Investigating the effect of health transformation plan on the public hospitals performance indicators; a case study from Iran.
Health Transformation Plan
Interrupted Time Series Model
Performance Indicators
Public Hospitals
Journal
BMC health services research
ISSN: 1472-6963
Titre abrégé: BMC Health Serv Res
Pays: England
ID NLM: 101088677
Informations de publication
Date de publication:
21 Oct 2021
21 Oct 2021
Historique:
received:
20
09
2020
accepted:
12
10
2021
entrez:
22
10
2021
pubmed:
23
10
2021
medline:
26
10
2021
Statut:
epublish
Résumé
Health systems need constant changes and reforms in their structure to adapt to changing conditions and meet the needs of society. One of the fundamental changes in the health system of Iran is the health transformation plan (HTP), the effects of which must be examined from different aspects. Therefore, the purpose of this study is to investigate the effect of HTP on the performance indicators of public hospitals in Yazd city, Iran. This cross-sectional study was carried out in all public hospitals in city of Yazd. Six performance indicators were examined monthly and in two time periods of 12 months before and 12 months after the implementation of Health Transformation Plan (HTP). The data was analyzed by SPSS software program version 22, using the paired T-test, and the Interrupted Time Series (ITS) model. Findings showed that the performance indicators of the studied hospitals have improved after the implementation of the HTP. According to the ITS model, the implementation of HTP did not have a significant effect on the level and trend of the bed rotation distance, average length of stay and the ratio of surgical operations to bed indicators. However, it had a statistically significant effect on the level and trend of mortality and hospitalization rates. Moreover, the implementation of HTP had a significant effect on the level of the bed occupancy rate, but did not have a significant effect on the trend of this indicator. Based on the research findings, all the selected indicators changed to some extent after the implementation of HTP, which showed the effect of this plan on the performance of hospitals. However, not all indicators were statistically significant as the findings sub-section revealed.
Sections du résumé
BACKGROUND
BACKGROUND
Health systems need constant changes and reforms in their structure to adapt to changing conditions and meet the needs of society. One of the fundamental changes in the health system of Iran is the health transformation plan (HTP), the effects of which must be examined from different aspects. Therefore, the purpose of this study is to investigate the effect of HTP on the performance indicators of public hospitals in Yazd city, Iran.
METHODS
METHODS
This cross-sectional study was carried out in all public hospitals in city of Yazd. Six performance indicators were examined monthly and in two time periods of 12 months before and 12 months after the implementation of Health Transformation Plan (HTP). The data was analyzed by SPSS software program version 22, using the paired T-test, and the Interrupted Time Series (ITS) model.
FINDINGS
RESULTS
Findings showed that the performance indicators of the studied hospitals have improved after the implementation of the HTP. According to the ITS model, the implementation of HTP did not have a significant effect on the level and trend of the bed rotation distance, average length of stay and the ratio of surgical operations to bed indicators. However, it had a statistically significant effect on the level and trend of mortality and hospitalization rates. Moreover, the implementation of HTP had a significant effect on the level of the bed occupancy rate, but did not have a significant effect on the trend of this indicator.
CONCLUSION
CONCLUSIONS
Based on the research findings, all the selected indicators changed to some extent after the implementation of HTP, which showed the effect of this plan on the performance of hospitals. However, not all indicators were statistically significant as the findings sub-section revealed.
Identifiants
pubmed: 34674684
doi: 10.1186/s12913-021-07164-y
pii: 10.1186/s12913-021-07164-y
pmc: PMC8532262
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1133Informations de copyright
© 2021. The Author(s).
Références
Health Policy Plan. 2011 Nov;26(6):485-95
pubmed: 21303879
East Mediterr Health J. 2000 Jul;6(4):822-5
pubmed: 11794090
Int J Health Policy Manag. 2019 Apr 13;8(6):384-386
pubmed: 31256572
Iran J Public Health. 2017 May;46(5):719-720
pubmed: 28560209
J Adv Med Educ Prof. 2018 Jan;6(1):43-48
pubmed: 29344529
Lancet. 2013 Jul 6;382(9886):65-99
pubmed: 23810020
PLoS Med. 2014 Sep 22;11(9):e1001726
pubmed: 25243409
Arch Iran Med. 2019 Oct 01;22(10):592-605
pubmed: 31679362
Bull Pan Am Health Organ. 1986;20(4):341-57
pubmed: 3828621
Int J Equity Health. 2021 Jan 14;20(1):37
pubmed: 33446202
Health Policy. 2004 Apr;68(1):17-30
pubmed: 15033549
Int J Health Policy Manag. 2017 Feb 11;6(10):573-586
pubmed: 28949473
Int J Health Policy Manag. 2015 Aug 31;4(10):637-40
pubmed: 26673172
Int J Equity Health. 2014 May 27;13:42
pubmed: 24885492
Int J Prev Med. 2020 Aug 06;11:121
pubmed: 33088449