Document Type : Original Article
Authors
1 PhD Student, Biostatistics, Statistics and ICT Management, Mashhad University of Medical Sciences, Mashhad, Iran
2 PhD Student, Biostatistics, Department of Biostatistics, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Abstract
Introduction: Evaluation of hospital performance with respect to the specific role of hospitals in health care in any country is very important. Effective and efficient operation of the hospital or in other words practice and proper use of resources will be evaluated using performance indicators. In the present study has been examined the relationship between hospital performance indicators and the degree evaluation. Methods: This cross-sectional descriptive study was performed in 2010-2011. The study sample included 22 hospitals affiliated to MUMS except psychiatric hospital Ibn Sina Hejazi. Data used in this study include standardized indicators of hospital activity which were collected by check list of statistical automation system of Mashhad University of Medical Sciences. Accuracy of information was approved by experts of bureau of University Statistics. To investigate the relationship between performance indicators and evaluating degree the hospitals, Spearman and Kendall's rank correlation and t student were used. Data were analyzed using the SPSS software. P<0.05 was set as the level of significance. Results: The evaluation was conducted in 2011, %72.7 of hospitals had grade 1 and %27.3 had grade 2. In evaluation in 2011, average bed occupancy rate, length of stay for patients, mortality rate, bed turnover rate and bed turnover interval were 69.80±50.15%, 2.67±1.16 days, 15.37±10.39 per thousand, 116.68±50.15 times a year and 1.14±0.53 days, respectively. %50 of hospitals in terms of bed occupancy rate, %77.3 in indicator length of stay for patients, %72.7 in indicator mortality rate, %100 in indicator bed turnover rate and %90.9 in indicator bed turnover interval year 2011 were an optimal status. The relationship between performance indicators and evaluating degree the hospitals significant but Intensity relationship was weak evaluated. Conclusion: Performance indicators average length of stay for patients, mortality rate, bed turnover rate and bed turnover interval were optimal and bed occupancy rate index was moderate. Weak correlation between performance indicators and degree the hospitals showed that the hospital evaluation system should be reviewed. Special the evaluation of hospital emphasis on performance indicators and evaluation conducted by an independent organization have such approaches have become more realistic evaluation of the hospital. Keywords: Performance Assessment; Indicators; Length of Stay; Bed Occupancy; Mortality
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