伊朗卫生部门发展计划对医院绩效指标的影响:中断时间序列分析
Shahin Soltani1, Satar Rezaei1, Ali Kazemi-Karyani1
1Research Center for Environmental Determinants of Health (RCEDH), Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Frontiers in health services
|September 6, 2023
概括
伊朗的卫生部门发展计划 (HSEP) 导致了更多的急诊和更少的医院死亡. 这表明需要增加医疗保健投资和改善基础设施,以管理不断增长的需求.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
- 医疗保健管理的管理
背景情况:
- 卫生部门发展计划 (HSEP) 在伊朗的卫生系统中实施,以解决医院和医疗保健服务的关键问题.
- 教学医院是医学教育和医疗保健服务的关键组成部分.
研究的目的:
- 评估HSEP对伊朗教学医院绩效的影响.
- 使用中断时间序列分析,比较HSEP实施前后的关键绩效指标.
主要方法:
- 采用了横截面的研究设计,分析了克尔曼沙哈医学科学大学附属的17家教学医院的月度数据.
- 从2009年到2019年,收集了有关住院率,急诊室访问 (EDV) 和住院死亡率的数据.
- 用中断时间序列 (ITS) 分析来评估HSEP实施前60个月和实施后61个月的趋势.
主要成果:
- 在HSEP后观察到,住院率的月度趋势没有显著下降 (-0.084每10,000人口).
- 在HSEP后发现EDV的月度趋势在统计上显著增加 (每10,000人中有1.07人).
- 在HSEP后观察到住院死亡率的月度趋势显著下降 (-0.003每10,000人口).
结论:
- 实施HSEP与EDV的显著增加和住院死亡率的显著下降有关.
- 医院住院率和EDV的增加表明需要加强医疗保健投资,基础设施和人力资源.
- 提高医疗保健服务质量至关重要,以有效地管理HSEP后不断变化的需求.
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