Kalhor Rohollah, Amini Saeed, Sokhanvar Mobin, Lotfi Farhad, Sharifi Marziye, Kakemam Edris
aSocial Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin bResearch Center for Health Services Management, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman cStudent Research Committee, Tabriz University of Medical Science, Tabriz dHealth Human Resources Research Center, School of Management & Information Sciences, Shiraz University of Medical Sciences, Shiraz eDepartment of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
J Egypt Public Health Assoc. 2016 Mar;91(1):20-5. doi: 10.1097/01.EPX.0000480717.13696.3c.
Restrictions on resource accessibility and its optimal application is the main challenge in organizations nowadays. The aim of this research was to study the technical efficiency and its related factors in Tehran general hospitals.
This descriptive analytical study was conducted retrospectively in 2014. Fifty-four hospitals with private, university, and social security ownerships from the total 110 general hospitals were randomly selected for inclusion into this study on the basis of the share of ownership. Data were collected using a checklist with three sections, including background variables, inputs, and outputs.
Seventeen (31.48%) hospitals had an efficiency score of 1 (highest efficiency score). The highest average efficiency score was in social security hospitals (84.32). Private and university hospitals ranked next with an average of 84.29 and 79.64, respectively. Analytical results showed that there was a significant relationship between hospital ownership, hospital type in terms of duty and specialization, educational field of the chief executive officer, and technical efficiency. There was no significant relationship between education level of hospital manager and technical efficiency.
Most of the studied hospitals were operating at low efficiency. Therefore, policymakers should plan to improve the hospital operations and promote hospitals to an optimal level of efficiency.
资源获取及其优化应用的限制是当今组织面临的主要挑战。本研究的目的是评估德黑兰综合医院的技术效率及其相关因素。
本描述性分析研究于2014年进行回顾性分析。根据所有权份额，从110家综合医院中随机选择了54家具有私立、大学和社会保障所有权的医院纳入本研究。使用包含三个部分的清单收集数据，包括背景变量、投入和产出。
17家（31.48%）医院的效率得分为1（最高效率得分）。社会保障医院的平均效率得分最高（84.32）。私立医院和大学医院次之，平均得分分别为84.29和79.64。分析结果表明，医院所有权、职责和专业类型的医院类型、首席执行官的教育领域与技术效率之间存在显著关系。医院管理者的教育水平与技术效率之间没有显著关系。
大多数研究医院的运营效率较低。因此，政策制定者应计划改善医院运营，将医院提升到最佳效率水平。
