بررسی همزمان شاخص های کارایی در بیمارستان های دانشگاهی و غیردانشگاهی با استفاده از مدل پابن لاسو در استان یزد طی سال 1391

Introduction: Efficiency indicators are the most important ways to measure hospitals performance, but the individual application of these indicators can result in misleading hospital performance measurement. The application of simultaneous indicators can eliminate many problems in the case of hospital performance measurement therefore, through using Pabon Lasso Model, the indicators at university- affiliated and university-nonaffiliated hospitals were assessed simultaneously. Methods: This cross-sectional study was conducted in 20 hospitals of Yazd Province during 1391. The sample consisted of 13 university-affiliated and 7 university-nonaffiliated hospitals. Data were prepared by the University treatment assistant and then three indicators including Bed Occupancy Rate (BOR), Bed Turnover (BTO) and Average Length of Stay (ALS) were simultaneously assessed through Pabon Lasso Model. Results: Pabon Lasso Model includes 4 areas in which among 12 university- affiliated hospitals, 3 cases (25%) were in the first area, 2 cases (16%) in the second , 5 cases (33.3%) in the third and 3 cases (25%) in the fourth, and among 7 nonaffiliated ones, 3 cases (42.8%) were in the first area, 1 case (14.3%) in the second , 2 cases (28.6%) in the third and 1 case (14.3%) in the fourth. Conclusions: The country hospitals in comparison with those in Yazd, and university-based comparing to non-university-based hospitals were centrally placed in the third area of efficiency. In this regard, it is essential that contemplation in available methods considers resource allocation and proposing new ways for Yazd and non-university based hospitals.