Assessment of budget efficiency in public health sector for outpatient and inpatient services by operational performance-based model

Kazemian, Mahmoud and Nazari, Aslan and Javani, Ali and Ghasemi, Fatemeh and Nazari, Hamed (2019) Assessment of budget efficiency in public health sector for outpatient and inpatient services by operational performance-based model. Daneshvar Medicine, 25 (135).

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Abstract

Background and Objective: Expressing relationship between financial payments and performances’ results in health system could be explained by performance-based financing presentation. This study aimed to indicate differences in budget efficiencies amongst the Iranian provinces by comparative means, using performances data on public health sector in the provinces, and results of computing provinces’ relative budget efficiencies. Materials and Methods: in this study, statistical-descriptive analysis method was used and operational or performance-based budget efficiency indicators in the Iranian provinces using record data from the Health Ministry and the Iranian Health Insurance Organization were used. Presenting a simple picture of performance-based budgeting, by health expenditure, manpower and physical resources for outpatient and inpatient performances in the provinces, the comparative indicators of efficiencies were computed, using Data Envelopment Analysis (DEA) method. Results: The country average of budget efficiencies for performances maximization in 2011 and 2013 were 0.55 and 0.58 for outpatient services, respectively, and 0.82 and 0.86 for inpatient services, respectively. The efficiency indicators in the public sector showed provinces, despite having the same conditions on revenue collecting and performance regulating, are classified with considerable differences in service maximization and expenditure or budget minimization Conclusion: This study is the first research, introducing efficiency indicators in operational or performance-based budgeting scheme in the public health sector. Efficiency differences amongst provinces, and declining efficiency in some provinces in the second year could be considered sources of efficiency unsustainability and inequalities and limiting access to health sector goals.

Item Type: Article
Uncontrolled Keywords: Health budget efficiency, Health resources efficiency, Health output efficiency
Subjects: WA Public Health
WB Practice of Medicine
WX Hospital and other health Facilities
Divisions: Faculty of Medicine
Depositing User: Unnamed user with email zamani.m@skums.ac.ir
Date Deposited: 14 Jul 2019 03:13
Last Modified: 14 Jul 2019 03:13
URI: http://eprints.skums.ac.ir/id/eprint/7853

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