Comparison of the Rate and Causes of Surgery Cancellations before and after the Implementation of the Health Sector Evolution Plan: a case study in selected public hospitals

Background: Operating room efficiency is one of the main factors in determining hospital costs. Since Health Sector Evolution Plan (HSEP) was implemented with the idea of increasing people&#۳۹;s access to hospital services, this study aimed to compare the rate and causes of cancellation of surgical procedures in public hospitals before and after HSEP.   Methods: This descriptive-analytic study was carried out in two public hospitals in Zahedan in ۲۰۱۷. A total of ۸۱۳۸ of registered profiles were selected randomly and reviewed. A standard checklist containing ۹ questions were used for data gathering. Data were analyzed using descriptive statistics and chi-square tests and through SPSS software version ۲۱.     Results: The number of surgies has increased after HSEP. Befor HSEP, most of the surgeries had been canceled for organizational and managerial reasons (۵۸%) while after HSEP, patient issues were the main cause of cancellation of surgeries (۶۶%). Surgery cancellation related to the surgery team, patient, anesthesia, medical, equipment and organisation had a significant relation with the marital status of patients (P=۰.۰۱۱) and their type of health insurance (P= ۰.۰۲۱).   Conclusion: Performing detailed planning for operating rooms, providing necessary training programs for patients, patients&#۳۹; visit by anesthesiologists, as well as quantitative and qualitative improvement of operating room conditions can increase the efficiency of oprtaing rooms and hospitals.