تحلیل عملکرد بیمارستان‌های آموزشی درمانی دانشگاه علوم پزشکی شیراز قبل و بعد از طرح تحول نظام سلامت با استفاده از مدل پابن لاسو

Background and Objective: The evaluation of the hospitals performance in order to improve the quality of services provided is of great importance. This study aimed to evaluate the performance of teaching hospitals affiliated to Shiraz University of Medical Sciences (SUMS) using Pabon Lasso graph before and after the implementation of the health system transformation plan. Materials and Methods: This project is a descriptive cross-sectional study conducted on 14 hospitals in SUMS before and after the execution of health system reform plan during the years 2013-2014. The data were collected by referring to monthly activities and AVAB hospital site (hospital data and statistics) and analyzed by Pabon Lasso diagram and paired t-test. Results: Before the implementation of the health system reform plan in 2013, of the total 14 hospitals, 14% were in zone 1 (poor performance) and 28% hospitals in zone 3 (good performance). In 2014, after the implementation of the health system reform plan, 21% of the hospitals were in zone 1 and 21% in zone 3. According to paired t test, the bed occupancy rate had significant difference before and after the health system reform plan (p=0.006). Conclusion: Performance indicators in educational hospitals of SUMS were not in a good condition as compared to the standards. After health system reform plan, changes in the location of hospitals occurred. Therefore, it seems to be necessary that managers and policy makers improve efficiency and increase resource utilization. Key words: Hospital, Performance assessment, Efficiency, Pabon-Lasso model, Health system reform plan, Shiraz Funding: This study did not have any funds. Conflict of interest: None declared. Ethical approval: The Ethics Committee of Shiraz University of Medical Sciences approved the study How to cite this article: Bastani P, Lotfi F, Moradi M, Ahmadzadeh M.S. The Performance Analysis of Teaching Hospitals Affiliated with Shiraz University of Medical Sciences Before and After Health System Reform Plan Using Pabon Lasso Model. J Rafsanjan Univ Med Sci 2016; 15(8): 781-92. [Farsi]