. Haniye Sadat Sajadi; . Zainab Sadat Sajadi; . Farkhondeh Alsadat Sajadi; . Mohammad Hadi; . Maryam Zahmatkesh
Volume 7, Issue 5 , September and October 2017, , Pages 1-5
Abstract
INTRODUCTION: Hospital care transformation plan (HCTP) was implemented, in 2014, with the aimof ensuring all Iranians have fair access to hospital care, mainly in the public sector. ...
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INTRODUCTION: Hospital care transformation plan (HCTP) was implemented, in 2014, with the aimof ensuring all Iranians have fair access to hospital care, mainly in the public sector. It was assumedthat HCTP would lead to increased quality and effectiveness of health care in public hospitals. Toexplore whether HCTP has achieved its aim, this study has investigated the impact of this plan onperformance indicators (PIs) of the public hospitals.MATERIALS AND METHODS: This cross‑sectional descriptive study was conducted in 2016. Thestudy population included all hospitals in the Isfahan City. Data (10 selected PIs) were collectedthrough formal reports which were available at the Isfahan University of Medical Sciences andanalyzed using Statistical Package for Social Sciences (version 17). The statistical significant levelanalysis was 0.05.RESULTS: After HCTP, it was shown an increase of (1) Bed occupancy, bed turnover, occupiedbed‑days, inpatients visits, and number of surgeries in all types of hospitals, (2) Outpatients’ visits inall hospitals except private ones, (3) Emergency visits in public and social security hospitals, and (4)Natural deliveries in public and semi‑public hospitals. Furthermore, the average length of stay andhospital mortality rate has decreased in all types of hospitals after HCTP implementation.DISCUSSION AND CONCLUSION: Although, improving PIs of hospitals were not directly statedand known objectives of HCTP implementation, it seems HCTP could improve the performance ofall hospitals, including involved and noninvolved ones.