Volume 5, Issue 1 (3-2021)                   EBHPME 2021, 5(1): 29-42 | Back to browse issues page


XML Print


1. Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran 2.Faculty of Health, Baqiyatallah University of Medical Sciences, Tehran, Iran , hosainysh.morteza@gmail.com
Abstract:   (1633 Views)
Background: Low productivity and consequently increased health costs can cause various problems in society and the welfare of individuals. The first effect of the high cost of production in the health sector is the collapse of hospitals and health centers into a cost-inflation spiral.
Methods: This was a descriptive-analytical study. A review section has been revised to describe the concept of productivity through narrative literature review in the descriptive section, using the time series data of 1991-2012 of the Statistics Center of the Islamic Republic of Iran. The micro and macro indicators of health economy and health sector productivity are presented and analyzed graphically with the help of Excel software
Results: From the economic point of view, productivity is defined as the ratio of output to input. The results showed that inflation in the health sector was higher than general inflation in the period under study and that out of pocket expenses were made to cope with inflation in the health sector. On the other hand, the growth rate of production in the entire health sector was decreased, and the number of physicians and bed potency was reduced.
Conclusion: The final result of this study showed that the productivity of the health sector is not in good condition. Despite the increase in the number of beds and doctors in the last two decades, the added-value and production of the entire health sector have not grown significantly.
Full-Text [PDF 719 kb]   (605 Downloads) |   |   Full-Text (HTML)  (343 Views)  
Type of Study: Original article | Subject: Health Economics
Received: 2020/08/23 | Accepted: 2021/03/10 | Published: 2021/03/10

References
1. Winch P, Stepnitz R. Peak oil and health in low-and middle-income countries: impacts and potential responses. American Journal of Public Health. 2011; 101(9): 1607-14. [DOI:10.2105/AJPH.2011.300231]
2. Assadzadeh A, Parishani M, Mansouri B. The Effects of Oil Revenue Shocks on Health Expenditures in Iran. Health Information Management. 2015; 11(7): 880-8.
3. Roberts M, Hsiao W, Berman P, Reich M. Getting health reform right: a guide to improving performance and equity: Oxford university press; 2008. [DOI:10.1093/acprof:oso/9780195371505.001.0001]
4. Bodenheimer TS, Grumbach K. Understanding health policy: A clinical approach 4 th edition: New York, NY: McGraw-Hill Companies, Inc; 2004.
5. Fique JP. Evaluating Hospital Efficiency Adjusting for Quality Indicators: an Application to Portuguese NHS Hospitals. Universidade do Porto, Faculdade de Economia do Porto; 2011.
6. Henderson JM, Quandt RE. Microeconomic theory: A mathematical approach. 1971.
7. Fattahi M, Barkhordari S. The Efficiency of Public And Private Health Expenditures: DEA Approach. Journal of Healthcare Management (Journal of Health System). 2014; 5(3): 41-51.
8. Rezapour A, Asefzadeh S. Study economic efficiency of teaching hospitals of Qazvin University of Medical Sciences (1999-2007). Journal of Guilan University of Medical Sciences. 2009; 18(71): 55-63.
9. Rezapoor A, Ebadifard Azar F. Situation of resource allocation in Iranian, s health system. Journal of Hospital. 2013; 11(4): 53-64.
10. Kiani MM, Mosavi Rigi SA, Karami H, Sepaseh F, Naghdi B, Shiravani M. Efficiency Evaluation of University Hospitals In Bushehr Province before and after the Implementation of the Health System Development Plan. Evidence Based Health Policy, Management and Economics. 2018; 2(1): 1-11.
11. Sajadi H, Karami M, Torkzadeh L, Karimi S, Bidram R. Efficiency estimation in general hospitals of Isfahan University of medical sciences during 2005-2006 by data envelopment analysis. 2009.
