Volume 26, Issue 1 (3-2023)
jha 2023, 26(1): 51-66 |
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Samadi S, Harati Khalilabad T. Economic and performance challenges caused by the COVID-19 epidemic in hospitals affiliated to Iran University of Medical Sciences. jha 2023; 26 (1) :51-66
URL: http://jha.iums.ac.ir/article-1-4225-en.html
URL: http://jha.iums.ac.ir/article-1-4225-en.html
1- Assistant Professor, Research Center, Headquarter of Police Force Medicine, Tehran , Samadi53.s@gmail.com
2- Assistant Professor, School of Health Mnagement and health information sciences, Iran University of Medical Sciences, Tehran
2- Assistant Professor, School of Health Mnagement and health information sciences, Iran University of Medical Sciences, Tehran
Abstract: (672 Views)
Introduction: Considering the role of hospitals in increasing the health level of society, it is very important to evaluate, measure and improve their performance. The aim of this study was to investigate the impact of the COVID-19 epidemic on the economic status and performance of hospitals affiliated to Iran University of Medical Sciences.
Methods: The present applied study is a descriptive-analytical study that was conducted on three non-specialized hospitals using data from two periods of time, 2019 and 2020. Raw data related to six financial indicators and six performance indicators were collected by referring to the financial and medical records units of the hospitals. The non-parametric Wilcoxon test and the paired-samples t-test were used in SPSS software for data analysis.
Results: The results showed that after the covid-19 epidemic, the average indicators of bed occupancy rate decreased by 12% and the average length of stay and bed turnover increased by 12% and 10%, respectively; these changes were statistically significant (p-value<0.05). Furthermore, the financial indicators of dedicated laboratory revenues, dedicated imaging revenues, and hospital expenses increased significantly by 26, 17 and 27%, respectively (p-value<0.05).
Conclusion: Considering the significant impact of the COVID-19 epidemic on the financial and economic performance of hospitals and the possibility of other epidemic-prone emerging infectious diseases, it seems that special support for hospitals is necessary in this regard.
Methods: The present applied study is a descriptive-analytical study that was conducted on three non-specialized hospitals using data from two periods of time, 2019 and 2020. Raw data related to six financial indicators and six performance indicators were collected by referring to the financial and medical records units of the hospitals. The non-parametric Wilcoxon test and the paired-samples t-test were used in SPSS software for data analysis.
Results: The results showed that after the covid-19 epidemic, the average indicators of bed occupancy rate decreased by 12% and the average length of stay and bed turnover increased by 12% and 10%, respectively; these changes were statistically significant (p-value<0.05). Furthermore, the financial indicators of dedicated laboratory revenues, dedicated imaging revenues, and hospital expenses increased significantly by 26, 17 and 27%, respectively (p-value<0.05).
Conclusion: Considering the significant impact of the COVID-19 epidemic on the financial and economic performance of hospitals and the possibility of other epidemic-prone emerging infectious diseases, it seems that special support for hospitals is necessary in this regard.
Type of Study: Research |
Subject:
Health Economics
Received: 2022/12/11 | Accepted: 2023/03/18 | Published: 2023/07/15
Received: 2022/12/11 | Accepted: 2023/03/18 | Published: 2023/07/15
References
1. World Health Organization. Coronavirus disease (COVID-19) pandemic[Internet]. WHO; 2020. .Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019
2. Mirjalili MR, Namayandeh M, Lotfi MH, Dehghani MR, Mirzaei M, Talebi AR, et al. COVID-19 seroepidemiology study of Yazd province, first peak, Spring 2020: A population-based cross-sectional study. Journal of Shahid Sadoughi University of Medical Sciences. 2021;28(12):3338-50. [In Persian] [DOI:10.18502/ssu.v28i12.5780]
3. World Health Organization. Coronavirus disease (COVID-19) weekly epidemiological updates and monthly operational updates[Internet]. WHO; 2020. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports/.
4. COVID-19 Coronavirus pandemic: Worldmeter [Internet]. Worldometer; 2020. Available from: https://www.worldometers.info/coronavirus/
5. Tuite AR, Bogoch II, Sherbo R, Watts A, Fisman D, Khan K. Estimation of coronavirus disease 2019 (COVID-19) burden and potential for international dissemination of infection from Iran. Ann Intern Med. 2020;172(10):699-701. [DOI:10.7326/M20-0696]
6. Bruch JD, Gondi S, Song Z. Changes in hospital income, use, and quality associated with private equity acquisition. JAMA Intern Med. 2020;180(11):1428-35. [DOI:10.1001/jamainternmed.2020.3552]
7. McHugh M, Regenstein M, Siegel B. The profitability of medicare admissions based on source of admission. Acad Emerg Med. 2008;15(10):900-7. [DOI:10.1111/j.1553-2712.2008.00238.x]
8. Abdi M. Coronavirus disease 2019 (COVID-19) outbreak in Iran: Actions and problems. Infect Control Hosp Epidemiol. 2020;41(6):754-5. [DOI:10.1017/ice.2020.86]
9. Raoofi A, Takian A, Akbari Sari A, Olyaeemanesh A, Haghighi H, Aarabi M. COVID-19 pandemic and comparative health policy learning in Iran. Arch Iran Med. 2020;23(4):220-34. [DOI:10.34172/aim.2020.02]
10. Khalilabad TH, Nezami Asl A, Raeissi P, Shali M, Niknam N. Assessment of clinical and paraclinical departments of military hospitals based on the Pabon Lasso model. J Educ Health Promot. 2020;9:1-7.
11. Behzadifar M, Aalipour A, Kehsvari M, Darvishi Teli B, Ghanbari MK, Gorji HA, et al. The effect of COVID-19 on public hospital revenues in Iran: An interrupted time-series analysis. PLoS One. 2022;17(3):1-10. [DOI:10.1371/journal.pone.0266343]
12. Moeinoddin M, Ardakani S, Asgari Mehrabadi M, Salmani Nodoushan I, Rakhshani M. Estimating the cost price of cardiac care unit services in a government hospital in Iran. Health Information Management. 2014;11(7):812-9. [In Persian]
13. Khani A, Mehrani S, Ghane E. Applying time-driven activity-based costing in the ICU ward of Shariati hospital of Isfahan province. Journal of Health Accounting. 2014;2(4):40-57. [In Persian]
14. Al-Tawfiq JA, Abdrabalnabi R, Taher A, Mathew S, Abdul Rahman K. Infection control influence of Middle East respiratory syndrome coronavirus: A hospital-based analysis. Am J Infect Control. 2019;47(4):431-4. [DOI:10.1016/j.ajic.2018.09.015]
15. Sajjadi Khasraghi J, Salesi M, Meskarpour Amiri M, Mohammadian M, Khosmanzar J, Abdi M. The impact of the COVID-19 pandemic on the financial and performance indicators of hospitals: A case study in Tehran, Iran. Iranian Journal of Health Insurance. 2022;5(3):238-246. [In Persian]
16. Rocha J, Soares P, Filipe C, Lopes S, Teixeira M, Fonseca I, et al. Inpatient hospitalizations during the first wave of COVID-19 in Portugal. Port J Public Health. 2020;38(suppl 1):11-7. [DOI:10.1159/000514163]
17. Barnett ML, Mehrotra A, Landon BE. Covid-19 and the upcoming financial crisis in health care. NEJM catalyst innovations in care delivery. 2020;1(2):1-6. [DOI:10.1056/CAT.19.1111]
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