The Impact of the Health Transformation Plan on Hospital Performance Indicators: A Meta-analysis Study in an EMRO Region Country.

IF 1.7 Q2 MEDICINE, GENERAL & INTERNAL International Journal of Preventive Medicine Pub Date : 2024-08-05 eCollection Date: 2024-01-01 DOI:10.4103/ijpvm.ijpvm_69_23
Fatemeh Setoodehzadeh, Alireza Ansari-Moghaddam, Mohammad Khammarnia, Fatemeh Bagher Barahouei
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Abstract

To adapt to the changing conditions and respond to the needs of society, health systems need continuous changes and reforms in their structure and performance, and subsequently, they need to evaluate their indicators. Therefore, this study aimed to investigate the impact of the health system transformation plan (HTP) on the functional indicators and efficiency of hospitals in a country in the Middle East region (Iran). A systematic literature review was conducted according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines using the online databases Medline, EMBASE, Scopus, Pubmed, SID, Magiran, and Medlib from 2013 to 2022 using a combination of medical subject heading terms ('health system transformation plan [Mesh] OR 'health reform [Mesh] OR implementation of the health transformation plan [Mesh] ''AND ('performance indicators' [Mesh]) ''AND ('Iran' [Mesh]). STATA version 11 were used for data analysis. A total of 20 reports (cross-sectional, cohort, and case-control) were identified for this study. The results showed that after the HTP, the indices of bed occupancy rate and bed turnover rate have increased and the index of bed turnover distance has decreased. On the other hand, after the implementation of this plan in hospitals, the average of patients' length of stay has increased. The implementation of HTP has improved most of the performance indicators of hospitals and has generally led to an increase in the productivity of hospitals compared to that before the implementation of the plan. However, efforts to strengthen weak performance indicators and identify effective indicators along with adopting correct policies to increase the overall efficiency of hospitals can be effective in improving HTP.

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卫生转型计划对医院绩效指标的影响:EMRO 地区国家的元分析研究。
为了适应不断变化的条件并满足社会需求,卫生系统需要在其结构和绩效方面进行持续的变革和改革,并随之对其指标进行评估。因此,本研究旨在调查医疗系统转型计划(HTP)对中东地区某国(伊朗)医院功能指标和效率的影响。根据 PRISMA(Preferred Reporting Items for Systematic Reviews and Meta-Analyses,系统性综述和元分析的首选报告项目)指南,使用 Medline、EMBASE、Scopus、Pubmed、SID、Magiran 和 Medlib 等在线数据库对 2013 年至 2022 年的文献进行了系统性综述,综述中使用了医学主题词("卫生系统转型计划 [Mesh] 或'卫生改革 [Mesh] 或卫生转型计划的实施 [Mesh] ''和('绩效指标'[Mesh])''和('伊朗'[Mesh])。数据分析使用 STATA 第 11 版。本研究共确定了 20 份报告(横断面、队列和病例对照)。结果显示,在实施 HTP 后,病床占用率和病床周转率指数上升,病床周转距离指数下降。另一方面,医院实施该计划后,患者的平均住院时间延长了。与计划实施前相比,HTP 的实施改善了医院的大部分绩效指标,并普遍提高了医院的生产率。然而,努力加强薄弱的绩效指标,确定有效的指标,同时采取正确的政策来提高医院的整体效率,可以有效改善 HTP。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
International Journal of Preventive Medicine
International Journal of Preventive Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
3.20
自引率
4.80%
发文量
107
期刊介绍: International Journal of Preventive Medicine, a publication of Isfahan University of Medical Sciences, is a peer-reviewed online journal with Continuous print on demand compilation of issues published. The journal’s full text is available online at http://www.ijpvmjournal.net. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles on any OAI-compliant institutional / subject-based repository. The journal will cover technical and clinical studies related to health, ethical and social issues in field of Preventive Medicine. Articles with clinical interest and implications will be given preference.
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