Assessment of performance in teaching hospitals: Using multicriteria decision‑making techniques
نویسندگان
1 Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences Health Managers Development Institute, Ministry of Health and Medical Education
2 Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences
3 Department of Health Administration, School of Health, Baqiyatallah University of Medical Sciences, Tehran, Iran
doi
چکیده
BACKGROUND: It is essential to evaluate the performance of hospitals in the health system.Hospitals need a performance evaluation system to develop and compete in order to measure theefficiency and effectiveness of their programs, processes, and human resources. This study aimedto evaluate the performance of teaching hospitals using the Technique for Order of Preference bySimilarity to Ideal Solution (TOPSIS) method and hierarchical analysis.MATERIALS AND METHODS: This was a cross‑sectional and descriptive study conducted in 2019in all teaching hospitals affiliated to Shahid Beheshti University of Medical Sciences. The requireddata were collected using a standard checklist. The collected data were analyzed using the analytichierarchy process (AHP) and TOPSIS. In the first phase, annual indicators of hospital evaluationwere collected. Following the AHP, key performance indicators (KPIs) were selected and prioritizedin hospitals.RESULTS: The questionnaires were provided to 15 experts to weigh KPIs, and the most importantindicators were selected. The results of hierarchical analysis showed that three main indicators inevaluating the performance of hospitals were bed turnover rate, emergency clients, and length of stay.CONCLUSIONS: One of the problems in evaluating hospitals is the use of key indicators thatalone measure the quantity or quality of their performance. Multicriteria decision‑making can beused to determine key indicators first, and then by combining these indicators into a multicriteriadecision‑making model, a better assessment of the role and performance of hospitals can be provided.
