Research Article
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Evaluation of The Performance of Training And Research Hospitals with The Pabon Lasso Method

Year 2022, Volume: 3 Issue: 2, 93 - 102, 24.12.2022

Abstract

Objective: The aim of this study is to evaluate the performance levels of the training and research hospitals affiliated with the Ministry of Health with the Pabon Lasso Model.
Method: In the study, the Pabon Lasso model was used to evaluate the performance levels of training and research hospitals affiliated with the Ministry of Health between the years 2013-2019. The bed occupancy rate, bed turnover rate, and average length of stay were used as variables in the Pabon Lasso model. It has been tested whether the performance levels of the hospitals change according to their affiliation, years, and geographical regions. The data were obtained from the Ministry of Health. Python and SPSS 26 programs were used in the analysis of the data.
Results: According to the findings obtained from the study, it was seen that half of the hospital beds were used inefficiently according to the Pabon Lasso model. While it was seen that hospital inefficiencies did not change according to affiliation and year, it was evaluated that the hospitals in the Marmara Region were generally more efficient than other hospitals.
Conclusion: The Pabon Lasso model provides information on the use of hospital beds in general. While the average bed capacity utilization rate of the hospitals affiliated with the Ministry of Health is around 70%, it has been observed that this rate is over 80% in training and research hospitals. Since the inefficiency of training and research hospitals, which use most of the personnel and financial resources of the Ministry of Health, has the potential to affect the system in general, planning and strategies should be developed to make training and research hospitals productive.

References

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  • 2. Maleki, M.R., Fatehpanah, A. and Gohari, M.R.,Performance assessment of Hasheminejad hospital in 2007 according to the The Baldrige Criteria for Performance Excellence. Pejouhesh dar Pezeshki, 2010. 34(1).
  • 3. Shadpour, K., Health sector reform in Islamic Republic of Iran. Journal of Inflammatory Diseases, 2006. 10(3): p. 7-20.
  • 4. Güngören, M. ve Orhan, F.,Sağlık Hizmetleri Sektörünün Rekabetçilik Analizi 5 Güç Modeli Çerçevesinde Ankara İli’nde Bir Uygulama. Kahramanmaraş Sütçü İmam Üniversitesi Sosyal Bilimler Dergisi, 2001. 10(1): p. 151-182.
  • 5. Taslimi, M. and Zayandeh, M.,Challenges of hospital performance assessment system development: Literature review. 2013.
  • 6. Nasiripour, A., Kazemi, M.A. and Izadi, A.R.,Designing a Performance assessment Model for Iranian social security organization hospitals with balanced scorecard approach. Health Information Management, 2013. 9(7): p.1169-79
  • 7. Asefzadeh, S., Responding to demand for inpatient care in the process of health development. 2005. 8. Barati, A. and R. Khalilnezhad, Hospital Performance Measuring. Journal of Health Administration, 2004. 7(17): p. 27-36.
  • 9. Mahapatra, P. and Berman, P. Using hospital activity indicators to evaluate performance in Andhra Pradesh, India. The International Journal of Health Planning and Management, 1994. 9(2): p. 199-211.
  • 10. Baghbanian, A., et al., An Investigation of performance at hospitals affiliated with Zahedan University of Medical Sciences; using Pabon Lasso technique. Medicine and Public Health Journal, 2014: p.31-7
  • 11. Mehrtak, M., Yusefzadeh, H. and Jaafaripooyan, E.,Pabon Lasso and Data Envelopment Analysis: a complementary approach to hospital performance measurement. Glob J Health Sci, 2014. 6(4): p. 107-16.
  • 12. Farzandipour, M. and Rangraz J, F.,How often do the managers use the statistics for hospital management? KAUMS Journal (FEYZ), 2003. 7(3): p. 92-98.
  • 13. Mehrotra, A., S. Lee, and Dudley, R.A.,Hospital performance evaluation: what date do we want, how do we get it, and how should we use it. National Business Coalitions on Health, Washington DC, 2006.
  • 14. Pabon Lasso, H., Evaluating hospital performance through simultaneous application of several indicators. Bulletin of the Pan American Health Organization (PAHO); 20 (4), 1986, 1986.
  • 15. Ajlouni, M.M., et al., The relative efficiency of Jordanian public hospitals using data envelopment analysis and Pabon Lasso diagram. Global journal of business research, 2013. 7(2): p. 59-72.
  • 16. Matin, B.K., et al., Assessing the performance of hospitals at Kermanshah University of Medical Sciences by Pabon Lasso Model (2006-2011). Journal of Kermanshah University of Medical Sciences, 2014. 18(1): p.53-61
  • 17. Varabyova, Y. and J. Schreyögg, International comparisons of the technical efficiency of the hospital sector: panel data analysis of OECD countries using parametric and non-parametric approaches. Health policy, 2013. 112(1-2): p. 70-79.
  • 18. Sağlık Bakanlığı, Sağlık yıllık istatistiği. 2019. [cited 2022 10.11.2022]; Available from: https://dosyasb.saglik.gov.tr/Eklenti/40564,saglik-istatistikleri-yilligi-2019pdf.pdf?0.
  • 19. Forster, D.P., et al., Supply, utilisation and outcome in hospital systems: an Anglo-Czech comparison. Health Policy, 1999. 48(3): p. 171-87.
  • 20. Goshtasebi, A., et al., Assessing hospital performance by the Pabon Lasso Model. Iranian Journal of Public Health, 2009. 38(2): p. 119-124.
  • 21. Peyrovi, H., E, et al., The role of operational criteria in determination of objectives and decision-making strategies in universities of medical sciences and health services. Researcher Bulletin Of Medical Sciences, 2000.
  • 22. Tripathi, C.B., et al., Assessment of performance of services in a tertiary care Neuropsychiatric Institute using Pabon Lasso Model. Asian Journal of Medical Sciences, 2016. 7(6): p. 69-74.
  • 23. Sağlık Bakanlığı, Sağlık Bakanlığına ait kurum ve kuruluşlar ile devlet üniversitelerinin ilgili birimlerinin birlikte kullanımı ile işbirliği usul ve esasları hakkında yönetmelik. Resmi Gazete, 2020. 31058.
  • 24. Yürümez, Y., Yücel, M. ve Ercan, B.,Türkiyede’ki afiliasyon modelleri. Journal of Human Rhythm, 2018. 4(1): p. 37-43.
  • 25. Sağlık Bilimleri Üniversitesi. Genel Bilgiler. 2018 [cited 2022 10.11.2022]; Available from: https://www.sbu.edu.tr/tr/universitemiz/kurumsal-bilgilerimiz/genel-bilgiler.
  • 26. Python.org. Python. What is Python? Executive Summary. 2022 [cited 2022 10.11.2022]; Available from: https://www.python.org/doc/essays/blurb/.
  • 27. Hayran, O., Sağlık Düzeyi Göstergeleri ve Hizmetler Açısından Ülkeler Arası Kıyaslama. 1997, Ankara: Nobel Kitabevi.
  • 28. Yiğit, V. ve Ağırbaş, İ.,Hastane işletmelerinde kapasite kullanım oranının maliyetlere etkisi: Sağlık Bakanlığı Tokat Doğum ve Çocuk Bakımevi Hastanesinde bir uygulama. Hacettepe Sağlık İdaresi Dergisi, 2004. 7(2).
  • 29. Yıldız, M.S., Türkiye’de 2002-2015 yılları arasında hastane yatak kullanımının değerlendirilmesi: Pabon Lasso metodu uygulaması. Hacettepe Sağlık İdaresi Dergisi, 2017. 20(3): p. 347-356.
  • 30. Yiğit, V. ve Esen, H.,Pabon Lasso modeli ve veri zarflama analizi ile hastanelerde performans ölçümü. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi, 2017. 8(2): p. 26-32.
  • 31. Elipek, E., Hastanelerde yatak kapasitesi kullanım verimliliğinin veri zarflama analizi ve Pabon Lasso modeli ile analizi: Makro, mikro, mezo ve hastane boyutunda bir araştırma, in Sosyal Bilimler Enstitüsü. 2018, Süleyman Demirel Üniversitesi: Isparta.
  • 32. Özsarı, H., Sağlık reformu sürecinde hastanecilik hizmetlerinin yeri. Hastane, Hospital News Tıp Teknolojisi Dergisi, 2001. 2(12): p. 66-68.
  • 33. Çalışkan, Z., Kamu hastane birlikleri performansının pabón lasso modeli ile analizi. Sosyal Güvence, 2016(10): p. 1-24.
  • 34. Baş, F., Sağlık Bakanlığına Bağlı Eğitim Ve Araştırma Hastaneleri Performanslarının Çok Kriterli Karar Verme Yöntemleri Kullanılarak Değerlendirilmesi in Sosyal Bilimler Enstitüsü Sağlık Yönetimi Anabilim Dalı. 2021, Hacettepe Üniversitesi
  • 35. Yücel, E., Kamu Hastanelerİnde Yatak Doluluk Oranini Etkileyen Faktörler. Uluslararası Sağlık Yönetimi ve Stratejileri Araştırma Dergisi, 2019. 5(1): p. 1-11.
Year 2022, Volume: 3 Issue: 2, 93 - 102, 24.12.2022

