Efficiency of Clinical Laboratories Affiliated Shiraz University of Medical Sciences in 2015: an Application of Data Envelopment Analysis

Authors

  • Ali Taheri 1 1. Dept. of Industrial Management, Shiraz Branch, Islamic Azad University, Shiraz, Iran.
  • Shapoor Amin Shayan Jahromi 1*
  • Farhad Lotfi 2 2. Health Human Resources Research Center, School of Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.

DOI:

https://doi.org/10.22100/ijhs.v2i4.176

Keywords:

Efficiency, Data envelopment analysis, Laboratories, Hospital.

Abstract

Background: Nowadays, healthcare systems are considered as important service sectors, and they are social development and welfare standards; hence the performance of this sector is highly important. Evaluating performance is the first step of various departments to determine the efficiency of the healthcare system. In the meantime, diagnostic laboratories of hospitals play important roles as specialized and technical units with a cost nature. So, far, the effectiveness of diagnostic laboratories has not been assessed in Iran, therefore, in this study, for the first time in Iran, the technical efficiency of laboratories covered by the Shiraz University of Medical Sciences (SUMS) was assessed in 2015. Methods: This cross-sectional study aimed to assess 10 selected laboratories from diagnostic laboratories in hospitals affiliated with SUMS. In this paper, data envelopment analysis (DEA), one of the most widely utilized methods, was used in determining performance.

Results: Among the 10 examined laboratories affiliated by SUMS, 4 (40%) laboratories had increasing yield to the scale, and 6 (60%) laboratories had technical, managerial, and scale efficiency equal to one. Mean±SD of technical efficiency, managerial efficiency, and scale efficiency of examined laboratories were 92.4±16, 95.9±9, and 95.5±10, respectively. Conclusions: Studying the efficiency of the diagnostic laboratories affiliated with SUMS using DEA showed that most laboratories had a high level efficiency.

References

Webster R, Kennedy SK, Johnson L. Comparing techniques for measuring the efficiency and productivity of Australian private hospitals. Australian: Australian Bureau of Statistics; 1998. 60 p.

Kontodimopoulos N, Nanos P, Niakas D. Balancing efficiency of health services and equity of access in remote areas in Greece. Health Policy 2006;76:49-57. doi:10.1016/j.healthpol.2005.04.006

Emami-Meibodi A. Principles of Efficiency and Poductivity measurement. Tehran: Eghtesad no, Institution of Commercial studies and researches; 2000.[Persian].

Hatam N, Pourmohammadi K, Bastani P, Javanbakht M. Using parametric methods in hospital efficiency measurement: a case study in hospitals affiliated to social security and welfare ministry. Razi Journal of Medical Sciences 2013;20:29-36.[Persian].

Pagana KD, Pagana TJ. Mosby's manual of diagnostic and laboratory tests.5th ed. United States: Mosby; 2013. 1200 p

Lotfi F, Kalhor R, Bastani P, Zadeh NS, Eslamian M, Dehghani MR, et al. Various indicators for the assessment of hospitals' performance status: differences and similarities. Iran Red Crescent Med J 2014;16:1-7. doi:10.5812/ircmj.12950

Harrison JP, Coppola MN, Wakefield M. Efficiency of federal hospitals in the United States. J Med Syst 2004;28:411-22. doi:10.1023/B:JOMS.0000041168.28200.8c

Charnes A, Cooper WW, Rhodes E. Measuring the efficiency of decision making units. European journal of operational research 1978;2:429-44. doi:10.1016/0377-2217(78)90138-8

Ben-Arieh D, Gullipalli DK. Data Envelopment Analysis of clinics with sparse data: Fuzzy clustering approach. Computers & Industrial Engineering. 2012;63:13-21. doi:10.1016/j.cie.2012.01.009

Mehregan MR, Dehghan Nayeri M, Ghezavati VR. An optimisational model of benchmarking. Benchmarking: An International Journal 2010;17:876-88. doi:10.1108/14635771011089773

Kalhor R, Amini S, Sokhanvar M, Lotfi F, Sharifi M, Kakemam E. Factors affecting the technical efficiency of general hospitals in Iran: data envelopment analysis. J Egypt Public Health Assoc 2016;91:20-5. doi:10.1097/01.EPX.0000480717.13696.3c.

Kiadaliri AA, Jafari M, Gerdtham UG. Frontier-based techniques in measuring hospital efficiency in Iran: a systematic review and meta-regression analysis. BMC Health Serv Res 2013;13:1-11. doi:10.1186/1472-6963-13-312

Jandaghi G, Zarei Matin H, Doremami M, Aghaziyarati M. Efficiency evaluation of Qom public and private hospitals using data envelopment analysis. European Journal of Economics, Finance and Administrative Sciences 2010;22:83-92.

Hatam N, Moslehi Sh, Askarian M, Shokrpour N, Keshtkaran A, Abbasi M. The Efficiency of General Public Hospitals in Fars Prov-ince, Southern Iran. Iranian Red Crescent Medical Journal 2010;12:138-44.

Kakeman E, Forushani AR, Dargahi H. Technical Efficiency of Hospitals in Tehran, Iran. Iran J Public Health 2016;45:494-502. doi:10.18869/acadpub.jhs.1.2.35

Lee KS, Chun KH, Lee JS. Reforming the hospital service structure to improve efficiency: urban hospital specialization. Health policy 2008;87:41-9. doi:10.1016/j.healthpol.2007.10.003

Downloads

Published

2017-01-02

Issue

Section

Articles

How to Cite

Efficiency of Clinical Laboratories Affiliated Shiraz University of Medical Sciences in 2015: an Application of Data Envelopment Analysis. (2017). International Journal of Health Studies (Undergoing Change to Shahroud Journal of Medical Sciences), 2(4). https://doi.org/10.22100/ijhs.v2i4.176