Volume 17, Issue 2 (9-2018)
jhosp 2018, 17(2): 21-32 |
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Erfani Khanghahi M, Ebadi Fard Azar F. Hospital Efficiency Using Pabon Lasso Model: A Systematic Review and Meta-Analysis. jhosp 2018; 17 (2) :21-32
URL: http://jhosp.tums.ac.ir/article-1-5899-en.html
URL: http://jhosp.tums.ac.ir/article-1-5899-en.html
1- Assistant professor, Department of Educational Management, Faculty of Management and Accounting, Yadegar-e-Imam Khomeini (RAH), Shahre Rey Branch, Islamic Azad University, Tehran, Iran ,(*Corresponding author), Email: afsaneerfani@gmail.com
2- Professor, School of Public Health, Health Promotion Research Center, Iran University of Medical Sciences, Tehran, Iran
2- Professor, School of Public Health, Health Promotion Research Center, Iran University of Medical Sciences, Tehran, Iran
Abstract: (6178 Views)
Background: The Pabon Laso Model is one of the most important models of evaluating efficiency. Many studies are implemented with this model in Iranian hospitals. This study aimed to review related articles with systemic review and meta-analysis method.
Materials and Methods: The data was gathered using related keywords in databases such as IranMedex, MagIran, IranDoc, Medlib, SID, PubMed, Google Scholar, Elsevier, and Scopus. The articles were searched during 2001 to 2015. Inclusion criteria were determined as articles published in Persian and English, Pointing at least one of three criteria Pabon Lasso model in Iran and access to full-text articles. Exclusion criteria were articles other than hospital performance assessment, and articles which presented as conferences event, case reports, letters to the editor and educational articles. Meta-analysis method was used for calculating Pabon Lasso indices. CMA: 2(Comprehensive Meta-Analysis) was utilized.
Results: 27 articles out of 396 articles were reviewed. The results of 348 hospitals had shown 79.9(22.9%), 76.8(21.7%), 117.8(33.8%), and 74.6(21.4%) of hospitals were in areas one, two, three, and four, respectively. The average of length of stay, bed occupancy, and bed turnover were 3.4 (3-3.7, 95% CI), 63 (41-95,95% CI), and 78.4 (71.8-85.2, 95% CI) per year, respectively.
Conclusion: Study results revealed that only one-third of hospitals were in area three in Pabon Lasso model. The performance status of three fields were average in the length of stay (approximately standard), bed occupancy (upper than standard), and bed turnover (lower than standard).
Materials and Methods: The data was gathered using related keywords in databases such as IranMedex, MagIran, IranDoc, Medlib, SID, PubMed, Google Scholar, Elsevier, and Scopus. The articles were searched during 2001 to 2015. Inclusion criteria were determined as articles published in Persian and English, Pointing at least one of three criteria Pabon Lasso model in Iran and access to full-text articles. Exclusion criteria were articles other than hospital performance assessment, and articles which presented as conferences event, case reports, letters to the editor and educational articles. Meta-analysis method was used for calculating Pabon Lasso indices. CMA: 2(Comprehensive Meta-Analysis) was utilized.
Results: 27 articles out of 396 articles were reviewed. The results of 348 hospitals had shown 79.9(22.9%), 76.8(21.7%), 117.8(33.8%), and 74.6(21.4%) of hospitals were in areas one, two, three, and four, respectively. The average of length of stay, bed occupancy, and bed turnover were 3.4 (3-3.7, 95% CI), 63 (41-95,95% CI), and 78.4 (71.8-85.2, 95% CI) per year, respectively.
Conclusion: Study results revealed that only one-third of hospitals were in area three in Pabon Lasso model. The performance status of three fields were average in the length of stay (approximately standard), bed occupancy (upper than standard), and bed turnover (lower than standard).
Keywords: Evaluation, Hospital Efficiency, Pabon Lasso, Bed Occupancy, Bed Turnover, Average of Length of Stay, Meta-analysis
Type of Study: Review Article |
Subject:
کیفیت خدمات و ایمنی بیمار در بیمارستان
Received: 2017/10/29 | Accepted: 2018/06/30 | Published: 2018/09/1
Received: 2017/10/29 | Accepted: 2018/06/30 | Published: 2018/09/1
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