12. Ahmadi AM, Yousefi M, Fazaeli S. Consumer Price Index Changes in Iran's Public and Health Sectors. The Economic Reseach. 2010; 10(1): 99-111. [In Persian]
13. Atella V, Belotti F, Bojke C, Castelli A, Grašič K, Kopinska J, et al. How health policy shapes healthcare sector productivity? Evidence from Italy and UK. Health Policy. 2019; 123(1): 27-36. [DOI:10.1016/j.healthpol.2018.10.016]
14. Retzlaff-Roberts D, Chang CF, Rubin RM. Technical efficiency in the use of health care resources: a comparison of OECD countries. Health Policy. 2004; 69(1): 55-72. [DOI:10.1016/j.healthpol.2003.12.002]
15. Alin O, Marieta M. Determining the efficiency of health expenditure as a prerequisite for achieving economic equilibrium in the European :union:. Economics and Finance Research. 2011; 4: 81-5.
16. Ancarani A, Di Mauro C, Giammanco M. The impact of managerial and organizational aspects on hospital wards' efficiency: Evidence from a case study. European Journal of Operational Research. 2009; 194(1): 280-93. [DOI:10.1016/j.ejor.2007.11.046]
17. Eling M, Luhnen M. Efficiency in the international insurance industry: A cross-country comparison. Journal of Banking & Finance. 2010; 34(7): 1497-509. [DOI:10.1016/j.jbankfin.2009.08.026]
18. Kirigia JM, Asbu EZ. Technical and scale efficiency of public community hospitals in Eritrea: an exploratory study. Health Economics Review. 2013; 3(1): 6. [DOI:10.1186/2191-1991-3-6]
19. Al-Shayea AM. Measuring hospital's units efficiency: A data envelopment analysis approach. International Journal of Engineering & Technology. 2011; 11(6): 7-19.
20. Chan S-G, Karim MZA. Public spending efficiency and political and economic factors: Evidence from selected East Asian countries. Economic Annals. 2012; 57(193): 7-24. [DOI:10.2298/EKA1293007C]
21. Adib b SM, Parvisi S. Qualitative Methods. Tehran: Boshra Press; 2005. First Published in 2005.
22. Nasiri T, Takian A, Yazdani S. Stewardship in Health, Designing a Multi-Layer Meta Model: A Review Article. Iranian Journal of Public Health. 2019; 48(4): 579-92. [DOI:10.18502/ijph.v48i4.979]
23. Gholipour R. The Challenges of Productivity In Government. Journal of Public Administration. 2015; 7(3): 595-618. [In Persian]
24. Parker D, Waller K, Xu H. Private and public services: productivity and performance migration. International Journal of Productivity and Performance Management. 2013; 62(6): 652-64. [DOI:10.1108/IJPPM-10-2012-0119]
25. Iran CBotIRo. Iranian Economic Productivity Report (1988 to 2007) In: Economic Deputy EAO, editor. Iran Central Bank of the Islamic Republic of Iran. 2010. p. 1-22.
26. Nasrollahnia M, Rahmanizadeh F. Performance Evaluation of Productivity Growth and Some Member Countries of The Asian Productivity. Financial Knowledge of Security Analysis (Financial Studies). 2014; 23(7): 109-23.
27. Thornhill D. Productivity Attainment in a Diverse Public Sector, paper presented at the Institute of Public Administration Seminar on Promoting Productivity in a Diverse Public Sector, Dublin. 21 April 2006.
28. Rosiek A, Rosiek-Kryszewska A, Leksowski Ł, Kornatowski T, Leksowski K. The employee's productivity in the health care sector in Poland and their impact on the treatment process of patients undergoing elective laparoscopic cholecystectomy. Patient Preference and Adherence. 2016; 10: 2459. [DOI:10.2147/PPA.S119348]
29. Pourreza A, Alipour V, Arabloo J, Bayati M, Ahadinezhad B. Health production and determinants of health systems performance in WHO Eastern Mediterranean Region. Eastern Mediterranean Health Journal. 2017; 23(5): 368-74. doi: 10.26719/2017.23.5.368. [DOI:10.26719/2017.23.5.368]
30. Nayebi H, Ebrahimi R, Azadegan A. Measuring and Analyzing the Factors Affecting the Growth of Total Factor Productivity in Iranian Economy Using Solo Residual Method. Macroeconomic Research Journal (Journal of Economic Sciences). 2010; 10(1): 121-40.
