Performance Indicators of Hospitals Affiliated to Isfahan University of Medical Sciences Before and After Covid-19 Using Pabon Lasso Model



M Jangi MAJID ; As Babokani Azadeh SHAYAN ; Ng Najafabadi Nasim GHALILI ; S Harchegani SEDIGHEHTORKI
Source: Journal of Payavard Salamat Published:2024

Abstract

Background and Aim: Considering the limitation of resourses, improvement of the hospital efficiency is an absolute necessity. The COVID-19 pandemic had a considerable effect on performance indicators of hospitals. This study aimed to investigate changes of indicators of hospitals affiliated to Isfahan University of Medical Sciences before and after COVID-19. Materials and Methods: This study was descriptive-cross sectional. The statistical population included all hospitals under the coverage of Isfahan University of Medical Sciences (38). The input data were related to the three years 2019 to 2021 (the year 2019 as the year before outbreak of COVID-19, the year 2020 as the first year of outbreak and the year 2021 as the second year of outbreak), which were collected using the researcher’s form based on reports extracted from the statistics and hospital information system available in the statistics and information technology management and finally the data analyzed through the PabonLasso model. Results: Process of indicators during the years 2019-2021 shows that mean of indicators of bed occupancy rate and bed turnover rate as the first year of outbreak of COVID-19 (2020) that was the peak of the disease has decreased as compared to the year 2019 and average length of stay has increased. In years 2019, 2020 and 2021, 24.32, 23.68 and 24.32 percent of hospitals were in the third area (efficient area). From 2019 to 2020, efficiency change was observed in 27 percent of the hospitals where 6 hospitals had positive trend and 4 hospitals had negative trend and from 2020 to 2021, efficiency change was observed in 16 percent of hospitals where 2 hospitals had positive and 4 had negative trend. Conclusion: Considering the low efficiency of hospitals, it is suggested to carry out continuous and annual assessment of efficiency changes in hospitals in order to identify the causes of inefficiency early and preventing its drop and it is necessary for health managers and policy makers to take appropriate measures in the conditions of the outbreak of unexpected disease such as the outbreak of COVID-19 in order to use hospital resources more optimally. © 2025 Elsevier B.V., All rights reserved.