The effects of the health reform plan on the performance indicators of hospitals affiliated with Qazvin University of Medical Sciences, Iran, 2014

Rohollah Kalhor, Soheyla Gholami, Shaghayegh Heidari, Nasrin Bakhtiari, Saeideh Moosavi, Abdollah Keshavarz, Mohammad Zakaria-Kiaei

DOI: 10.22122/cdj.v0i0.280


BACKGROUND: One of the significant goals of healthcare delivery organizations is to promote people’s health and provide high quality care. In this regard, health reform plan was designed in Iran. Therefore, the present study aimed to evaluate the performance of teaching hospitals after running of health system reform plan in Iran.

METHODS: This retrospective-descriptive study was carried out in 4 hospitals (Avicenna, Velayat, Rajaee, and Qhods) affiliated with Qazvin University of Medical Sciences, Qazvin, Iran, in 2014. Data collection tool was the checklist of standard indicators of Iranian Ministry of Health, because the checklist is standard to measure hospitals’ performance. In this study, 19 indicators (performance indicators, personnel indicators, and financial indicators) were investigated. To fill out the indicators checklist, the statistics unit of Ministry of Health was used according to the reports of two consecutive years of 2013 and 2014. The collected data were analyzed using Excel software.

RESULTS: In general, out of the 7 performance indicators that were investigated in the hospitals, increase was observed in four, and decrease was seen in three items. Out of the six personnel indicators, all of the hospitals experienced a rise; and out of the six financial indicators, four items increased and two decreased.

CONCLUSION: The results of this study indicated that after one year of implementing health reform plan, the mentioned health care system experienced a remarkable progress in the hospitals. Providing the necessary infrastructures can help better conduction of the plan and promotion of the mentioned indicators by removing or decreasing the effect of some barriers.


Healthcare Systems; Outcomes Assessment; Indicators; Hospitals

Full Text:



Papanicolas I, Smith P. Health system performance comparison: An agenda for policy, information and research: An agenda for policy, information and research. New York, NY: McGraw-Hill Education; 2013.

Yeilada F, Direktor E. Health care service quality: A comparison of public and private hospitals. African Journal of Business Management 2010; 4(6): 862-971.

Akter S, D'Ambra J, Ray P. Development and validation of an instrument to measure user perceived service quality of mHealth. Information & Management 2013; 50(4): 181-95.

Jarrett-Pulliam C, Jenkins M. Building the foundation of healthcare reform: Necessary elements for nurse leaders. Nurse Leader 2014; 12(4): 80-3.

World Health Organization. Measuring hospital performance to improve the quality of care in Europe: A need for clarifying the concepts and defining the main dimensions [Online]. [cited 2003]; Available from: URL:

Martini G, Berta P, Mullahy J, Vittadini G. The effectivenessefficiency trade-off in health care: The case of hospitals in Lombardy, Italy. Reg Sci Urban Econ 2014; 49: 217-31.

Hatam N, Moslehi S, Askarian M, Shokrpour N, Keshtkaran A, Abbasi M. The Efficiency of General Public Hospitals in FarsProvince, Southern Iran. Iran Red Crescent Med J 2010; 12(2): 138-44.

Rodin J, de Ferranti D. Universal health coverage: The third global health transition? Lancet 2012; 380(9845): 861-2.

Akhondzade R. Health system transformation project, an opportunity or a threat for doctors (Editorial). J Anesth Pain 2014; 5(1): 1-2. [In Persian].

Haghdoost AA, Mehrolhassani MH, Khajehkazemi R, Fallah MS, Dehnavieh R. Monitoring indicators of Iranian health system reform plan. Hakim Health Sys Res 2013; 16(3): 171-81. [In Persian].

Regional Health Systems Observatory, World Health Organization. Health Systems Profile- Islamic Republic of Iran [Online]. [cited 2006]; Available from: URL:

Piroozi B, Moradi G, Nouri B, Mohamadi BA, Safari H. Catastrophic health expenditure after the implementation of health sector evolution plan: A case study in the west of Iran. Int J Health Policy Manag 2016; 5(7): 417-23.

Zarei E, Daneshkohan A, Pouragha B, Marzban S, Arab M. An empirical study of the impact of service quality on patient satisfaction in private hospitals, Iran. Glob J Health Sci 2014; 7(1): 1-9.

Barry SP, Diarra-Nama AJ, Kirigia JM, Bakeera S, Somanje H. Monitoring and evaluation of health sector reforms in the WHO African Region. East Afr Med J 2009; 86(1 Suppl): S25-S32.

Mastaneh Z, Mouseli L. Information position in new reform of American health care system. Health Inf Manage 2011; 8(1): 97-101. [In Persian].

McPake BI. Public autonomous hospitals in sub-Saharan Africa: Trends and issues. Health Policy 1996; 35(2): 155-77.

Sajadi HS, Zaboli R. An assessment of the positive effects of health reform plan implementation from the perspective of hospital directors. Health Inf Manage 2016; 13(1): 55-60. [In Persian].

Dadgar R, Jahani M, Mahmoudi G. The impact of health system reform plan on the hospital's performance indicators of Lorestan University of Medical Sciences. Yafteh 2017; 19(2): 93-102. [In Persian].

Kolstad JT, Kowalski AE. The impact of health care reform on hospital and preventive care: Evidence from Massachusetts. J Public Econ 2012; 96(11-12): 909-29.

Shoujun Z. Analysis on medical service and universal coverage of health insurance system in Taiwan. Chinese Hospitals 2011; 15: 76-80. [In Chine].

Yang J, Hong Y, Ma S. Impact of the new health care reform on hospital expenditure in China: A case study from a pilot city. China Economic Review 2016; 39: 1-14.

Dunn A, Shapiro AH. Physician payments under

health care reform. J Health Econ 2015; 39: 89-105.

Shen JJ, Zhou S, Xu L, Chen J, Cochran CR, Fisher ER, et al. Effects of the new health care reform on hospital performance in china: A seven-year Trend from 2005 to 2011. J Health Care Finance 2014; 41(1): 1-14.

Anderson I, Wakerman J. Aboriginal and Torres strait islander primary health care and general practice. General practice in Australia 2004. Canberra, Australia: Australian Government, Department of Health and Ageing, Canberra; 2005. p. 303-6.


  • There are currently no refbacks.

Creative Commons Attribution-NonCommercial 4.0

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.