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Iranian Journal of Medical Sciences، جلد ۴۷، شماره ۶، صفحات ۵۴۹-۵۵۷
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عنوان انگلیسی Identification and Prioritization of Critical Factors Affecting the Performance of Iranian Public Hospitals using the Best-Worst Method: A Prospective Study
چکیده انگلیسی مقاله Background: In the ever-changing healthcare environment, policymakers and managers need a comprehensive evaluation system to accurately identify and prioritize factors affecting hospital performance. The present study aimed to identify and rank critical factors affecting hospital performance using the best-worst method (BWM). Methods: A cross-sectional study was conducted during 2016-2019 to identify and prioritize factors affecting the performance of Iranian public hospitals using the BWM. Initially, the content validity ratio (CVR) was used to screen the identified factors. Then, using a linear programming formula, a pairwise comparison between the best/worst criterion with all other identified criteria was performed.Results: The most important internal factor was efficiency, and its associated indicators were mainly related to financial factors. Among all external factors, the most prominent were economic, legal, and political factors, which were negatively affected by budgeting policies and the payment system. A megatrend was also identified in the form of a national health insurance system as well as a shift from employer-based to government-subsidized insurance coverage.Conclusion: External factors (economic and political) had a greater impact on the performance of public hospitals than internal factors (efficiency and effectiveness).
کلیدواژه‌های انگلیسی مقاله Operations research, Hospitals, Health services, Employee performance appraisal
نویسندگان مقاله Payam Shojaei |
Department of Management, School of Economics, Management and Social Sciences, Shiraz University, Shiraz, Iran

Kimia Pourmohammadi |
Health Human Resources Research Center, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran

Nahid Hatam |
Health Human Resources Research Center, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran

Peivand Bastani |
Health Human Resources Research Center, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran

Ramin Hayati |
Department of Public Health, School of Health, Fasa University of Medical Sciences, Fasa, Iran

نشانی اینترنتی https://ijms.sums.ac.ir/article_48374_0763073a446268c7cd0f1d8ce7c35362.pdf
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