Shahhoseini Reza, Tofighi Shahram, Jaafaripooyan Ebrahim, Safiaryan Reza
Baqiyatallah University of Medical Science, Tehran, Iran.
Health Serv Manage Res. 2011 May;24(2):75-80. doi: 10.1258/hsmr.2010.010017.
Hospitals have been at the core of health care in most countries during past decades, in view of the importance and criticality of their services and absorbing the highest quota of health care financial resources. Specific problems associated with these organizations in developing countries, such as Iran, have further added to the attention they have received over the course of those years. Efficiency measurement of hospitals based on simple ratios has long been utilized to remedy these problems in Iran. However, application of data envelopment analysis as an advanced method for measuring efficiency of health care organizations is mostly unexplored in this country. The current study has applied this method to investigate technical efficiency of a group of provincial hospitals in Iran. The findings showed that just under 60% of all hospitals at the province were technically efficient, and the remainder faced excess number of inputs (specifically in their non-clinical human resources) that should be attended to by the managers. Implications for practice and research on the efficiency of hospitals in the country and similar settings are provided.
在过去几十年里，鉴于医院服务的重要性和关键性以及其占用了医疗保健财政资源的最大份额，医院一直是大多数国家医疗保健的核心。在诸如伊朗等发展中国家，与这些机构相关的具体问题在过去几年里进一步增加了它们受到的关注。长期以来，伊朗一直利用基于简单比率的医院效率衡量方法来解决这些问题。然而，作为衡量医疗保健机构效率的一种先进方法，数据包络分析在该国大多未被探索。本研究应用此方法调查了伊朗一组省级医院的技术效率。研究结果表明，该省所有医院中，技术效率较高的医院不到60%，其余医院面临着过多的投入（特别是非临床人力资源方面），管理人员应予以关注。本文还阐述了对该国及类似环境下医院效率的实践和研究的启示。
