Evaluation of the Efficiency of Tabriz Hospitals; Using the Pabon Lasso Model in a 5-Year Period

Background: Hospitals are the largest and most costly operating units of healthsystems, and their share of current government expenditures in the healthcaresector is between 50 and 80 percent. The hospital efficiency is more indicative ofthe proper function of the resources devoted to it. The aim of this study was toevaluate the efficiency of hospitals in Tabriz by using the Pabon Lasso model.Methods: This is a descriptive study that investigated the efficiency of Tabrizhospitals during 2009-2013. All hospitals of Tabriz were entered by census. Data(bed occupancy rate, bed turnover and patient length of stay) were collected insummer 2014 and charts were plotted using SPSS 19 software.Results: The mean of Pabon Lasso s three indices of efficiency in 5 years(excluding psychiatric beds) was 67.6% for bed occupancy rate, 104.3 times bedturnover, and 2.48 days average patient length of stay. The coefficient of bedoccupancy increased by 3% over 5 years, the bed turnover index increased by 8times and the average length of stay decreased by 0.17 day. On average, 25.2% ofhospitals were in Region 1, 23.5% in Region 2, 26.1% in Region 3 and 25.2% inRegion 4 of Pabon Lasso Diagram.Conclusion: The presence of 26% of hospitals in the region of Pabon LassoDiagram shows the effective efficiency of hospitals which is not an acceptablestatistics for hospitals and requires the intervention of health practitioners andpolicymakers.

Keywords:

Pabon Lasso , Efficiency , Hospital