Reasons for low efficiency in Iranian hospitals: a scoping review of two decades of research
Background: The hospital inefficiencies impose a high cost on the country's health system. This study was conducted to identify the causes of low efficiency in Iranian hospitals. Materials and methods: To conduct this research, the scoping review was used. For this purpose, all published articl...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | fas |
| Published: |
Iran Air Force Health Administration
2020-03-01
|
| Series: | فصلنامه ابن سینا |
| Subjects: | |
| Online Access: | http://ebnesina.ajaums.ac.ir/article-1-705-en.pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850250657382006784 |
|---|---|
| author | Ali Mohammad Mosadegh-rad Parvaneh Esfahani Mahnaz Afshari |
| author_facet | Ali Mohammad Mosadegh-rad Parvaneh Esfahani Mahnaz Afshari |
| author_sort | Ali Mohammad Mosadegh-rad |
| collection | DOAJ |
| description | Background: The hospital inefficiencies impose a high cost on the country's health system. This study was conducted to identify the causes of low efficiency in Iranian hospitals.
Materials and methods: To conduct this research, the scoping review was used. For this purpose, all published articles on the low efficiency of Iranian hospitals between April 1997 and March 2019 were collected in electronic databases. Out of 1593 found articles, 146 articles fulfilled the inclusion criteria, which were analyzed using version 10 of MAXQDA software.
Results: Overall, 37 reasons for the low efficiency of Iranian hospitals were identified, which were classified into three main groups: underuse, overuse, and misuse of hospital resources. These causes were also categorized into four levels: meta- (ministry of health), macro- (university of medical sciences), meso- (hospital), and micro- (hospital service provider). The most frequent reasons for the low efficiency of the hospitals were poor knowledge and low skill of managers, inadequate distribution of beds between hospitals, inappropriate size of hospitals, the lack of using specialized hospital managers, inadequate staff training, inadequate medical tariffs, inadequate payment methods, staff shortages, unnecessary hospital development, and unnecessary patient admissions.
Conclusion: Various factors at the level of the ministry of health, medical universities, hospitals, and health service providers led to low, high, and incorrect use of hospital resources and, as a consequence, low efficiency of Iranian hospitals. Policy makers and managers of the health system should increase the efficiency of hospitals by implementing changes in the financing, management, and provision of health services. |
| format | Article |
| id | doaj-art-0c52772dc17441b3bc7a1cb2ff7460f7 |
| institution | OA Journals |
| issn | 1735-9503 2645-4653 |
| language | fas |
| publishDate | 2020-03-01 |
| publisher | Iran Air Force Health Administration |
| record_format | Article |
| series | فصلنامه ابن سینا |
| spelling | doaj-art-0c52772dc17441b3bc7a1cb2ff7460f72025-08-20T01:58:08ZfasIran Air Force Health Administrationفصلنامه ابن سینا1735-95032645-46532020-03-012212945Reasons for low efficiency in Iranian hospitals: a scoping review of two decades of researchAli Mohammad Mosadegh-rad0Parvaneh Esfahani1Mahnaz Afshari2 Associate professor Assistant professor PhD student in health policy, School of health management and information sciences, Iran University of Medical Sciences, Tehran, Iran Background: The hospital inefficiencies impose a high cost on the country's health system. This study was conducted to identify the causes of low efficiency in Iranian hospitals. Materials and methods: To conduct this research, the scoping review was used. For this purpose, all published articles on the low efficiency of Iranian hospitals between April 1997 and March 2019 were collected in electronic databases. Out of 1593 found articles, 146 articles fulfilled the inclusion criteria, which were analyzed using version 10 of MAXQDA software. Results: Overall, 37 reasons for the low efficiency of Iranian hospitals were identified, which were classified into three main groups: underuse, overuse, and misuse of hospital resources. These causes were also categorized into four levels: meta- (ministry of health), macro- (university of medical sciences), meso- (hospital), and micro- (hospital service provider). The most frequent reasons for the low efficiency of the hospitals were poor knowledge and low skill of managers, inadequate distribution of beds between hospitals, inappropriate size of hospitals, the lack of using specialized hospital managers, inadequate staff training, inadequate medical tariffs, inadequate payment methods, staff shortages, unnecessary hospital development, and unnecessary patient admissions. Conclusion: Various factors at the level of the ministry of health, medical universities, hospitals, and health service providers led to low, high, and incorrect use of hospital resources and, as a consequence, low efficiency of Iranian hospitals. Policy makers and managers of the health system should increase the efficiency of hospitals by implementing changes in the financing, management, and provision of health services.http://ebnesina.ajaums.ac.ir/article-1-705-en.pdfhospitalsallocative efficiencyiran |
| spellingShingle | Ali Mohammad Mosadegh-rad Parvaneh Esfahani Mahnaz Afshari Reasons for low efficiency in Iranian hospitals: a scoping review of two decades of research فصلنامه ابن سینا hospitals allocative efficiency iran |
| title | Reasons for low efficiency in Iranian hospitals: a scoping review of two decades of research |
| title_full | Reasons for low efficiency in Iranian hospitals: a scoping review of two decades of research |
| title_fullStr | Reasons for low efficiency in Iranian hospitals: a scoping review of two decades of research |
| title_full_unstemmed | Reasons for low efficiency in Iranian hospitals: a scoping review of two decades of research |
| title_short | Reasons for low efficiency in Iranian hospitals: a scoping review of two decades of research |
| title_sort | reasons for low efficiency in iranian hospitals a scoping review of two decades of research |
| topic | hospitals allocative efficiency iran |
| url | http://ebnesina.ajaums.ac.ir/article-1-705-en.pdf |
| work_keys_str_mv | AT alimohammadmosadeghrad reasonsforlowefficiencyiniranianhospitalsascopingreviewoftwodecadesofresearch AT parvanehesfahani reasonsforlowefficiencyiniranianhospitalsascopingreviewoftwodecadesofresearch AT mahnazafshari reasonsforlowefficiencyiniranianhospitalsascopingreviewoftwodecadesofresearch |