Evaluating the Feasibility of Financial Variables of Health: A Hospital Administrator s Viewpoint

Subject Areas :

Abasat Mirzaei ¹ ()
jamaldin tayebi ² (عضو هیات علمی)
amir ashkan nasiripor ³ (عضو هیات علمی)
liela riyahi ⁴ (عضو هیات علمی)

Received: 2016-08-22 Accepted : 2017-01-20 Published : 2017-02-19

Keywords: Keywords: Training the hospital assessment, function of hospital managers, financial evaluation,

Abstract :

Today, the health system is one of the largest sections of the economy throughout the world. Therefore, the managers and policymakers of the health and treatment sections should be trained by exploiting the financial assessment indices and also by acquiring the knowledge via training the indices and sufficient recognition of hospital function. The purpose of the present study is determination of the effective and trainable financial indices in assessment of function of the Iran University of Medical Science hospitals for providing a systematic educational training to evaluating the financial function of hospitals. Methods: the present study is a combinational method including systematic review analysis and analytical hierarchy method which was confirmed by using of the suggested paradigm for analytical hierarchy process (AHP) after extracting the indices of the function assessment of hospital. The experts consisted of 162 subjects. Findings: the indices were determined for nine groups including trainable indices for managers, cash, investment, quick ratio (acid test ratio), income, expense, exploitation, the proportion of management efficacy and other financial ratios that can be used for educational periods for managers. In addition, subscale of each of them was prioritized and measured. From the above indices, the profitability index had the highest priority which acquired the first rank with 0.246 scores for training and the least priority was related to the factor of contingency measures with 0.010 scores. Conclusion: The indices of cash, profitability, and investment had the highest scale in the educational needs of managers. The indices of the financial function defines the financial status of the hospitals and also it determines the strengths and weaknesses of the hospitals for strategic decision making, and it is fundamental for comparison between different hospitals.

References:

فارسی

• ابوالحلاج، مسعود،  رمضانیان، مریم (1389) تجربه وزارت بهداشت، درمان و آموزش پزشکی ایران در نظام نوین مالی. فصلنامه علمی تخصصی اقتصاد سلامت، دوره 1 شماره 1، صفحات 83-92.


• ابوالحلاج، مسعود، جعفری، جواد، علیزادراقب، نوشین (1391) صورتهای مالی نمونه بخش دولتی و استاندارد۳۴: تجربه دانشگاه های علوم پزشکی و خدمات بهداشتی درمانی تحت نظارت وزارت بهداشت و درمان و آموزش پزشکی. تهران: انتشارات پارسه نگار.


• رضاپور، عزیز، حق پرست، حسن (1385) عملکرد نهاده های تولید در بیمارستانهای عمومی دانشگاه علوم پزشکی ایران. مجله دانشگاه علوم پزشکی شهرکرد. دوره 10 شماره 1 صفحات 109-114.


• شجاعی تهرانی، حسین، عبادی فردآذر، فربد (1384) اصول خدمات بهداشت. تهران: انتشارات سماط؛ چاپ چهارم.


• قادری، حسین، گودرزی، غلامرضا، گوهری، محمودرضا (1385) تعیین کارایی فنی بیمارستان های دانشگاه علوم پزشکی ایران با استفاده از روش تحلیل فراگیر داده ها ( DEA ) : سال 1379 – 1383. مدیریت سلامت.شماره 26 صفحات 38-31

انگلیسی

• Barak, A. Z. (2010). Cash Flow Ratiosvs. Accruals Ratios: Empirical Research on   Incremental Information Content. TheBusiness Review, 15: 206-213.


• Groene, O. Skau, J.K. Frølich,A. (2008). An international review of projects on hospital performance assessment. Int J Qual Health Care, 20 (3): 162-71.


• Imad, A. (2006). Methodology and Theory Measuring maintenance performance using a balanced scorecard approach. Journal of Quality in Maintenance Engineering, 12(2): 133-149.


