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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Main Authors: Hamed Dehnavi, Mehdi Rezaee, Mohammad Farough Khosravi, Mahdi Gharasi Manshadi, Jalal Saeidpour
Format: Article
Language:English
Published: Shahid Sadoughi University of Medical Sciences 2021-10-01
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.
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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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