Effect of the COVID-19 Pandemic on the Performance Indicators of Academic and Non-academic Hospitals in West Azerbaijan Province in 2020

Document Type : Original Article


Social Determinants of Health Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran



Background: Hospitals are the most important pillar of the country›s health system, especially when faced with a crisis. One of
the most important indicators in evaluating hospitals is performance indicators. This research was done to investigate the effect of
the COVID-19 pandemic on the performance indicators of academic and non-academic hospitals in West Azerbaijan province
in 2020.
Methods: The present cross-sectional descriptive-analytical study was done on all academic and non-academic hospitals of West
Azerbaijan province, which examined their performance indicators in 2019 and 2020. The data were analyzed using SPSS 16
software by repeated-measures analysis of variance (ANOVA).
Results: The results of repeated-measures ANOVA demonstrated that the effect of time (coronavirus) on the index of bed
occupancy ratio was significant (η2 = 0.24, P = 0.006) so that it decreased this index in academic hospitals and had the opposite
result in non-academic hospitals. The COVID-19 had a significant effect on the index of average patient stay (η2 = 0.47, P < 0.001)
and this index in both types of hospitals increased. Also, the COVID-19 had a significant effect on bed turnover rate (η2 = 0.32,
P = 0.001) and it decreased in both types of hospitals.
Conclusion: Since academic hospitals are more responsible in dealing with epidemics, it is suggested to pay more attention
to their infrastructures. Considering the financial burden of some non-communicable diseases, academic hospitals should be
prepared to accept and support them, especially in the early period of the epidemic.


Main Subjects