• Janati, A. Valizadeh, &S. Asghari-Jafarabadi, M. (2014). Development of Financial Indicators of Hospital Performance. Journal of Clinical Research & Governance, 3: 92-98.


• Kontodimopoulos, N. Panagiotis, N. &Dimitris, N. (2006). Balancing efficiency of health services and equity of access in remote areas in Greece. Health Policy, 76(1): 49-57.


• Love, D. Revere, L. &Black, K. (2008). A Current Look at the Key Performance Measures Considered Critical by Health Care Leaders. JOURNAL OF HEALTH CARE FINANCE, 34(3):19–33.


• Marschall, P.&Flessa,S. (2008). Expanding access to primary care without additional budgets? A case study from Burkina Faso.Eur J Health Econ., 9(4):393-403.


• Pink, G.H. Holmes, G.M, D'Alpe, C. Strunk, L.A, McGee, &P. Slifkin, R.T. (2006) Financial indicators for critical access hospitals. Journal of Rural Health, 22(3):229-36.


• Retzalaff, R,D.Chang,C. F.&Rubin,R.M. (2004). Technical efficiency in the use of health care resources: a comparison of OECD countries. Health Policy, 69(1):55-72.


• Smith, P.C. Elias Mossialos, &E. Papanicolas, I. (2008). Principles of performance measurement. Euro Observer, 10 (1):1-4.


• Suarez, V. Lesneski, C.&Denison, D. (2011) Making the Case for Using Financial Indicators in Local Public Health Agencies. Am J Public Health, 101 (3): 419–425.


• Veillard, J, Champagagne, F. Klazinga, N. Kazandjian,&V. Arah, O.A.Guisset,A.L. (2005).A performance assessment framework for hospitals: the WHO regional office for Europe PATH project. Int J Qual Health Care, 17(6):487-96.


• Vandenberg, H. (2003) Models of Intellectual Capital Valuation: A Comparative Evaluation


• Watson, D. Finlayson, G. Jacobs, P. (2002) Comparing apples to apples: the relative financial performance of Manitoba's acute care hospitals. Healthcare management forum 2002. 39-46.

Evaluating the Feasibility of Financial Variables of Health: A Hospital Administrator s Viewpoint

 

 

Abstract

Today, the health system is one of the largest sections of the economy throughout the world. Therefore, the managers and policymakers of the health and treatment sections should be trained by exploiting the financial assessment indices and also by acquiring the knowledge via training the indices and sufficient recognition of hospital function. The purpose of the present study is determination of the effective and trainable financial indices in assessment of function of the Iran University of Medical Science hospitals for providing a systematic educational training to evaluating the financial function of hospitals.

Methods: the present study is a combinational method including systematic review analysis and analytical hierarchy method which was confirmed by using of the suggested paradigm for analytical hierarchy process (AHP) after extracting the indices of the function assessment of hospital. The experts consisted of 162 subjects.

Findings: the indices were determined for nine groups including trainable indices for managers, cash, investment, quick ratio (acid test ratio), income, expense, exploitation, the proportion of management efficacy and other financial ratios that can be used for educational periods for managers. In addition, subscale of each of them was prioritized and measured. From the above indices, the profitability index had the highest priority which acquired the first rank with 0.246 scores for training and the least priority was related to the factor of contingency measures with 0.010 scores.

Conclusion: The indices of cash, profitability, and investment had the highest scale in the educational needs of managers. The indices of the financial function defines the financial status of the hospitals and also it determines the strengths and weaknesses of the hospitals for strategic decision making, and it is fundamental for comparison between different hospitals.

 

Keywords: Training the hospital assessment, function of hospital managers, financial evaluation.

 

فارسی

• ابوالحلاج، مسعود،  رمضانیان، مریم (1389) تجربه وزارت بهداشت، درمان و آموزش پزشکی ایران در نظام نوین مالی. فصلنامه علمی تخصصی اقتصاد سلامت، دوره 1 شماره 1، صفحات 83-92.


