Journal of Babol University of Medical Sciences

fa شاخص های عملکردی مراکز آموزشی درمانی دانشگاه علوم پزشکی بابل با مدل پابن لاسو (92-1389) The Evaluation of Performance Indicators in the Health Care Centers of Babol University of Medical Sciences by the Pabon Lasso Model (2011-2014) مدیریت خدمات بهداشتی و درمانی Health Management Services كاربردي Applicable <span lang="AR-SA" style="font-family: '2 Mitra' color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">سابقه و هدف<span dir="ltr" style="font-family: Tahoma, sans-serif color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">: <span lang="AR-SA" style="font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">شاخص های عملکردی <span lang="AR-SA" style="font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">از مهم ترین ابزارهای سنجش بهره وری <span lang="AR-SA" style="font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">خدمات بیمارستانی هستند. هدف از این پژوهش ارزیابی کارایی شاخص های عملکردی مراکز آموزشی درمانی تحت پوشش دانشگاه علوم پزشکی بابل با مدل پابن لاسو <span lang="AR-SA" style="font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">بوده است<span dir="ltr" style="font-family: Tahoma, sans-serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">. <span lang="AR-SA" style="font-family: '2 Mitra' color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">مواد و روشها<span dir="ltr" style="font-family: Tahoma, sans-serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">: <span lang="AR-SA" style="font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">این مطالعه کاربردی به روش توصیفی <span lang="AR-SA" style="font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">با استفاده از شاخص های عملکردی پابن لاسو <span lang="AR-SA" style="font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">طی سال های <span dir="ltr" style="font-family: Tahoma, sans-serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">92-1389 <span lang="AR-SA" style="font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">در4 مرکز آموزشی درمانی <span lang="FA" style="font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">دانشگاه علوم پزشکی بابل <span dir="ltr" style="font-family: Tahoma, sans-serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">(<span lang="AR-SA" style="font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">شهید بهشتی، آیت اله روحانی، <span lang="AR-SA" style="font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">شهید یحیی نژاد و کودکان امیرکلا<span dir="ltr" style="font-family: Tahoma, sans-serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">) <span lang="AR-SA" style="font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">انجام گردید<span dir="ltr" style="font-family: Tahoma, sans-serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">. <span lang="AR-SA" style="font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">ابزار گرد آوری داده ها فرم فعالیت ماهیانه وزارت بهداشت بوده است که  <span lang="AR-SA" style="font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">داده<span dir="ltr" style="font-family: Tahoma, sans-serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial"><span lang="AR-SA" style="font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">های مربوط به شاخص های درصد اشغال تخت، میزان چرخش تخت، فاصله چرخش تخت، متوسط اقامت بیمار<span dir="ltr" lang="AR-SA" style="font-family: Tahoma, sans-serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial"> <span lang="AR-SA" style="font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">از آن استخراج <span lang="FA" style="font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">و با <span lang="AR-SA" style="font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">معیارهای وزارت بهداشت مورد سنجش قرار گرفت<span dir="ltr" style="font-family: Tahoma, sans-serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">. <span lang="AR-SA" style="font-family: '2 Mitra' color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">یافته‌ها<span dir="ltr" style="font-family: Tahoma, sans-serif color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">: <span lang="AR-SA" style="font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">در سال <span dir="ltr" style="font-family: Tahoma, sans-serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">13<span dir="ltr" style="font-family: Tahoma, sans-serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">89 <span lang="AR-SA" style="font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">بیشترین درصد اشغال تخت مربوط به مرکز آموزشی درمانی کودکان امیرکلا (74/75 %) و کمترین مقدار این شاخص مربوط به مرکز آموزشی درمانی آیت اله روحانی (69 %) بود <span