ArticleInternational journal of health policy and management2014
Technical efficiency of teaching hospitals in Iran: the use of Stochastic Frontier Analysis, 1999-2011.
Article in International journal of health policy and management, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.
- Hospital efficiency in the eastern mediterranean region: A systematic review and meta-analysis.Frontiers in public health · 2023Pooled it
- A systematic review on hospital inefficiency in the Eastern Mediterranean Region: sources and solutions.BMC health services research · 2019Pooled it
- Understanding contraceptive use in Pakistan: The role of individual and community contextual factors.PloS one · 2026Article
- Measuring efficiency of public hospitals under the impact of Covid-19: the case of Türkiye.Cost effectiveness and resource allocation : C/E · 2023Article
- Healthcare reform and productivity of Hospital: a DEA-based analysis from South West of Iran.Cost effectiveness and resource allocation : C/E · 2023Article
- Hospital efficiency measurement in the west of Iran: data envelopment analysis and econometric approach.Cost effectiveness and resource allocation : C/E · 2022Article
- Efficiency and management factors: finding the balance in Thalassaemia care centres.Health economics review · 2022Article
- Performance evaluation and ranking of regional primary health care and public health Systems in Iran.BMC health services research · 2021Article
- Levels, trends and determinants of technical efficiency of general hospitals in Uganda: data envelopment analysis and Tobit regression analysis.BMC health services research · 2020Article
- Improving public hospital efficiency and fiscal space implications: the case of Mauritius.International journal for equity in health · 2020Article
- Efficiency and scale effect of county public hospitals in Shandong Province, China: a cross-sectional study.BMJ open · 2020Article
- Is bed turnover rate a good metric for hospital scale efficiency? A measure of resource utilization rate for hospitals in Southeast Nigeria.Cost effectiveness and resource allocation : C/E · 2020Article
- Assessment of the impact of public hospital associations (PHAs) on the efficiency of hospitals under the ministry of health in Turkey with data envelopment analysis.Health care management science · 2019Article
- Identification of the most appropriate variables for measuring the efficiency of Iranian public hospitals: Using Delphi technique.Journal of education and health promotion · 2019Article
- Hospitals' efficiency in Iran: A systematic review and meta-analysis.Journal of education and health promotion · 2019Article
- Efficiency measurement of health care organizations: What models are used?Medical journal of the Islamic Republic of Iran · 2017Article
- A New Strategy to Evaluate Technical Efficiency in Hospitals Using Homogeneous Groups of Casemix : How to Evaluate When There is Not DRGs?Journal of medical systems · 2016Article
- Does outsourcing paramedical departments of teaching hospitals affect educational status of the students?Medical journal of the Islamic Republic of Iran · 2016Article
- Measuring efficiency of governmental hospitals in Palestine using stochastic frontier analysis.Cost effectiveness and resource allocation : C/E · 2016Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHospitals are highly resource-dependent settings, which spend a large proportion of healthcare financial resources. The analysis of hospital efficiency can provide insight into how scarce resources are used to create health values. This study examines the Technical Efficiency (TE) of 12 teaching hospitals affiliated with Tehran University of Medical Sciences (TUMS) between 1999 and 2011.
methodsThe Stochastic Frontier Analysis (SFA) method was applied to estimate the efficiency of TUMS hospitals. A best function, referred to as output and input parameters, was calculated for the hospitals. Number of medical doctors, nurses, and other personnel, active beds, and outpatient admissions were considered as the input variables and number of inpatient admissions as an output variable.
resultsThe mean level of TE was 59% (ranging from 22 to 81%). During the study period the efficiency increased from 61 to 71%. Outpatient admission, other personnel and medical doctors significantly and positively affected the production (P< 0.05). Concerning the Constant Return to Scale (CRS), an optimal production scale was found, implying that the productions of the hospitals were approximately constant.
conclusionFindings of this study show a remarkable waste of resources in the TUMS hospital during the decade considered. This warrants policy-makers and top management in TUMS to consider steps to improve the financial management of the university hospitals.
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