Performance evaluation and ranking of regional primary health care and public health Systems in Iran
Abstract Background The present study has been undertaken with the aim to evaluate performance and ranking of various universities of medical sciences that are responsible for providing public health services and primary health care in Iran. Methods Four models; Weighted Factor Analysis (WFA), Equal...
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| Format: | Article |
| Language: | English |
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BMC
2021-10-01
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| Series: | BMC Health Services Research |
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| Online Access: | https://doi.org/10.1186/s12913-021-07092-x |
| _version_ | 1818395131953283072 |
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| author | Arash Rashidian Nader Jahanmehr Farshad Farzadfar Ardeshir Khosravi Mohammad Shariati Ali Akbari Sari Soheila Damiri Reza Majdzadeh |
| author_facet | Arash Rashidian Nader Jahanmehr Farshad Farzadfar Ardeshir Khosravi Mohammad Shariati Ali Akbari Sari Soheila Damiri Reza Majdzadeh |
| author_sort | Arash Rashidian |
| collection | DOAJ |
| description | Abstract Background The present study has been undertaken with the aim to evaluate performance and ranking of various universities of medical sciences that are responsible for providing public health services and primary health care in Iran. Methods Four models; Weighted Factor Analysis (WFA), Equal Weighting (EW), Stochastic Frontier Analysis (SFA), and Data Envelopment Analysis (DEA) have been applied for evaluating the performance of universities of medical sciences. This study was commenced based on the statistical reports of the Ministry of Health and Medical Education (MOHME), census data from the Statistical Center of Iran, indicators of Vital Statistics, results of Multiple Indicator of Demographic and Health Survey 2010, and results of the National Survey of Risk Factors of non-communicable diseases. Results The average performance scores in WFA, EW, SFA, and DEA methods for the universities were 0.611, 0.663, 0.736 and 0.838, respectively. In all 4 models, the performance scores of universities were different (range from 0.56–1, 0.53–1, 0.73–1 and 0.83–1 in WFA, EW, SFA and DEA models, respectively). Gilan and Rafsanjan universities with the average ranking score of 4.75 and 41 had the highest and lowest rank among universities, respectively. The universities of Gilan, Ardabil and Bojnourd in all four models had the highest performance among the top 15 universities, while the universities of Rafsanjan, Ahvaz, Kerman and Jiroft showed poor performance in all models. Conclusions The average performance scores have varied based on different measurement methods, so judging the performance of universities based solely on the results of a model can be misleading. In all models, the performance of universities has been different, which indicates the need for planning to balance the performance improvement of universities based on learning from the experiences of well-performing universities. |
| first_indexed | 2024-12-14T06:12:14Z |
| format | Article |
| id | doaj.art-6c3bda8f55a142ba9dd5df47dd88b762 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-14T06:12:14Z |
| publishDate | 2021-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-6c3bda8f55a142ba9dd5df47dd88b7622022-12-21T23:14:07ZengBMCBMC Health Services Research1472-69632021-10-0121111410.1186/s12913-021-07092-xPerformance evaluation and ranking of regional primary health care and public health Systems in IranArash Rashidian0Nader Jahanmehr1Farshad Farzadfar2Ardeshir Khosravi3Mohammad Shariati4Ali Akbari Sari5Soheila Damiri6Reza Majdzadeh7Department of Health Management and Economics, School of Public Health, Tehran University of Medical SciencesDepartment of Health Economics, Management and Policy, Virtual School of Medical Education & Management, Shahid Beheshti University of Medical SciencesNon-Communicable Diseases Research Center, Tehran University of Medical SciencesCenter for Primary Health Care Management, Ministry of Health and Medical EducationDepartment of Community Medicine, School of Medicine, Tehran University of Medical SciencesDepartment of Health Management and Economics, School of Public Health, Tehran University of Medical SciencesDepartment of Health Management and Economics, School of Public Health, Tehran University of Medical SciencesDepartment of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical SciencesAbstract Background The present study has been undertaken with the aim to evaluate performance and ranking of various universities of medical sciences that are responsible for providing public health services and primary health care in Iran. Methods Four models; Weighted Factor Analysis (WFA), Equal Weighting (EW), Stochastic Frontier Analysis (SFA), and Data Envelopment Analysis (DEA) have been applied for evaluating the performance of universities of medical sciences. This study was commenced based on the statistical reports of the Ministry of Health and Medical Education (MOHME), census data from the Statistical Center of Iran, indicators of Vital Statistics, results of Multiple Indicator of Demographic and Health Survey 2010, and results of the National Survey of Risk Factors of non-communicable diseases. Results The average performance scores in WFA, EW, SFA, and DEA methods for the universities were 0.611, 0.663, 0.736 and 0.838, respectively. In all 4 models, the performance scores of universities were different (range from 0.56–1, 0.53–1, 0.73–1 and 0.83–1 in WFA, EW, SFA and DEA models, respectively). Gilan and Rafsanjan universities with the average ranking score of 4.75 and 41 had the highest and lowest rank among universities, respectively. The universities of Gilan, Ardabil and Bojnourd in all four models had the highest performance among the top 15 universities, while the universities of Rafsanjan, Ahvaz, Kerman and Jiroft showed poor performance in all models. Conclusions The average performance scores have varied based on different measurement methods, so judging the performance of universities based solely on the results of a model can be misleading. In all models, the performance of universities has been different, which indicates the need for planning to balance the performance improvement of universities based on learning from the experiences of well-performing universities.https://doi.org/10.1186/s12913-021-07092-xEfficiencyPrimary health carePublic healthProgram evaluationHealth care evaluation mechanisms |
| spellingShingle | Arash Rashidian Nader Jahanmehr Farshad Farzadfar Ardeshir Khosravi Mohammad Shariati Ali Akbari Sari Soheila Damiri Reza Majdzadeh Performance evaluation and ranking of regional primary health care and public health Systems in Iran BMC Health Services Research Efficiency Primary health care Public health Program evaluation Health care evaluation mechanisms |
| title | Performance evaluation and ranking of regional primary health care and public health Systems in Iran |
| title_full | Performance evaluation and ranking of regional primary health care and public health Systems in Iran |
| title_fullStr | Performance evaluation and ranking of regional primary health care and public health Systems in Iran |
| title_full_unstemmed | Performance evaluation and ranking of regional primary health care and public health Systems in Iran |
| title_short | Performance evaluation and ranking of regional primary health care and public health Systems in Iran |
| title_sort | performance evaluation and ranking of regional primary health care and public health systems in iran |
| topic | Efficiency Primary health care Public health Program evaluation Health care evaluation mechanisms |
| url | https://doi.org/10.1186/s12913-021-07092-x |
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