lang="AR-SA" style="font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">و <span lang="AR-SA" style="font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">در سال <span dir="ltr" style="font-family: Tahoma, sans-serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">13<span dir="ltr" style="font-family: Tahoma, sans-serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">92 <span lang="AR-SA" style="font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">بیشترین درصد اشغال تخت مربوط به مرکز آموزشی درمانی آیت اله روحانی <span dir="ltr" style="font-family: Tahoma, sans-serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">(82 %) <span lang="AR-SA" style="font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">بوده <span lang="FA" style="font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">که <span lang="AR-SA" style="font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">در مقایسه هم زمان شاخص ها با استفاده از نمودار <span lang="AR-SA" style="font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">پابن لاسو، هر 4 مرکز مورد مطالعه در سال 92<span dir="ltr" style="font-family: Tahoma, sans-serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">-1389<span lang="AR-SA" style="font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">در ناحیه سوم قرار داشتند<span dir="ltr" style="font-family: Tahoma, sans-serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">. <span lang="AR-SA" style="font-family: '2 Mitra' color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">نتیجه گیری<span dir="ltr" style="font-family: Tahoma, sans-serif color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">: <span lang="AR-SA" style="font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">شاخص های مورد مطالعه نسبت به استانداردهای تعیین شده وزارت متبوع به استثنای شاخص متوسط اقامت بیماران در مجموع در وضعیت مطلوب قرار داشتند. لذا تلاش در جهت <span lang="FA" style="font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">ارتقای<span lang="AR-SA" style="font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">شاخص متوسط اقامت بیمار امری ضروری می باشد<span dir="ltr" style="background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">. BACKGROUND AND OBJECTIVE: Performance indicators are the essential tools for measuring the efficiency of hospital services. Therefore, this study aimed to evaluate the effectiveness of performance indicators by the Pabon Lasso Model in the teaching hospitals of Babol affiliated with Babol University of Medical Sciences. <pre style="line-height: 16pt background: white"> METHODS: This experimental study was conducted using a descriptive method and the performance indicators of the Pabon Lasso Model from 2011 to 2014 in four major medical centers and hospitals of Babol University of Medical Sciences (Beheshti, Ayatollah Rohani, Yahyanejad and Children’s Hospital of Amirkola). Data were extracted from the monthly database of the Ministry of Health consisting of the inpatient bed occupancy rate, bed turnover rate, bed turnover interval and the patients’ average length of stay. The collected data were evaluated according to the criteria of the Health Ministry.</pre> FINDINGS: In 2011, the Children’s Hospital of Amirkola and Ayatollah Rohani Hospital accounted for the highest (75.74%) and the lowest (69%) bed occupancy rate, respectively. In 2014, the highest rate of bed occupancy was observed in Ayatollah Rohani Hospital (82%). The comparison of the indices by the Pabon Lasso Model indicated that all the four surveyed centers were located in the third area of the diagram from 2011 to 2014. CONCLUSION: In general, the indicators surveyed in this study appeared to be desirable compared to the criteria of the Ministry of Health, with the exception of the patients’ average length of stay. Thus, further attempts are required as to reduce the average length of stay in the patients. شاخص های عملکردی, مدیریت اطلاعات سلامت, بیمارستان Performance Indicators, Hospital, Pabon Lasso, Bed Occupancy Rate 76 82 http://jbums.org/browse.php?a_code=A-10-556-1&slc_lang=fa&sid=1 M Naghavian معصومه نقویان masoomeh_943@yahoo.com 100319475328460013678 100319475328460013678 No babol university of medical sciences دانشگاه علوم پزشکی بابل A Naghshine علی نقشینه dranaghshineh@yahoo.com 100319475328460013679 100319475328460013679 No babol university of medical sciences دانشگاه علوم پزشکی بابل M Abdi معصومه عبدی talarposhti@yahoo.com 100319475328460013680 100319475328460013680 No babol university of medical sciences دانشگاه علوم پزشکی بابل M A Jahani محمدعلی جهانی drmajahani@yahoo.com 0057344426 100319475328460013681 Yes babol university of medical sciences دانشگاه علوم پزشکی بابل