Key Indicators Affecting Hospital Efficiency: A Systematic Review
Imani A. Alibabayee R. Golestani M. Dalal K.
14 March 2022Frontiers Media S.A.
Frontiers in Public Health
2022#10
Background: Measuring hospital efficiency is a systematic process to optimizing performance and resource allocation. The current review study has investigated the key input, process, and output indicators that are commonly used in measuring the technical efficiency of the hospital to promote the accuracy of the results. Methods: To conduct this systematic review, the electronic resources and databases MEDLINE (via PubMed), Scopus, Ovid, Proquest, Google Scholar, and reference lists of the selected articles were used for searching articles between 2010 and 2019. After in-depth reviews based on the inclusion and exclusion criteria, among 1,537 studies, 144 articles were selected for the final assessment. Critical Appraisal Skills Programme (CASP) Checklist was used for evaluating the quality of the articles. The main findings of studies have been extracted using content analysis. Results: After the final analysis, the Context/Input indicators that were commonly considered by studies in analyzing hospital technical efficiency include different variables related to Hospital Capacity, Structure, Characteristics, Market concentration, and Costs. The Process/Throughput indicators include different variables related to Hospital Activity or services-oriented process Indicators, Hospital Quality-oriented process indicators, and Hospital Educational processes. Finally, the Output/Outcome indicators include different variables related to Hospital Activity-related output variables and Quality-related output/outcomes variables. Conclusion: This study has identified that it is necessary to mix and assess a set of input, process, and output indicators of the hospital with both quantitative and qualitative indicators for measuring the technical efficiency of hospitals comprehensively. Copyright
hospital inputs , hospital outputs , hospital process , indicators , technical efficiency
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Tabriz Health Service Management Research Center, Health Economics Department, Tabriz University of Medical Sciences, Tabriz, Iran
Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
Faculty of Medicine and Health, Al-Farabi Kazakh National University, Almaty, Kazakhstan
Department of Public Health Sciences, School of Health Sciences, Mid Sweden University, Sundsvall, Sweden
Tabriz Health Service Management Research Center
Road Traffic Injury Research Center
Faculty of Medicine and Health
Department of Public Health Sciences
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