RESUMEN
Introduction: Investing in health systems development, its impact on increasing labor productivity and production, the allocation of resources, and performance evaluation of hospitals, as the main operational unit, is very important. The purpose of this study was to evaluate the efficiency of Tehran University of Medical Sciences hospitals [TUMS] by Data Envelopment Analysis [DEA]
Methods: This was an applied descriptive survey. In this study, relative efficiency of 22 hospitals were analyzed between 2009 and 2011. For this purpose, input-oriented DEA technique with the assumption of variable return to the scale was used. The necessary information was extracted from scientific documents, and the data related to input and output indices were collected from Vice Chancellor for Administration and Finance of TUMS. The collected data were then analyzed by DEA Solver
Results: The averages of efficiency in hospitals, during the years 2009-2011, were 0.865, 0.859, and 0.870, respectively. 63 percent of hospitals had constant return to scale, 27 percent had decreasing return to scale and 10 percent of them had increasing return to scale. Therefore, 90 percent of hospitals did not have the capacity to develop beyond the status quo. The amount of input for achieving efficiency and saving resources were also determined in inefficient hospitals
Conclusions: This research introduces a functional pattern to senior managers of the health sector, enabling them to have more accurate planning for capacity development and resource saving
RESUMEN
Geographic Information System [GIS] is the best suitable system for land evaluation. In this research, at the first step, the Makhdoum's model is introduced, and then Hamadan Province, from aquaculture point of view and capabilities of the lands to fulfill aquaculture activities is evaluated. GIS was used for the mentioned purposes. The software used was Arc View [version 3.2 a], with the UTM projection. For evaluation, Mc Hark method of Maps overlaying was utilized. According to the results, the suitable surface area for aquaculture activities was introduced, which was equal to 13.1 percent of Hamadan Province. According to the evaluations. this province has limited potentials for aquaculture activities. Therefore, it is necessary to pay attention to these limitations in development plans