Efficiency of Iranian Hospitals Before and After Health Sector Evolution Plan: A Systematic Review and Meta-Analysis Study

Purpose: Aging, chronic diseases, and development of expensive and advanced technologies has increased hospitals costs which have necessitated their efficiency in utilization of resources. This systematic review and meta-analysis study has assessed the efficiency of Iranian hospitals before and afte...

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Autores principales:	Saeed Amini, Behzad Karami Matin, Mojtaba Didehdar, Ali Alimohammadi, Yahya Salimi, Mohammadreza Amiresmaili, Ali Kazemi-Karyani
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	efficiency hospital ownership costs Iran Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/cdc2accb34334324a491b482b2b6f0f7
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spelling	oai:doaj.org-article:cdc2accb34334324a491b482b2b6f0f72021-11-30T22:20:04ZEfficiency of Iranian Hospitals Before and After Health Sector Evolution Plan: A Systematic Review and Meta-Analysis Study2296-256510.3389/fpubh.2021.727669https://doaj.org/article/cdc2accb34334324a491b482b2b6f0f72021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpubh.2021.727669/fullhttps://doaj.org/toc/2296-2565Purpose: Aging, chronic diseases, and development of expensive and advanced technologies has increased hospitals costs which have necessitated their efficiency in utilization of resources. This systematic review and meta-analysis study has assessed the efficiency of Iranian hospitals before and after the 2011 Health Sector Evolution Plan (HSEP).Methods: Internal and external databases were searched using specified keywords without considering time limitations. The retrieved articles were entered into EndNote considering inclusion and exclusion criteria, and the final analysis was performed after removing duplicates. Heterogeneity between the studies was assessed using Q and I2 tests. A forest plot with 95% confidence intervals (CI) was used to calculate different types of efficiency. The data were analyzed using STATA 14.Results: Random pooled estimation of hospitals technical, managerial, and scale efficiencies were 0.84 (95%CI = 0.78, 0.52), 0.9 (95%CI = 0.85, 0.94), and 0.88 (95%CI = 0.84, 0.91), respectively. Sub-group analysis on the basis of study year (before and after HSEP in 2011) indicated that random pool estimation of technical (0.86), managerial (0.91), and scale (0.90) efficiencies of Iranian hospitals for 2011 and before were better than technical (0.78), managerial (0.86), and scale (0.74) efficiencies after 2011.Conclusion: Type of hospital ownership was effective on hospital efficiency. However, HSEP has not improved hospital efficiency, so it is necessary for future national plans to consider all aspects.Saeed AminiSaeed AminiBehzad Karami MatinMojtaba DidehdarAli AlimohammadiYahya SalimiMohammadreza AmiresmailiAli Kazemi-KaryaniFrontiers Media S.A.articleefficiencyhospitalownershipcostsIranPublic aspects of medicineRA1-1270ENFrontiers in Public Health, Vol 9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	efficiency hospital ownership costs Iran Public aspects of medicine RA1-1270
spellingShingle	efficiency hospital ownership costs Iran Public aspects of medicine RA1-1270 Saeed Amini Saeed Amini Behzad Karami Matin Mojtaba Didehdar Ali Alimohammadi Yahya Salimi Mohammadreza Amiresmaili Ali Kazemi-Karyani Efficiency of Iranian Hospitals Before and After Health Sector Evolution Plan: A Systematic Review and Meta-Analysis Study
description	Purpose: Aging, chronic diseases, and development of expensive and advanced technologies has increased hospitals costs which have necessitated their efficiency in utilization of resources. This systematic review and meta-analysis study has assessed the efficiency of Iranian hospitals before and after the 2011 Health Sector Evolution Plan (HSEP).Methods: Internal and external databases were searched using specified keywords without considering time limitations. The retrieved articles were entered into EndNote considering inclusion and exclusion criteria, and the final analysis was performed after removing duplicates. Heterogeneity between the studies was assessed using Q and I2 tests. A forest plot with 95% confidence intervals (CI) was used to calculate different types of efficiency. The data were analyzed using STATA 14.Results: Random pooled estimation of hospitals technical, managerial, and scale efficiencies were 0.84 (95%CI = 0.78, 0.52), 0.9 (95%CI = 0.85, 0.94), and 0.88 (95%CI = 0.84, 0.91), respectively. Sub-group analysis on the basis of study year (before and after HSEP in 2011) indicated that random pool estimation of technical (0.86), managerial (0.91), and scale (0.90) efficiencies of Iranian hospitals for 2011 and before were better than technical (0.78), managerial (0.86), and scale (0.74) efficiencies after 2011.Conclusion: Type of hospital ownership was effective on hospital efficiency. However, HSEP has not improved hospital efficiency, so it is necessary for future national plans to consider all aspects.
format	article
author	Saeed Amini Saeed Amini Behzad Karami Matin Mojtaba Didehdar Ali Alimohammadi Yahya Salimi Mohammadreza Amiresmaili Ali Kazemi-Karyani
author_facet	Saeed Amini Saeed Amini Behzad Karami Matin Mojtaba Didehdar Ali Alimohammadi Yahya Salimi Mohammadreza Amiresmaili Ali Kazemi-Karyani
author_sort	Saeed Amini
title	Efficiency of Iranian Hospitals Before and After Health Sector Evolution Plan: A Systematic Review and Meta-Analysis Study
title_short	Efficiency of Iranian Hospitals Before and After Health Sector Evolution Plan: A Systematic Review and Meta-Analysis Study
title_full	Efficiency of Iranian Hospitals Before and After Health Sector Evolution Plan: A Systematic Review and Meta-Analysis Study
title_fullStr	Efficiency of Iranian Hospitals Before and After Health Sector Evolution Plan: A Systematic Review and Meta-Analysis Study
title_full_unstemmed	Efficiency of Iranian Hospitals Before and After Health Sector Evolution Plan: A Systematic Review and Meta-Analysis Study
title_sort	efficiency of iranian hospitals before and after health sector evolution plan: a systematic review and meta-analysis study
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/cdc2accb34334324a491b482b2b6f0f7
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Efficiency of Iranian Hospitals Before and After Health Sector Evolution Plan: A Systematic Review and Meta-Analysis Study

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