WHO Regional Office for the Eastern Mediterranean, Cairo, Egypt.
School of Nursing and Midwifery, Saveh University of Medical Sciences, Saveh, Iran.
Front Public Health. 2023 Feb 2;11:1085459. doi: 10.3389/fpubh.2023.1085459. eCollection 2023.
Recent rising costs and shortages of healthcare resources make it necessary to address the issue of hospital efficiency. Increasing the efficiency of hospitals can result in the better and more sustainable achievement of their organizational goals.
The purpose of this research is to examine hospital efficiency in the Eastern Mediterranean Region (EMR) using data envelopment analysis (DEA).
This study is a systematic review and meta-analysis of all articles published on hospital efficiency in Eastern Mediterranean countries between January 1999 and September 2020, identified by searching PubMed through MEDLINE, Web of Science, Scopus, Science Direct, and Google Scholar. The reference lists of these articles were checked for additional relevant studies. Finally, 37 articles were selected, and data were analyzed through Comprehensive Meta-Analysis Software (v.2.2.064).
Using the random-effects model, the mean hospital efficiency in Eastern Mediterranean hospitals was 0.882 ± 0.01 at 95% CI. Technical efficiency (TE) was higher in some countries such as Iraq (0.976 ± 0.035), Oman (0.926 ± 0.032), and Iran (0.921 ±0.012). A significant statistical correlation was observed between the hospital efficiency and the year of publication and sample size ( < 0.05).
Efficiency plays a significant role in hospital growth and development. Therefore, it is important for healthcare managers and policymakers in the EMR to identify the causes of inefficiency, improve TE, and develop cost-effective strategies.
最近医疗保健资源成本的上升和短缺使得解决医院效率问题变得必要。提高医院的效率可以更好、更可持续地实现其组织目标。
本研究旨在使用数据包络分析（DEA）来研究东地中海地区（EMR）的医院效率。
本研究是对 1999 年 1 月至 2020 年 9 月期间在东地中海国家发表的所有关于医院效率的文章进行的系统评价和荟萃分析，通过在 MEDLINE、Web of Science、Scopus、Science Direct 和 Google Scholar 上搜索 PubMed 进行了检索。这些文章的参考文献列表中也检查了其他相关研究。最后，选择了 37 篇文章，并通过 Comprehensive Meta-Analysis Software（v.2.2.064）进行数据分析。
使用随机效应模型，东地中海地区医院的平均医院效率为 0.882±0.01，95%置信区间为 0.882±0.01。一些国家的技术效率（TE）更高，如伊拉克（0.976±0.035）、阿曼（0.926±0.032）和伊朗（0.921±0.012）。医院效率与发表年份和样本量之间存在显著的统计学相关性（<0.05）。
效率在医院的成长和发展中起着重要的作用。因此，识别效率低下的原因、提高技术效率并制定具有成本效益的策略，对 EMR 中的医疗保健管理者和政策制定者来说非常重要。
