Volume 22, Issue 1 (3-2019)                   jha 2019, 22(1): 40-48 | Back to browse issues page

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Mazdaki A, Rezapour A, Harati Khalilabad T, Mohamadkhani N. Factors affecting financial indicators in selected hospitals affiliated to Iran University of Medical Sciences before and after health system reform plan. jha. 2019; 22 (1) :40-48
URL: http://jha.iums.ac.ir/article-1-2843-en.html
1- Public Management, Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran
2- Health Economics, Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran
3- Health Economics, Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran , Toorajharati@gmail.com
4- Health Economics, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
Abstract:   (1705 Views)
Introduction: Management of financial resources in hospitals, one of the most expensive organizations in health care system, is of great importance. Hospital managers can boost hospital liquidity through analyzing the liquidity and its related factors. This study aimed to investigate the factors affecting financial indicators in hospitals affiliated to Iran University of Medical Sciences.
Methods: This descriptive-analytical study was conducted on eight hospitals before and after the implementation of the health system reform plan (2014 and 2016). All data related to liquidity, debt and profitability ratio and income was collected through a checklist extracted from accounting units, statistics, and hospital information system. Data were analyzed using the Pearson correlation coefficient.
Results: The implementation of the healthcare reform plan led to an increase in income per bed, profitability and liquidity ratios in all hospitals (p<0/05). Among the factors studied before the implementation of the health care reform plan, the income per bed (0.3) and the hospital annual income (0.22) were positively correlated with the liquidity ratio. After the implementation of the health care reform plan, these coefficients were 0.33 and 0.31, respectively. However, factors, such as the debt and profitability ratio were negatively related to the liquidity ratio.
Conclusion: Managers should give the highest priority to factors, such as debt and income status of hospitals to improve the financial condition of hospitals.
 
Full-Text [PDF 1022 kb]   (635 Downloads)    
Type of Study: Research |
Received: 2018/10/14 | Accepted: 2019/09/24 | Published: 2019/09/24

References
1. Mirzaei A, Tabibi S.J, Nasirpour A.M, Riyahi L. Evaluating the feasibility of financial variables of health: A hospital administrators viewpoint. Journal of modern thoughts in education. 2017; 12(6): 85-92. [In Persian]
2. Barooni M, Harati Khalilabad T, Harati J. The effect of health expenditure on human development index in countries with high, median and low income: 2000-2010. Journal of Health Care Management. 2015; 6(2):81-91. [In Persian]
3. Safikhani H, Zare H. Study the mechanism of efficiency and resource hospitals allocation in developing countries. Proceeding of the national congress of managers and hospital administrators. 2000; Tehran, Iran. [In Persian]
4. Sadeghi N, Zare H. The impact of financial resources in improving hospital performance. Journal of Payesh. 2009; 8(2): 135-145. [In Persian]
5. Nabilou B, Salem Safi P, Yusefzadeh H. Performance assessment of health system reform plan in the hospitals affiliated with Urmia university of medical sciences. J Urmia Nurs Midwifery Fac. 2017; 14 (11): 896-905. [In Persian]
6. Abouhalaj M, Ramezanian M. Experience of ministry of health and medical education of iran in the new financial system. Journal of Health Economics Research. 2010; 1(1): 83-92. [In Persian]
7. Suarez V, Lesneski C, Denison D. Making the case for using financial indicators in local public health agencies. Am J Public Health. 2011; 101(3):419-25. [DOI:10.2105/AJPH.2010.194555]
8. Ehreth JL. The development and evaluation of hospital performance measures for policy analysis. Med Care. 1994; 32(6):568-87. [DOI:10.1097/00005650-199406000-00003]
9. Bem A, Prędkiewicz K, Prędkiewicz P, Ucieklak-Jeż P. Determinants of Hospital's Financial Liquidity. Procedia Economics and Finance. 2014; 12:27-36. [DOI:10.1016/S2212-5671(14)00317-7]
10. Cleverley W. O. Improving financial performance: A study of 50 hospitals. Hosp Health Serv Adm . 1990; 35(2), 173-187.
11. Zainudin N. Liquidity-profitability trade-off: is it evident among Malaysian SMEs?. IJMS. 2006; 13(2):107-18.
12. Raheman A, Nasr M. Working capital management and profitability-case of Pakistani firms. IRBRP. 2007; 3(1):279-300.
13. Michalski G. Effectiveness of investments in operating cash. Journal of Corporate Treasury Management. 2009; 3(1).
14. Eljelly AM. Liquidity‐profitability tradeoff: An empirical investigation in an emerging market. International Journal of Commerce and Management. 2004; 14(2):48-61. [DOI:10.1108/10569210480000179]
15. Herkimer AG. Understanding hospital financial management. 2th ed. Philadelphia: Aspen; 1986: 24-27.
16. Stacey P.K, Elizabeth Kelvin. Statistical methods for health care research. 6th ed. Wolters Kluwer: Lippincott Williams & Wilkins; 2006: 101-105.
17. Choi MK, Lee KH. A strategy for enhancing financial performance: a study of general acute care hospitals in South Korea. Health Care Management. 2008; 27(4):288e97. [DOI:10.1097/HCM.0b013e31818c806e]
18. Kim YK, Glover SH, Stoskopf CH, Boyd SD. The relationship between bed size and profitability in South Carolina hospitals. J Health Care Finance. 2002; 29(2):53-63.
19. Bem A, Ucieklak-Jeż P, Prędkiewicz P. Income per bed as a determinant of hospital's financial liquidity. Prob Manage 21st century Sci Soc, UAB. 2014; 2:124-31.
20. Karim S, Holmes G, Pink G. The effect of surgery on the profitability of rural hospitals. J Health Care Finance. 2015; 41(4): 11-21
21. Sarayani M. Factors affecting liquidity ratios hospitals in medical universities hospitals [dissertation]. [Isfahan] :Islamic Azad University, Najafabad Branch. 2015. [in Persian]
22. Hemmati A, Ghanbari A. Factors affect on hospitals liquidity level in Kermanshah city. Proceeding of the 2th National Conference and 2nd International Conference on Management and Accounting of Iran. 2016; Tehran, Iran. [in Persian]
23. Gapenski L, Vogel W, Langland-Orban B. The determinants of hospital profitability. Hospital and health services administration. 1993; 1(2): 63-80.
24. Kim WJ, Lee HJ. The Determinants of hospital profitability. Korean J Health Policy Adm. 1994; 4(1):123-7.
25. Michalski G. Effectiveness of investments in operating cash. Journal of Corporate Treasury Management. 2009; 1(4): 43-54.
26. Raheman A, Nasr M. March. Working capital management and profitability - case of Pakistani firms. IRBRP. 2007; 1: 279 - 300.
27. Eljelly A. M. Liquidity - profitability tradeoff: An empirical investigation in an emerging market. Int J Commerc Manag. 2004; 2: 48-61. [DOI:10.1108/10569210480000179]
28. Zainudin N. Liquidity-Profitability Trade-Off: Is It Evident Among Malaysian SMEs?. IJMS. 2006; 2: 107-118.

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