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Public and Private Hospital Services Reform Using Data Envelopment Analysis to Measure Technical Scale Allocative and Cost Efficiencies

机译:使用数据包络分析来衡量技术规模分配和成本效率的公立和私立医院服务改革

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摘要

>Background: The aim of this study was to suggest a suitable context to develop efficient hospital systems while maintaining the quality of care at minimum expenditures. >Methods: This research aimed to present a model of efficiency for selected public and private hospitals of East Azerbaijani Province of Iran by making use of Data Envelopment Analysis approach in order to recognize and suggest the best practice standards. >Results: Among the six inefficient hospitals, 2 (33%) had a technical efficiency score of less than 50% (both private), 2 (33%) between 51 and 74% (one private and one public) and the rest (2, 33%) between 75 and 99% (one private and one public). >Conclusion: In general, the public hospitals are relatively more efficient than private ones; it is recommended for inefficient hospitals to make use of the followings: transferring, selling, or renting idle/unused beds; transferring excess doctors and nurses to the efficient hospitals or other health centers; pensioning off, early retirement clinic officers, technicians/technologists, and other technical staff. The saving obtained from the above approaches could be used to improve remuneration for remaining staff and quality of health care services of hospitals, rural and urban health centers, support communities to start or sustain systematic risk and resource pooling and cost sharing mechanisms for protecting beneficiaries against unexpected health care costs, compensate the capital depreciation, increasing investments, and improve diseases prevention services and facilities in the provincial level.
机译:>背景:这项研究的目的是提出一个合适的背景,以开发高效的医院系统,同时以最小的支出保持医疗质量。 >方法:该研究旨在通过使用数据包络分析方法为伊朗东部阿塞拜疆省选定的公立和私立医院提供一种效率模型,以便识别并提出最佳实践标准。 >结果:在六家效率低下的医院中,有2家(33%)的技术效率得分低于50%(均为私立),其中2家(33%)的技术得分低于51%至74%(一家私立和一家公众),其余(2,33%)介于75%和99%之间(一个私人和一个公众)。 >结论:通常,公立医院比私立医院效率更高;对于效率低下的医院,建议使用以下方法:转移,出售或租用闲置/未使用的病床;将多余的医生和护士转移到高效的医院或其他保健中心;退休金,提前退休诊所官员,技术人员/技术人员和其他技术人员。通过上述方法节省下来的资金可用于提高剩余员工的薪酬以及医院,农村和城市卫生中心的医疗服务质量,支持社区开始或维持系统的风险和资源共享以及成本分担机制,以保护受益人免受伤害意外的医疗保健费用,补偿资本折旧,增加投资,并改善省级疾病预防服务和设施。

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