مقایسه‌ی کارایی بیمارستان‌های غرب ایران قبل و بعد از همه‌گیری کووید-19 با استفاده از مدل پابن لاسو

زمینه و هدف: شواهد محدودی در مورد تاثیر همه‌گیری بیماری کرونا بر کارایی بیمارستان‌ها در ایران وجود دارد. این مطالعه با هدف بررسی تاثیر همه‌گیری کووید-19 بر بهره‌وری بیمارستان‌های دولتی استان ایلام انجام شد.روش بررسی: این پژوهش توصیفی گذشته‌نگر به بررسی عملکرد 9 بیمارستان استان ایلام طی یک دوره‌ی چهار ساله(1400-1397) بر اساس مدل گرافیکی پابن لاسو پرداخته است. داده‌های مورد‌نظر از سیستم اطلاعات سلامت بیمارستان‌ها استخراج و شاخص‌های کلیدی عملکردی درصد اشغال تخت، نرخ چرخش تخت و میانگین طول مدت اقامت محاسبه گردید. نمودار پابن لاسو با نرم افزار اکسل ترسیم شد.یافته‌ها: نتایج نشان داد که درصد اشغال تخت در بیمارستان‌های آموزشی به صورت معناداری بالاتر از بیمارستان‌های غیرآموزشی می‌باشد(0/05>p). بر اساس نتایج، درصد اشغال تخت و نرخ چرخش تخت بعد از پاندمی کووید-19 به صورت معناداری کاهش یافته است(0/05>p). میانگین طول اقامت بیماران نیز بعد از پاندمی افزایش یافته است(0/05

comparing the efficiency of hospitals in western iran before and after the covid-19 pandemic using the pabon lasso model

background and aim: there is limited evidence about the effect of the corona disease epidemic on the efficiency of hospitals in iran. this study was conducted with the aim of investigating the effect of the covid-19 epidemic on the productivity of public hospitals in ilam province.materials and methods: this retrospective descriptive research has investigated the performance of 9 hospitals in ilam province during a four-year period(1397-1400) based on the pabon lasso graphic model. the desired data were extracted from the his system of the hospitals and the key performance indicators of bor, btr and alos were calculated. the pabon lasso diagram was drawn with excel software.results: the results showed that the bed occupancy percentage in teaching hospitals is significantly higher than non-teaching hospitals (p<0.05). based on the results, the percentage of bed occupancy and the rate of bed rotation after the covid 19 pandemic has decreased significantly (p<0.05). the average length of the stay of patients also increased after the pandemic (p<0.05). overall evaluation of hospital efficiency based on the pabén lasso model shows that the frequency of hospitals located in nakara district has decreased from 4 hospitals before the pandemic to 3 hospitals, although hospitals in kara district have not changed during this period.conclusion: most of the researched hospitals, especially non-teaching hospitals, have low bed occupancy. weakness in the service delivery chain, especially diagnostic services and specialized and super-specialized services, is one of the main reasons for this situation. moving towards a change in the way hospitals are managed and having more flexibility in the structure and implementation in the short term and prioritizing large hospitals with a complete chain of services can lead to a way out of the current inefficient situation.