31. McKee M, Figueras J, Saltman RB. Health systems, health, wealth and societal well-being: Assessing the case for investing In health systems: Assessing the case for investing in health systems: McGraw-Hill Education (UK); 2011.
32. Abedi G, Marvi A, Kentaie S, Amir S, Abedini E, Asadi Aliabadi M, et al. SWOT Analysis of Implementation of Urban Family Physician Plan from the Perspective of Beneficiaries: A Qualitative Study. Journal of Mazandaran University of Medical Sciences. 2017; 27(155): 79-93. [In Persian]
33. Khezrimotlagh D, Chen Y. The Ratio of Output to Input Factors. Decision Making and Performance Evaluation Using Data Envelopment Analysis. Cham: Springer International Publishing; 2018. p. 235-50. [DOI:10.1007/978-3-319-76345-3_8]
34. Kao C. Output-Input Ratio Efficiency Measures. Network Data Envelopment Analysis: Foundations and Extensions. Cham: Springer International Publishing; 2017. p. 19-41. [DOI:10.1007/978-3-319-31718-2_2]
35. Organization WH. The world health report 2000: health systems: improving performance: World Health Organization; 2000.
36. Shams L, Akbari Sari A, Yazdani S. Values in Health Policy - A Concept Analysis. International Journal of Health Policy and Management. 2016; 5(11): 623-30. [DOI:10.15171/ijhpm.2016.102]
37. Nabilou B, Yusefzadeh H, Rezapour A, Azar FEF, Safi PS, Asiabar AS, et al. The productivity and its barriers in public hospitals: case study of Iran. Medical journal of the Islamic Republic of Iran. 2016; 30: 316.
38. Moosazadeh M, Amiresmaili MR. Study of productivity status and related factors and determining at selected hospitals of Mazandaran province- 2010. Tolooe Behdasht. 2012; 10(1):1-13.
39. Iran CBotIRo. Iranian Economic Productivity Report 2001 to 2009. In: Deputy E, editor. Economic Accounts Office; 2010. p. 1-22.
40. Branson WH. Macroeconomic theory and policy. 1979.
41. Snowdon B, Vane HR, Wynarczyk P. A modern guide to macroeconomics. Books. 1994.
42. Rosko MD, Broyles RW. The economics of health care: a reference handbook. 1988.
43. Warshawsky MJ. Factors contributing to rapid growth in national expenditures on health care. Trends in Health Benefits. 1993: 65.
44. Weisbrod BA. The health care quadrilemma: an essay on technological change, insurance, quality of care, and cost containment. Journal of Economic Literature. 1991; 29(2): 523-52.
45. Newhouse JP. Medical care costs: how much welfare loss?. Journal of Economic Perspectives. 1992; 6(3): 3-21. [DOI:10.1257/jep.6.3.3]
46. Johannessen KA, Kittelsen SA, Hagen TP. Assessing physician productivity following Norwegian hospital reform: A panel and data envelopment analysis. Social Science & Medicine. 2017; 175: 117-26. [DOI:10.1016/j.socscimed.2017.01.008]
47. Baumol WJ, Blinder AS. Microeconomics: Principles and policy: Nelson Education; 2015.
48. Gunnarsson V, Carcillo S, Verhoeven M. Education and health in G7 countries: Achieving better outcomes with less spending: International Monetary Fund; 2007. [DOI:10.5089/9781451868265.001]
49. Alin O MM. determining the efficiency of health expenditure as a prerequisite for achieving economic equilibrium in the European :union:. International Conference on Economics and Finance Research. 2011.
50. Organization WH. World Health Report 2000. Health Systems: Improving Performance. Geneva: World Health Organization; 2000 [Citado 13 Abr 2013].
51. Evans DB, Tandon A, Murray CJ, Lauer JA. Comparative efficiency of national health systems: cross national econometric analysis. Bmj. 2001; 323(7308): 307-10. [DOI:10.1136/bmj.323.7308.307]

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.