Evaluation of Inpatient Surgical Wards’ Performance at the Hospitals Affiliated with Tehran University of Medical Sciences in 2018
Background: Surgery wards account for a significant portion of hospital costs, followed by patient costs. Improving surgery wards' performance plays a major role in enhancing the accountability and efficiency of the hospital. This study aimed to evaluate the performance of inpatient surgical wa...
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Format: | Article |
Language: | English |
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Shahid Sadoughi University of Medical Sciences
2021-10-01
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Series: | Journal of Evidence Based Health Policy, Management & Economics |
Subjects: | |
Online Access: | http://jebhpme.ssu.ac.ir/article-1-338-en.html |
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author | Hamed Dehnavi Mehdi Rezaee Mohammad Farough Khosravi Mahdi Gharasi Manshadi Jalal Saeidpour |
author_facet | Hamed Dehnavi Mehdi Rezaee Mohammad Farough Khosravi Mahdi Gharasi Manshadi Jalal Saeidpour |
author_sort | Hamed Dehnavi |
collection | DOAJ |
description | Background: Surgery wards account for a significant portion of hospital costs, followed by patient costs. Improving surgery wards' performance plays a major role in enhancing the accountability and efficiency of the hospital. This study aimed to evaluate the performance of inpatient surgical wards at the hospitals affiliated with Tehran University of Medical Sciences(TUMS).
Methods: A descriptive, cross-sectional, retrospective study was performed at all hospitals affiliated with TUMS in 2018. To measure the efficiency of these wards, three indicators have been considered; bed occupancy rate, the average length of stay, and bed turnover. Data have been analyzed using Excel software based on the Pabon Lasso model .
Results: Among the 15 active surgical departments, 5 (33.31 %) were categorized in quadrant three, including ophthalmology, obstetrics and gynecology, vascular and trauma surgery, plastic surgery, and infertility department. The oral and maxillofacial surgery and general surgery departments were the poorest in their performance and located in quadrant one. Ten surgical wards out of 38 (26.33 %) have reported a satisfactory performance.
Conclusion: Understanding and comparing the performance of clinical departments is also useful in making decisions for standardizing the patterns of health services delivery, evidence-based management in health care centers, and enhancing accountability in the health system. It is suggested that managers revise the departments in the inefficient area to reduce the number of inefficient departments or attract more patients by marketing, diversifying services, and increasing the quality of services. |
first_indexed | 2024-04-11T21:00:29Z |
format | Article |
id | doaj.art-c2f987961d1d49fc866dad5680b33009 |
institution | Directory Open Access Journal |
issn | 2538-5070 2538-4716 |
language | English |
last_indexed | 2024-04-11T21:00:29Z |
publishDate | 2021-10-01 |
publisher | Shahid Sadoughi University of Medical Sciences |
record_format | Article |
series | Journal of Evidence Based Health Policy, Management & Economics |
spelling | doaj.art-c2f987961d1d49fc866dad5680b330092022-12-22T04:03:32ZengShahid Sadoughi University of Medical SciencesJournal of Evidence Based Health Policy, Management & Economics2538-50702538-47162021-10-0154222233Evaluation of Inpatient Surgical Wards’ Performance at the Hospitals Affiliated with Tehran University of Medical Sciences in 2018Hamed Dehnavi0Mehdi Rezaee1Mohammad Farough Khosravi2Mahdi Gharasi Manshadi3Jalal Saeidpour4 Department of Management Sciences and Health Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Department of Orthopedics, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran Department of Management Sciences and Health Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Department of Management Sciences and Health Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Health Information Management Research Center, Tehran University of Medical Sciences, Tehran, Iran Background: Surgery wards account for a significant portion of hospital costs, followed by patient costs. Improving surgery wards' performance plays a major role in enhancing the accountability and efficiency of the hospital. This study aimed to evaluate the performance of inpatient surgical wards at the hospitals affiliated with Tehran University of Medical Sciences(TUMS). Methods: A descriptive, cross-sectional, retrospective study was performed at all hospitals affiliated with TUMS in 2018. To measure the efficiency of these wards, three indicators have been considered; bed occupancy rate, the average length of stay, and bed turnover. Data have been analyzed using Excel software based on the Pabon Lasso model . Results: Among the 15 active surgical departments, 5 (33.31 %) were categorized in quadrant three, including ophthalmology, obstetrics and gynecology, vascular and trauma surgery, plastic surgery, and infertility department. The oral and maxillofacial surgery and general surgery departments were the poorest in their performance and located in quadrant one. Ten surgical wards out of 38 (26.33 %) have reported a satisfactory performance. Conclusion: Understanding and comparing the performance of clinical departments is also useful in making decisions for standardizing the patterns of health services delivery, evidence-based management in health care centers, and enhancing accountability in the health system. It is suggested that managers revise the departments in the inefficient area to reduce the number of inefficient departments or attract more patients by marketing, diversifying services, and increasing the quality of services.http://jebhpme.ssu.ac.ir/article-1-338-en.htmlperformanceevaluationefficiencysurgical wardpabon lasso |
spellingShingle | Hamed Dehnavi Mehdi Rezaee Mohammad Farough Khosravi Mahdi Gharasi Manshadi Jalal Saeidpour Evaluation of Inpatient Surgical Wards’ Performance at the Hospitals Affiliated with Tehran University of Medical Sciences in 2018 Journal of Evidence Based Health Policy, Management & Economics performance evaluation efficiency surgical ward pabon lasso |
title | Evaluation of Inpatient Surgical Wards’ Performance at the Hospitals Affiliated with Tehran University of Medical Sciences in 2018 |
title_full | Evaluation of Inpatient Surgical Wards’ Performance at the Hospitals Affiliated with Tehran University of Medical Sciences in 2018 |
title_fullStr | Evaluation of Inpatient Surgical Wards’ Performance at the Hospitals Affiliated with Tehran University of Medical Sciences in 2018 |
title_full_unstemmed | Evaluation of Inpatient Surgical Wards’ Performance at the Hospitals Affiliated with Tehran University of Medical Sciences in 2018 |
title_short | Evaluation of Inpatient Surgical Wards’ Performance at the Hospitals Affiliated with Tehran University of Medical Sciences in 2018 |
title_sort | evaluation of inpatient surgical wards performance at the hospitals affiliated with tehran university of medical sciences in 2018 |
topic | performance evaluation efficiency surgical ward pabon lasso |
url | http://jebhpme.ssu.ac.ir/article-1-338-en.html |
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