Assessing the performance of hospitals at Kermanshah University of Medical Sciences by Pabon Lasso Model(2006-2011)

Behzad Karami Matin, Satar Rezaei, Moslem Soofi, Ali Kazemi Karyani


Background: Assessment of hospital performance plays an important role in improving the quantity and quality of services. The purpose of this study was to evaluate the performance of the teaching hospitals of Kermanshah University of Medical Sciences using Pabon Lasso model during 2006-2011.

Methods: This descriptive-analytical study was carried out to assess the performance of six teaching hospitals of Kermanshah University of Medical Sciences during 2006-2011 using Pabon Lasso Model. This model uses three indexes of bed occupancy rate, bed turnover rate and the average length of stay, simultaneously. The data were collected using a standardized checklist, and Excel software was used for analyzing the data and charting Pabon Lasso.

Results: The results showed that one of the studied hospitals had high bed occupancy rate and low turnover rate, two hospitals had high turnover rate and low bed occupancy rate, one hospital had high bed occupancy rate and high bed turnover rate, and two hospitals had low bed turnover rate and high bed occupancy rate.

Conclusion: According to this study, about 85 percent of hospitals had low performance in indexes of bed occupancy rate, bed turnover rate or both. So, the reasons for the low performance must be evaluated and analyzed. Also, based on the characteristics of the hospitals, proper strategies can be applied to improve the performance of hospitals and increase the efficiency of resources.


hospital, performance assessment,, Pabon Lasso, Kermanshah


Sabbaghe Kerman M, Shaghaghi Shahri V. [Estimating Production Function of Iran's Hospital (Persian)]. Biquarterly Journal of Economy Essays. 2004;1(2);37-66.

Kavousi Z, Goodarzi S, Almasiankia A. [Performance evaluation in hospitals of Lorestan University of Medical Sciences using Pabon-Lasso Model (Persian)]. Payavard Salamat. 2012; 6(5):365-75.

Barnum H, Kutzin J. Public hospitals in developing countries: resource use, cost, financing. 2nd ed. Baltimore: the John Hopkins University Press. 1993; 99-100.

Hanson K, atuyambe L, Kamwanga J, McPake B, Mungule O, Ssengooba F. Hospital performance in Uganda and Zambia: reflections and opportunities for autonomy. Health Policy. 2002;61:73-94.

Asefzadeh S. [Principles of health economics (Persian)]. 2nd ed. Qazvin: Qazvin University of Medical Sciences. 2005; 80-1.

Sadaghiyani E. [Evaluation of healthcare and hospital's standards (Persian)]. 1st ed. Tehran: Moein Publicatisher. 1997; 62-5.

Pour Reza A, Kavousi Z, Mahmoudi M, Batbi A. [The study of admission and mean duration through AEP in hospitals of Tehran University of Medical Sciences (Persian)]. School of Public Health and Institute of Public Health Research. 2006;4(3):73-83.

Heidari Z. [The related factors on mean duration of bed in general and educational hospital's of Shiraz (Persian)]. MSc thesis in Management and Medical Informatics. Tehran: Iran University of Mmedical Sciences. 1995;87-8.

Fouladi P. [The effective factors on decreasing of inpatient bed occupancy ratio from the viewpoint of managers of Shahid Beheshti University of Medical Sciences (Persian)]. MSc thesis in Health Services Management, Tehran: Iran University of Medical Sciences, 1994;20-1.

Pabon Lasso H. Evaluating hospital performance through simultaneous application of several indicators. Bulletin of the Pan American Health Organization. 1986;20(4):341-57.

Goshtasebi A, Vahdaninia M, Gorgipour R, Samanpour A, Maftoon F, Farzadi F, et al. [Assessing hospital performance by the Pabon Lasso Model (Persian)]. Iranian Journal of Public Health. 2009;38(2):119-24.

Shahrestani T. [Using three major indicators (bed occupancy rate, bed turnover, and average length of stay) to assess the performance of Iranian hospitals in a Pabon Lasso model (Persian)]. MSc thesis in Health Services Management, Tehran: Iran University of Medical Sciences. 2000;60-1.

Marnani, AB, Sadeghifar J, Pourmohammadi K, Mostafaie D, Abolhalaj M, Bastani P. Performance assessment indicators: How DEA and Pabon Lasso describe Iranian hospitals' performance. Health Med. 2012;6(7):791-6.

Nekoei-Moghadam M, Rooholamini A, Yazdi Feizabadi V, Hooshyar P. [Comparing performance of selected teaching hospitals in Kerman and Shiraz Universities of Medical Sciences, Iran, Using Pabon-Lasso Chart (Persian)]. Health & Development. 2012;1(1):11-21.

Sajadi H, Sajadi Z, Hadi M. [Is there any method to compare key indicators of hospital performance simultaneity? (Persian)]. Health Information Management. 2011;8(1):71-81.

Bahadori MK, Sadeghifar J, Hamoudzadeh P, Hakimzadeh SM, