Evidence map›Paper›PMID 27390686›Full record

ArticleMedical journal of the Islamic Republic of Iran2016

The productivity and its barriers in public hospitals: case study of ran.

Bahram Nabilou, Hassan Yusefzadeh, Aziz Rezapour, Farbod Ebadi Fard Azar, Parviz Salem Safi, Ali Sarabi Asiabar, Nahal Ahmadzadeh

Open access · greenAbstract read
In one paragraph

Article in Medical journal of the Islamic Republic of Iran, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
4.2field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
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  11. Effective factors and drivers of Iran's health care financing system.Medical journal of the Islamic Republic of Iran · 2020
    Article
  12. Article
  13. Exploring the Human Factors Affecting Health Service Managers: A Qualitative Study.Open access Macedonian journal of medical sciences · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Bahram NabilouAssociate Professor of Health Services Management, Social Determinants of Health Research Center, Urmia University of Medical Sciences, Urmia, Iran. bnabil@umsu.ac.ir.
Hassan YusefzadehAssistant Professor of Health Economics, Department of Public Health, School of Public Health, Urmia University of Medical Sciences, Urmia, Iran. hyusefzade2010@gmail.com.
Aziz RezapourAssistant Professor of Health Economics, School of Health Management and Information Sciences and Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran. rezapoor_a57@yahoo.com.
Farbod Ebadi Fard AzarProfessor of Health Services Management, Department of Public Health, School of Public Health, Iran University of Medical Sciences, Tehran, Iran. f-ebadi@iums.ac.ir.
Parviz Salem SafiMSc in Health Services Management, Department of Public Health, School of Public Health, Urmia University of Medical Sciences, Urmia, Iran. p_safi2003@yahoo.com.
Ali Sarabi AsiabarMSc in Public Management, Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran. Sarabi.a@iums.ac.ir.
Nahal AhmadzadehMSc Management Systems and Efficiency, Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran. nahalahmadzadeh@yahoo.com.
Iran University of Medical Sciences · IRUrmia University · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDue to the increasing health care costs, the issue of productivity in hospitals must be taken into great consideration in order to provide, preserve and promote public health services. Thus, increasing the level of productivity must become the main aim of any hospital. Objective of this study is to determine the total factor productivity and its components over the period under the study.

methodsIn this cross sectional study, total factor productivity changes of hospitals affiliated to Tehran University of Medical Sciences were measured according to Malmquist index over the period 2009-2014. To estimate total productivity changes using Data Envelopment Analysis method, inputoriented and variable return to scale assumptions were applied and Deap2.1 software was used.

resultsThe mean value of total productivity changes was 1.013. It means that during the study period the productivity experienced a 1.3% decrease. Technological efficiency changes have the greatest influence on productivity decrease than the other factors. Scale efficiency, managerial efficiency and technical efficiency changes were ranked.

conclusionLack of knowledge of hospital personnel on proper application of technology in patient treatment is the main factor leading to productivity decrease resulting from technological changes in the studied hospitals. Therefore, holding courses for personnel in order to teach them the proper use of technology in diagnosis and patient care can be helpful.

Indexed as

EfficiencyHospitalMalmquist indexProductivity

Identifiers

PMID27390686
PMCPMC4898866
OpenAlexW2224832081

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.