Performance Assessment of Hospitals Affiliated to Tehran University of Medical Sciences Using the Pabon Lasso Model: a five- year trend study

Authors

Abstract

Background: The Pabon Lasso model is one of the efficiency assessment methods showing the rate of proper utilization of hospital’s available resources. This study was performed to assess the performance of hospitals affiliated to Tehran University of Medical Sciences during a five year period using the Pabon Lasso model.
 
Methods: This retrospective descriptive research was conducted in 15 hospitals of Tehran University of Medical Sciences using the graphical model of Pabon Lasso during a five- year period (2009-2013). Hospitals’ general and performance indicators were collected and data analysis was done through SPSS19 software package.
 
Results: From the beginning to the end of the five- year period, bed occupancy and bed turn-over indicators increased, but the length of hospital stay decreased. Furthermore, the studied hospitals were in the third region of the Pabon Lasso graphic model at the end of this period that shows their efficient performance.
 
Conclusion: Favorable utilization of the available resources in studied hospitals during the five years of study can be attributed to the hospitals’ efficient management in improving hospitals’ efficiency. Therefore, in policy making programs for more efficient use of the available resources, continuous periodic assessments of all hospitals using the Pabon Lasso model or other models is recommended.

Keywords


1. Hanson K, Atuyambe L, Kamwanga J, McPake B, Mungule O, Ssengooba F. Towards improving hospital performance in Uganda and Zambia: reflections and opportunities for autonomy. Health Policy 2002;61(1):73-94. 2. Jonaidi Jafari N, Sadeghi M, Izadi M, Ranjbar R. Comparison of performance indicators in one of hospitals of Tehran with national standards. J Mil Med 2011; 12(4):223-8. Persian 3. Goshtasbi A, Vahdaniaia M, Gorgipour R, Samanpour A, Maftoon F, Farzadi F. Assessing Hospital Performance by the Pabon Lasso Model. Iranian Journal of Public Health 2009; 38(2):119-24. Persian 4. Alamtabriz A, Imaipour M. Measuring the relative efficiency of health care offered in hospitals of Shahid Beheshti Universityof medical sciences using Data Envelopment Analysis (DEA) Technique. Health Inf Manage 2011; 8(3):315-25. Persian 5. Kavosi Z, Goodarzi S, Almasiankia A. Performance evaluation in hospitals of Lorestan University of Medical Sciences using Pabon-Lasso model. Payavard Salamat 2013;6(5):365-75. Persian 6. Gholipour K, Delgoshai B, Masudi–Asl I, Hajinabi K, Izadi S. Comparing performance of Tabriz obstetrics and gynaecology hospitals managed as autonomous and budgetary units using Pabon Lasso method. Australas Med J 2013; 6(12): 701–7. 7. Mahjub H, Cox TF. Bed occupancy rate and throughput of patients in cardiac surgery departments using simulation models. Archives of Iranian Medicine 2003; 6(3):170-5. Persian 8. Mehrotra A, Lee S, Dudley RA. Hospital performance evaluation: what date do we want, how do we get it, and how should we use it? Washington DC: National Business Coalitions of Health; 2006. 9. Najarzadeh M, Torabipoor A, Gtasemzadeh R, Salehi R. Assessment of hospitals efficiency by Data Envelopment Analysis in Ahvaz in 2006 2010. Jundishapur Journal of Health Sciences 2012; 4(3): 77-87. Persian 10. Sepehdoust H, Rajabi E. Technical efficiency measurement of social security hospitals. J Sch Public Health Inst Public Health Res 2012; 10(3): 91-8. Persian 11. Pabon Lasso H. Evaluating hospital performance through simultaneous application of several indicators. Bull Pan Am Health Organ 1986;20(4):341-57. 