ABSTRACT
Background: High hospital costs on one hand, and limited resources and facilities on the other hand, have led hospital managers to reduce costs and increase efficiency. Performance measurement is one of methods for assessing efficiency of hospital .in terms of resource utilization. Therefore, the present study was conducted with the aim of evaluating the efficiency of hospitals affiliated with Bushehr University of Medical Sciences before and after the implementation of the Health development Plan
Methods: This study is descriptive-analytic. The research population of this study was all hospitals affiliated with Bushehr University of Medical Sciences whose performance was evaluated in two years of 2013 and 2014. To measure the efficiency of these hospitals, data frontier analysis was used. The criteria of the total number of employees, the total number of physicians, the number of nurses and active beds were studied as input variables, and the percentages of cesarean section in total deliveries, number of surgeries, average residence. The data were collected in collaboration with the University's Center of Statistics as well as referring to the hospitals and analyzed using DEA software
Results: The mean technical efficiency, managerial and scale of performance before the implementation of health system development plan were reported 0.934 +/- 0.116, 1.00 +/- 0.0 and 0.934 +/- 0.116, respectively. Furthermore, six out of the eight hospitals studied were technically and scale-oriented efficient, and all eight hospitals were efficient regarding management. Only two hospitals had a surplus and two hospitals were inadequate. The mean efficiency after the implementation of the development plan was 0.9504 +/- 0.131, 0.977 +/- 0.059 and 0.966 +/- 0.088,respectively
Conclusion: According to the findings of this study, the health system development plan has had a positive effect on the efficiency of hospitals, Although the efficiency of hospitals is desirable, it is essential that managers and policymakers of the health sector take measures to improve the efficacy and increase the use of resources
ABSTRACT
Background: In today competitive world, human work force has always been a concern for organizations, especially healthcare providers, and organizations are always looking for improving their employees' job performance. Among various factors affecting job performance are two factors of organization and personality traits of the workforce. Therefore, the aim of this study was to investigate the relationship between five personality traits of nurses and the organization knowledge of their job performance
Methods: This is an analytical study conducted in a cross sectional way in 2016. Sixty one nurses working in a traumatic hospital proportional to different wards were selected and entered the research. The instruments for collecting data were three organizational knowledge questionnaires [35 items], five personality traits [60 items], and job performance [15 items]. Data were analyzed using SPSS20 and descriptive statistics and artificial neural networks
Results: Among demographic characteristics, variables of marital status [% 16.7] and gender [% 1.5], among aspects of organizational knowledge, two dimensions of rewards [% 64.6] and leadership [% 4.3] and among aspects of Five-personality traits, accountability [% 100] and flexibility [% 11.3] had the highest and lowest importance coefficient respectively
Conclusion: rewarding and accountability can improve nurses' job performance. Therefore, hospital managers can help to improve their nursing performance by using appropriate rewarding mechanisms, reinforcing staff accountability and employing responsible personnel