بررسی عملکرد طرح تحول نظام سلامت از دیدگاه مدیران اجرایی بیمارستان‌های دانشگاهی استان یزد در سال 1394

Background: To evaluate the performance of a program, it is necessary that human resources involved in the implementation evaluate the program as the main sources of information. Therefore, this study aimed to evaluate the performance of health care system reform plan in Yazd province from the perspective of university hospital executives. Method: This was a cross-sectional study in which all senior and middle managers of university hospitals in Yazd Province (n=53) were enrolled through census. The data were collected using a researcher-made questionnaire. Data analysis was performed by SPSS 20 using descriptive statistics, frequency, and percentages. Results: 47.2% of the executives believed that health care reform plan had reached 60 to 79 percent of its goals. Only 7.5% of the managers believed that health care reform plan could not succeed in dealing with out-of-tariff cost. Human resources was reported as the most important problem by 48.1% and interaction with insurance as the least important problem in health care system reform plan by 9.2%. Finally, most of the managers believed that the instructions of reducing out-of-pocket were implemented significantly better than the former five instructions of health care system reform plan and it was beneficial in practice. Conclusion: Achieving the objectives of health care system reform was evaluated as appropriate, however, the performance of some instructions was not as expected, hence the need for interventions in this area.