A Survey on the Performance of Hospitals of Qazvin Province by the Pabon Lasso Model

摘要

Significant advances in knowledge and technology, and also enhanced level of awareness in people have increased the need to ideal-quality services. In addition, since hospital expenses are high, monitoring hospitals- efficiency in offering services is of much importance. Therefore, the purpose of this study is to evaluate the performance of hospitals of Qazvin Province using Pabon Lasso Model. This descriptive, analytical and applied study was conducted in 2013 and all the eleven hospitals of Qazvin province selected by census sampling. Required data related to four consecutive years (2009-2012) were analysed by using SPSS-20 software after being collected. Fisher-s test has been used to determine independency of variables. The results of the studies showed that average rate of bed occupancy, bed turnover rate and length of stay for the studied hospitals were 82.32, 69.04, and 4.2 respectively. Finally after drawing Pabon Lasso diagram, it was found that 0% of hospitals are in the first area, 9% in the second, 82% in the third, and 9% in the fourth area of Pabon Lasso diagram. Fisher-s exact test indicated that significance level of independency test between the type of the hospital ownership and hospital efficiency is 0.77, and between the type of specialized services of the hospital and its efficiency is 0.76.Despite the obtained results (placing of 82% of hospitals in the third area (the ideal area)), it should be stated that during the studied years, no significant change has been observed in the performance of the studied hospitals regarding improving their efficiency (moving toward northeast of the diagram).For this reason, it is expected that in order to find the underlying reasons of this lack of improvement and also to plan for more advances in future years, some essential actions should be taken.