ABSTRACT
Introduction: hospitals are considered as one of the main health delivery systems and the largest and most expensive operational units that have specific importance and sensitivity. This study was conducted to assess the performance of hospitals affiliated with Iran University of Medical Sciences applying economical techniques
Methods: this was a cross sectional with a data panel study conducted in 16 hospitals affiliated with Iran University of Medical Sciences in 2006-2012. Two forms according to research objectives were designed one for registering Pabon Lasso indexes and the other for DEA inputs and outputs. Excel software was used for analyzing the former data and Windeap 2.1 for estimating the efficiency and productivity indexes of the hospitals
Results: Pabon Lasso Model shows that in the years 2007 and 2011 the number of hospitals in the third zone was at the maximum level. Furthermore, the mean of technical and managerial efficiency was at the maximum level [0.889 +/- 0.135, 0.909 +/- 0.142] in 2011. Malmquist index shows that during the study period the mean of total productivity changes was 1.018 indicating a decrease in hospital productivity during the study period
Conclusion: it seems that system changes in Iran University of Medical Sciences has led to negative fluctuations in efficiency and productivity indexes of the hospitals. Applying managerial approaches along with reassessing the indexes after managerial status of the University is suggested
ABSTRACT
158 cases of dorso-lumbar spine traumatisms were studied during a period of 5 years from 1985 to 1989. These traumatisms represented 56% of all spine traumatisms. The mean age was 30 years, with predominance of men [60,1%]. A fall were the main cause of the traumatism [64,6%]. Half of the patients had a radiculo-medullary lesion. In 62% of cases, the bone lesion was localised in the dorso-lumbar hinge. Osteosynthesis by Roy-Camille plates was made in 69 cases [in 44 cases to patients with neurologic lesions]. The authors compare their results to those of the litterature