Abstract

References

  • 1. Adham, D., et al., Contemporary use of hospital efficiency indicators to evaluate hospital performance using the Pabon Lasso model. European Journal of Business and Social Sciences, 2014. 3(2): p. 1-8.
  • 2. Maleki, M.R., Fatehpanah, A. and Gohari, M.R.,Performance assessment of Hasheminejad hospital in 2007 according to the The Baldrige Criteria for Performance Excellence. Pejouhesh dar Pezeshki, 2010. 34(1).
  • 3. Shadpour, K., Health sector reform in Islamic Republic of Iran. Journal of Inflammatory Diseases, 2006. 10(3): p. 7-20.
  • 4. Güngören, M. ve Orhan, F.,Sağlık Hizmetleri Sektörünün Rekabetçilik Analizi 5 Güç Modeli Çerçevesinde Ankara İli’nde Bir Uygulama. Kahramanmaraş Sütçü İmam Üniversitesi Sosyal Bilimler Dergisi, 2001. 10(1): p. 151-182.
  • 5. Taslimi, M. and Zayandeh, M.,Challenges of hospital performance assessment system development: Literature review. 2013.
  • 6. Nasiripour, A., Kazemi, M.A. and Izadi, A.R.,Designing a Performance assessment Model for Iranian social security organization hospitals with balanced scorecard approach. Health Information Management, 2013. 9(7): p.1169-79
  • 7. Asefzadeh, S., Responding to demand for inpatient care in the process of health development. 2005. 8. Barati, A. and R. Khalilnezhad, Hospital Performance Measuring. Journal of Health Administration, 2004. 7(17): p. 27-36.
  • 9. Mahapatra, P. and Berman, P. Using hospital activity indicators to evaluate performance in Andhra Pradesh, India. The International Journal of Health Planning and Management, 1994. 9(2): p. 199-211.
  • 10. Baghbanian, A., et al., An Investigation of performance at hospitals affiliated with Zahedan University of Medical Sciences; using Pabon Lasso technique. Medicine and Public Health Journal, 2014: p.31-7
  • 11. Mehrtak, M., Yusefzadeh, H. and Jaafaripooyan, E.,Pabon Lasso and Data Envelopment Analysis: a complementary approach to hospital performance measurement. Glob J Health Sci, 2014. 6(4): p. 107-16.
  • 12. Farzandipour, M. and Rangraz J, F.,How often do the managers use the statistics for hospital management? KAUMS Journal (FEYZ), 2003. 7(3): p. 92-98.
  • 13. Mehrotra, A., S. Lee, and Dudley, R.A.,Hospital performance evaluation: what date do we want, how do we get it, and how should we use it. National Business Coalitions on Health, Washington DC, 2006.
  • 14. Pabon Lasso, H., Evaluating hospital performance through simultaneous application of several indicators. Bulletin of the Pan American Health Organization (PAHO); 20 (4), 1986, 1986.
  • 15. Ajlouni, M.M., et al., The relative efficiency of Jordanian public hospitals using data envelopment analysis and Pabon Lasso diagram. Global journal of business research, 2013. 7(2): p. 59-72.
  • 16. Matin, B.K., et al., Assessing the performance of hospitals at Kermanshah University of Medical Sciences by Pabon Lasso Model (2006-2011). Journal of Kermanshah University of Medical Sciences, 2014. 18(1): p.53-61
  • 17. Varabyova, Y. and J. Schreyögg, International comparisons of the technical efficiency of the hospital sector: panel data analysis of OECD countries using parametric and non-parametric approaches. Health policy, 2013. 112(1-2): p. 70-79.
  • 18. Sağlık Bakanlığı, Sağlık yıllık istatistiği. 2019. [cited 2022 10.11.2022]; Available from: https://dosyasb.saglik.gov.tr/Eklenti/40564,saglik-istatistikleri-yilligi-2019pdf.pdf?0.
  • 19. Forster, D.P., et al., Supply, utilisation and outcome in hospital systems: an Anglo-Czech comparison. Health Policy, 1999. 48(3): p. 171-87.