12. Yusefzadeh H, Salem Safi P, Nabilou B. Health system reform plan and performance of hospitals: an Iranian case study. Mater Sociomed 2017; 29(3): 201-6. 13. Thomas S, Normand C, Smith S. Social health insurance: further options for Ireland. Trinity College Dublin. Health Policy and Management. Dublin, Ireland: The Adelaide Hospital Society; 2008. 14. Mohammadi M, Ziaepoor A, Mahboubi M, Faroukhi A, Amani N, Heydarpour F, et al. Performance evaluation of hospitals under supervision of Kermanshah medical sciences using pabonlasoty diagram of a five-year period (2008-2012). Life Science Journal 2014; 11(15): 77-81. 15. Taleb Shahrestani M. Study of hospitals performance assessment based on Pabon Lasso theory. Feyz Journal 2009; 3(4): 2-4. Persian 16. Sajadi H, Sajadi Z, Hadi M. Is there any method to compare key indicators of hospital performance simultaneity? Health Info Manage 2011; 8(1): 71-81. Persian 17. Miraki T, Rezaei S, Jahanmehr N, Mohammadi M, Gharibi F. Assessment of performance of the hospitals of Kurdistan University of Medical Sciences by use of Pabon Lasso Model (2007-2011). Sci J Kurdistan Univ Med Sci 2014; 19(1): 114-23. Persian 18. Ajlouni MM, Zyoud A, Jaber B, Shaheen H, Al-Natour M, Anshasi RJ. The relative efficiency of Jordanian public hospitals using Data Envelopment Analysis and Pabon Lasso diagram. Global Journal of Business Research 2013; 7(2): 59-72. 19. Kalhor R, Salehi N, Keshavarz A, Bastani P, Orojloo PH. Assessing hospital performance in Iran using the Pabon Lasso model. Asia Pacific Journal of Health Management 2014; 9(2): 77–82. 20. Nekoei-Moghadam M, Rooholamini A, Yazdi Feizabadi V, Hooshyar P. Comparing performance of selected teaching Hospitals in Kerman and Shiraz Universities of Medical Sciences, Iran, Using Pabon-Lasso Chart. J Health Dev 2012; 1(1):11-21. Persian 21. Kalhor R, Darzi-Ramadi F, Rafiei S, Kalhor L. Performance Analysis of hospitals affiliated to Mashhad University of medical sciences using the Pabon Lasso model: a six-year-trend study. Biotechnology and Health Sciences 2016; 3(4): 19-24. 22. Bahadori MK, Sadeghifar J, Hamouzadeh P, Hakimzadeh S, Nejati M. Combining multiple indicators to assess hospital performance in Iran using the Pabon Lasso Model. Australas Med J 2011; 4(4): 175–9. 23. Zahiri M, Keliddar I. Performance evaluating in hospitals affiliated in Ahwaz University of Medical Sciences Based on Pabon Lasso model. Hospital 2012; 11(3):37-44 Persian 24. Dargahi H, Toloui Rakhshan S, Sadeghifar J. Assessing Tehran University of Medical Sciences Hospitals Performance by the Pabon Lasso Model. Payavard Salamat 2016; 10(3):290-8. Persian 25. Bahadori MK, Izadi AR, Ghardashi F, Ravangard R, Hosseini SM. The evaluation of hospital performance in Iran: a systematic review article. Iranian Journal of Public Health 2016; 45(7):855-66. Persian 26. Jakab M, Harding A, Preker A, Hawkins L. The Introduction of Market Forces in the Public Hospital Sector: From New Public Sector Management to Organizational Reform. Wahington D.C. Word Bank; 2000. 27. Farzandipour M, Raugraz Jeddi F, Mousavi GH. How often do the managers use the statistics for hospital management? Feyz 2003; 7(3):92-8. Persian 28. Asbu EZ, Walkear O, Kirigia JM, Zawaira F, Megombo F. Assessing the efficiency of hospitals in Malawi: an application of the Pabon Lasso technique. African Health Monitor 2012; 14(1): 28-33. 29. Kakeman E, Rahimi Forushani A, Dargahi H. Technical efficiency of hospitals in Tehran, Iran. Iran J Public Health 2016; 45(4): 494–502.