مقایسه کارایی و اثربخشی بیمارستان شهید رجایی کرج قبل و بعد از واگذاری مدیریتی: 1391

Introduction: decentralization is known an improve process and Promotion of health system and Inevitable part of wide reforms to promote equity, efficiency, quality, Economic justification. Administrative assignment is a method for Decentralization of government. The aim of this study was Comparison of Efficiency and Effectiveness of Karaj Shahid Rajaie Hospital before and after decentralization. Methods: This study was analytical and Comparison. Undertaken work cross - sectional. The data were collected via the questionnaire and Data collection form. After of data collection of before and after decentralization analysis was carried out with the SPSS 19 software and Statistical methods used are descriptive and analytical statistics (Mann-Whitney U). Results: after of decentralization inpatient beds 4.8 %, occupation beds 3.6 % , percent of occupation Bed 0.3 % , numbers of discharge of those 3.4 % rate of rotation of the hospital bed 1.3 % was increase . Numbers of inpatient in the after decentralization 3.3 % and numbers of outpatient 16.5 % increased. hospital costs with inflation 2012, 19 % decreased and hospital total revenues was increase overall of 6.5 % .hospital infection rates in the after decentralization, 0.06 % increased .employee satisfaction average before of decentralization was mean and after decentralization was high. There are significant differences (P <0.0001), inpatient satisfaction average before of decentralization was low and after decentralization was mean. There are significant differences (P<0.0001). Conclusion: Efficiency and Effectiveness of karaj Shahid Rajaie Hospital after decentralization was Improvement, therefore Politicians and managers of health system should good infrastructure for the use of this mechanism in order to health system reform , especially public Hospitals.