  • 20. Goshtasebi, A., et al., Assessing hospital performance by the Pabon Lasso Model. Iranian Journal of Public Health, 2009. 38(2): p. 119-124.
  • 21. Peyrovi, H., E, et al., The role of operational criteria in determination of objectives and decision-making strategies in universities of medical sciences and health services. Researcher Bulletin Of Medical Sciences, 2000.
  • 22. Tripathi, C.B., et al., Assessment of performance of services in a tertiary care Neuropsychiatric Institute using Pabon Lasso Model. Asian Journal of Medical Sciences, 2016. 7(6): p. 69-74.
  • 23. Sağlık Bakanlığı, Sağlık Bakanlığına ait kurum ve kuruluşlar ile devlet üniversitelerinin ilgili birimlerinin birlikte kullanımı ile işbirliği usul ve esasları hakkında yönetmelik. Resmi Gazete, 2020. 31058.
  • 24. Yürümez, Y., Yücel, M. ve Ercan, B.,Türkiyede’ki afiliasyon modelleri. Journal of Human Rhythm, 2018. 4(1): p. 37-43.
  • 25. Sağlık Bilimleri Üniversitesi. Genel Bilgiler. 2018 [cited 2022 10.11.2022]; Available from: https://www.sbu.edu.tr/tr/universitemiz/kurumsal-bilgilerimiz/genel-bilgiler.
  • 26. Python.org. Python. What is Python? Executive Summary. 2022 [cited 2022 10.11.2022]; Available from: https://www.python.org/doc/essays/blurb/.
  • 27. Hayran, O., Sağlık Düzeyi Göstergeleri ve Hizmetler Açısından Ülkeler Arası Kıyaslama. 1997, Ankara: Nobel Kitabevi.
  • 28. Yiğit, V. ve Ağırbaş, İ.,Hastane işletmelerinde kapasite kullanım oranının maliyetlere etkisi: Sağlık Bakanlığı Tokat Doğum ve Çocuk Bakımevi Hastanesinde bir uygulama. Hacettepe Sağlık İdaresi Dergisi, 2004. 7(2).
  • 29. Yıldız, M.S., Türkiye’de 2002-2015 yılları arasında hastane yatak kullanımının değerlendirilmesi: Pabon Lasso metodu uygulaması. Hacettepe Sağlık İdaresi Dergisi, 2017. 20(3): p. 347-356.
  • 30. Yiğit, V. ve Esen, H.,Pabon Lasso modeli ve veri zarflama analizi ile hastanelerde performans ölçümü. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi, 2017. 8(2): p. 26-32.
  • 31. Elipek, E., Hastanelerde yatak kapasitesi kullanım verimliliğinin veri zarflama analizi ve Pabon Lasso modeli ile analizi: Makro, mikro, mezo ve hastane boyutunda bir araştırma, in Sosyal Bilimler Enstitüsü. 2018, Süleyman Demirel Üniversitesi: Isparta.
  • 32. Özsarı, H., Sağlık reformu sürecinde hastanecilik hizmetlerinin yeri. Hastane, Hospital News Tıp Teknolojisi Dergisi, 2001. 2(12): p. 66-68.
  • 33. Çalışkan, Z., Kamu hastane birlikleri performansının pabón lasso modeli ile analizi. Sosyal Güvence, 2016(10): p. 1-24.
  • 34. Baş, F., Sağlık Bakanlığına Bağlı Eğitim Ve Araştırma Hastaneleri Performanslarının Çok Kriterli Karar Verme Yöntemleri Kullanılarak Değerlendirilmesi in Sosyal Bilimler Enstitüsü Sağlık Yönetimi Anabilim Dalı. 2021, Hacettepe Üniversitesi
  • 35. Yücel, E., Kamu Hastanelerİnde Yatak Doluluk Oranini Etkileyen Faktörler. Uluslararası Sağlık Yönetimi ve Stratejileri Araştırma Dergisi, 2019. 5(1): p. 1-11.
There are 34 citations in total.

Details

Primary Language Turkish
Subjects Health Policy, Health Care Administration
Journal Section Research Articles
Authors

Ferhat Baş 0000-0002-1595-1656

Bünyamin Keleş 0000-0002-1526-7571

Publication Date December 24, 2022
Published in Issue Year 2022 Volume: 3 Issue: 2

Cite

IEEE F. Baş and B. Keleş, “Evaluation of The Performance of Training And Research Hospitals with The Pabon Lasso Method”, Journal of Innovative Healthcare Practices, vol. 3, no. 2, pp. 93–102, 2022.