ارزيابي كارايي فني بيمارستان هاي آموزشي تحت پوشش دانشگاه هاي علوم پزشكي استان تهران با استفاده از تحليل پوششي داده ها قبل و بعد از اجراي طرح تحول سلامت

Assessment of the technical efficiency of teaching hospitals of Tehran using data envelopment analysis before and after health Sector Revolution

مقدمه: بيمارستان ها به عنوان بزرگ ترين و پرهزينه ترين واحد عملياتي نظام بهداشت ودرمان از اهميتي خاص برخوردارند. ميزان كارايي مي تواند معياري براي سنجش عملكرد و بهره وري مصرف منابع در بيمارستان ها باشد. مطالعه حاضر با هدف ارزيابي كارايي فني بيمارستان هاي آموزشي تحت پوشش دانشگاه هاي علوم پزشكي استان تهران با استفاده از تحليل پوششي داده ها قبل و بعد از اجراي طرح تحول سلامت انجام گرفت. روش كار: پژوهش حاضر از نظر هدف كاربردي و ماهيتاً پيمايشي-توصيفي است. در اين مقاله كارايي نسبي 32 بيمارستان طي سالهاي92-93 مورد ارزيابي قرار گرفت. به اين منظور از تكنيك تحليل پوششي داده ها، فرم پوششي و با ماهيت ورودي با فرض بازده متغير نسبت به مقياس، استفاده شد. اطلاعات مورد نياز از منابع مستندات علمي و داده هاي مربوط به شاخص هاي ورودي و خروجي نيز از وزارت بهداشت جمع آوري و از نرم افزار DEAP براي تحليل استفاده گرديد. يافته ها: ميانگين كارايي مديريتي بيمارستان هاي مورد مطالعه قبل و بعد از طرح تحول 0.974 بود. در كارايي فني نيز قبل و بعد از طرح تحول ميانگين كارايي 0.961 و 0955 بود. در هر سه نوع كارايي فني، مديريتي و مقياس رابطه معني داري بين نمره كارايي بيمارستان ها قبل و بعد از طرح تحول مشاهده نشد(0.05

Introduction: Hospitals as the largest and most costly units in health care systems play a special role. The rate of their efficiency can be considered as a criterion for the measurement of performance and productivity of resource consumption in hospitals. The aim of this study was to Assessment of the technical efficiency of teaching hospitals of Tehran using data envelopment analysis before and after health Sector Revolution Methods: This was an applied descriptive survey. In this study، relative efficiency of 32 hospitals were analyzed between. For this purpose، input-oriented DEA technique with the assumption of variable return to the scale was used. The necessary information was extracted from scientific documents، and the data related to input and output indices were collected from Ministry of Health. The collected data were then analyzed by DEAP. Results: The average management efficiency of hospital before and after health Sector Revolution was 0.974. The average technical efficiency of hospitals before and after health Sector Revolution was 0.961 and 0.955. In all of the hospitals, there were not relationship between efficiency and health Sector Revolution. Conclusion: According to what was said, it seems that health Sector Revolution has not changed much on hospital performance and efficiency of hospitals in the three universities. In general, although the performance of hospitals was desirable, but managers need to promote greater efficiency in hospitals and to make greater efforts to achieve the necessary planning to do it.