused changes in most of the indicators, but these changes were significant in a few number of indices. So it is needed that policymakers evaluate indices periodically.

The effect of Iran’s health sector evolution plan on hospitals performance indicators: an interrupted time series analysis

“…However, literature shows mixed results in Iran. A study by Cheshmekaboodi et al indicated that implementation of the HESP has had a positive association with EDVs ( 13 ). On the contrary, Emamgholipour et al in Tehran found that implementation of the HSEP had no significant effect on the rate and trend of indices such as EDVs and percentage of patients discharged against medical advice ( 11 ).This intervention had a positive effect on the rate and trend of the average response time for emergency tests ( 14 ).…”

“…Factors such as type of hospital (general or specialized hospital), hospital function (teaching hospital, acute care facility, long-term hospital, etc. ), hospital size, and the ratio of specialist physicians to health professionals may affect the outcome of HSEP in emergency departments (13)(14)(15). Also, EDVs can be influenced by various factors, such as population demographics, healthcare infrastructure, and health policies.…”