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The effect of Health System Reform Plan on the performance indicators of hospitals affiliated with Mazandaran University of medical sciences


S. Najafi, Gh. Mahmoudi, F. Dabbaghi, M. Moradian

Abstract

Background: The Hospital indicators are the most important factor in the performance of the hospital, which should be monitored regularly and at specific timescales. The purpose of this study was to evaluate and compare the performance indicators before and after implementing the Health System Reform Plan. Materials: This descriptive - analytic study was conducted in hospitals affiliated to Mazandaran University of Medical Sciences (23 hospital). The data was collected from 2013 to 2015(Before and after the Health System Reform Plan). Data were analyzed using Wilcoxon test and spss software. Results: The findings indicate that the health reform plan has led to an increase in bed occupancy rate (%4.41(, average length of stay (0.23), bed turnover rate (0.35) and The proportion of surgical operations to the bed (52.78), and reduction of cesarean section rate (0.1) and bed turnover intervals (0.09). In educational therapeutic hospitals, the significant difference was between the average occupancy rate and in therapeutic hospitals was the significant difference between the bed occupancy rate, the average length of stay and the proportion of cesarean before and after the implementation of the health reform plan (p<0.05). Conclusion: According to the findings of the research, performance indicators have improved after implementation of the health reform plan. Therefore, continuing, monitoring and evaluation and, if necessary, the modification of this plan can lead to improved hospital performance..




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