Rasi Vahid, Delgoshaee Bahram, Maleki Mohammahreza
Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
J Educ Health Promot. 2020 Mar 31;9:63. doi: 10.4103/jehp.jehp_563_19. eCollection 2020.
Hospitals in developed countries allocate itself about 40% of health-care costs and in developing countries up to 80%. In this study, researchers reviewed the related article in the field of the hospitals' performance evaluation due to the identification of common indicators used in different models with the aim of providing simple list for evaluating hospitals' performance to the researchers who are interested to these issues.
The databases for the search included Medline, Google Scholar, and Scopus. A search strategy leads to the extraction of 403 related articles that after the removal of inappropriate and duplicate articles, 42 studies were selected for the scoping review.
This scoping review showed that 9 of 42 selected articles use data envelopment analysis model, 6 of them Pabon Lasso model, 3 of them balanced scorecard, 3 of them organizational excellence model, and the remaining articles used key performance indicators to evaluate hospital performance. A process approach was used to categorize the common indicators because the literature review indicated that common indicators mainly evaluate data, process, output, or impact of performance. The findings included 36 input, 39 process, 27 output, and 8 impact common indicators for evaluating performance.
This scoping review of related literature indicated that despite differentiation in the time and place of past studies in the field of performance evaluation models, there are some indicators that are common in most popular performance evaluation models. These simple lists can apply for evaluation of hospitals' performance instead of complicated models.
发达国家的医院将约40%的医疗保健成本用于自身,而在发展中国家这一比例高达80%。在本研究中,研究人员回顾了医院绩效评估领域的相关文章,旨在识别不同模型中使用的常见指标,为关注这些问题的研究人员提供一份简单的医院绩效评估清单。
检索的数据库包括Medline、谷歌学术和Scopus。通过搜索策略提取了403篇相关文章,在去除不适当和重复的文章后,选择了42项研究进行范围综述。
该范围综述表明,42篇入选文章中有9篇使用数据包络分析模型,6篇使用帕邦拉索模型,3篇使用平衡计分卡,3篇使用卓越组织模型,其余文章使用关键绩效指标来评估医院绩效。由于文献综述表明常见指标主要评估绩效的数据、过程、产出或影响,因此采用了一种过程方法对常见指标进行分类。研究结果包括36个输入、39个过程、27个产出和8个影响绩效的常见指标。
对相关文献的该范围综述表明,尽管过去在绩效评估模型领域的研究在时间和地点上存在差异,但在最流行的绩效评估模型中仍有一些常见指标。这些简单的清单可用于评估医院绩效,而非复杂的模型。