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Investigation of Iranian hospitals' efficiency using Pabon Lasso model: Systematic Review
Abstract
The purpose of this study was to evaluate the performance of hospitals in Iran using Pabon Lasso model. In this descriptive study, both Persian and English papers about performance, function and Pabon Lasso model were searched in Iranian databases: Scientific Information Database Information Bank Country (Magiran), Banks Articles of Medical Sciences (Iranmedex), Science Direct, ISCCSI, PubMed, ProQuest, and Google Scholar. The study population was comprised 386 hospitals and 24 articles that 18 articles were valid and used in research. A total of 386 hospitals, of which 98 hospitals (25.4%) had a poor performance in the first zone, 79 hospitals (20.4%) had moderate performance in the second zone, 123 hospitals (32.1%) had a great performance in the third zone, and 86 hospitals (22.1%) were relatively modest performance in the fourth zone. Given that the most of the hospitals have above average performance, it is necessary to perform detailed plans for the optimal use of human and material resources in hospitals. © 2017 Annals of Tropical Medicine and Public Health | Published by Wolters Kluwer-Medknow.
... They found that 26% of the hospitals were efficient. A similar study was also conducted by Mousavizadeh et al. [31], Parvaresh and Esfandnia [32], Mahapatra and Berman [33] in Iran, India. Nabukeera et al. [34] evaluated the performance of wards in health centres in Kampala, Uganda. ...
... With respect to performance based on BTR, the findings show that the average BTR of the four hospitals was high (72 patients per bed per year). Parvaresh and Esfandnia [32] indicated that the desirable rate of BTR should be about 17 patients per bed per year. Aloh et al. [28] reported a BTR of 22 patients per bed per year in teaching hospitals in Southeast Nigeria. ...
Scarcity of resources, high expenditure, and ineffective resource use characterise healthcare in Ghana. The symptom of inadequate hospital resource utilisation gave rise to the popular term 'no bed syndrome' in some Ghanaian regional hospitals. Under these circumstances, patients are continually turned away from receiving treatment because of inadequate beds especially in the emergency and surgical units. Therefore, this study assesses the efficiency of four (4) regional hospitals in Ghana in 2020. Secondary data on bed occupancy rates, average length of stay and bed turnover rates, among others, were collected from District Health Information Management System (DHIMS) for further analysis. Pabón Lasso charts were drawn using Microsoft Excel 2019 to evaluate the efficiency level of hospitals and wards. The results show that the Greater Accra and Brong Ahafo Regional Hospitals were inefficient, the Upper East Regional Hospital was less efficient and the Eastern Regional Hospital was efficient. Findings also indicate that the medical, maternity and surgical wards of the Brong Ahafo Regional Hospital were inefficient. However, the emergency ward was the most efficient in the Eastern Regional Hospital but that of the Upper East Regional Hospital was inefficient. The medical and surgical wards of the Greater Accra Regional Hospital were less efficient. These findings have practical implications for designing policy instruments to promote healthcare delivery in Ghana.
... Given the vulnerable structures in developing countries, the importance of this inefficiency becomes greater (11,12); therefore, special attention should be paid by managers and policymakers to the performance of hospitals, especially in economic and social constraints (13). ...
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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