Health System Reform Plan and Performance of Hospitals: an Iranian Case Stud

Health system reform is essential
to make desired Changes. In Iran, frst phase of
Health Reform Plan (HRP) was implemented in hospitals afliated with Ministry of Health and Medical
Education (MHME) in 2014. Aim: The present study
was carried out to evaluate the performance of
hospitals afliated with Urmia University of Medical Sciences at the time of the implementation of
HRP. Methods: This cross-sectional study carried
out in two stages, before (2012- 2013) and during
(2014- 2015) implementation of the HRP in district
and teaching hospitals. Data collection and evaluation of performance of hospitals was performed
using indices issued by MHME using graphical
and statistical analysis. Results: Average bed
occupancy rate and bed turnover rate increased
and the average length of stay decreased in the
majority of hospitals during the study period.
The highest and lowest bed occupancy rate was
observed in district hospitals. All hospitals were
shifted toward the third zone in Pabon Lasso (PL)
diagram. Conclusion: This study confrmed that
the implementation of the defned package of
HRP in hospitals afliated with UUMS resulted
in increased admissions and hospitalization and
improved performance