• ابوالحلاج، مسعود، جعفری، جواد، علیزادراقب، نوشین (1391) صورتهای مالی نمونه بخش دولتی و استاندارد۳۴: تجربه دانشگاه های علوم پزشکی و خدمات بهداشتی درمانی تحت نظارت وزارت بهداشت و درمان و آموزش پزشکی. تهران: انتشارات پارسه نگار.


• رضاپور، عزیز، حق پرست، حسن (1385) عملکرد نهاده های تولید در بیمارستانهای عمومی دانشگاه علوم پزشکی ایران. مجله دانشگاه علوم پزشکی شهرکرد. دوره 10 شماره 1 صفحات 109-114.


• شجاعی تهرانی، حسین، عبادی فردآذر، فربد (1384) اصول خدمات بهداشت. تهران: انتشارات سماط؛ چاپ چهارم.


• قادری، حسین، گودرزی، غلامرضا، گوهری، محمودرضا (1385) تعیین کارایی فنی بیمارستان های دانشگاه علوم پزشکی ایران با استفاده از روش تحلیل فراگیر داده ها ( DEA ) : سال 1379 – 1383. مدیریت سلامت.شماره 26 صفحات 38-31

انگلیسی

• Barak, A. Z. (2010). Cash Flow Ratiosvs. Accruals Ratios: Empirical Research on   Incremental Information Content. TheBusiness Review, 15: 206-213.


• Groene, O. Skau, J.K. Frølich,A. (2008). An international review of projects on hospital performance assessment. Int J Qual Health Care, 20 (3): 162-71.


• Imad, A. (2006). Methodology and Theory Measuring maintenance performance using a balanced scorecard approach. Journal of Quality in Maintenance Engineering, 12(2): 133-149.


• Janati, A. Valizadeh, &S. Asghari-Jafarabadi, M. (2014). Development of Financial Indicators of Hospital Performance. Journal of Clinical Research & Governance, 3: 92-98.


• Kontodimopoulos, N. Panagiotis, N. &Dimitris, N. (2006). Balancing efficiency of health services and equity of access in remote areas in Greece. Health Policy, 76(1): 49-57.


• Love, D. Revere, L. &Black, K. (2008). A Current Look at the Key Performance Measures Considered Critical by Health Care Leaders. JOURNAL OF HEALTH CARE FINANCE, 34(3):19–33.


• Marschall, P.&Flessa,S. (2008). Expanding access to primary care without additional budgets? A case study from Burkina Faso.Eur J Health Econ., 9(4):393-403.


• Pink, G.H. Holmes, G.M, D'Alpe, C. Strunk, L.A, McGee, &P. Slifkin, R.T. (2006) Financial indicators for critical access hospitals. Journal of Rural Health, 22(3):229-36.


• Retzalaff, R,D.Chang,C. F.&Rubin,R.M. (2004). Technical efficiency in the use of health care resources: a comparison of OECD countries. Health Policy, 69(1):55-72.


• Smith, P.C. Elias Mossialos, &E. Papanicolas, I. (2008). Principles of performance measurement. Euro Observer, 10 (1):1-4.


• Suarez, V. Lesneski, C.&Denison, D. (2011) Making the Case for Using Financial Indicators in Local Public Health Agencies. Am J Public Health, 101 (3): 419–425.


• Veillard, J, Champagagne, F. Klazinga, N. Kazandjian,&V. Arah, O.A.Guisset,A.L. (2005).A performance assessment framework for hospitals: the WHO regional office for Europe PATH project. Int J Qual Health Care, 17(6):487-96.


• Vandenberg, H. (2003) Models of Intellectual Capital Valuation: A Comparative Evaluation


• Watson, D. Finlayson, G. Jacobs, P. (2002) Comparing apples to apples: the relative financial performance of Manitoba's acute care hospitals. Healthcare management forum 2002. 39-46.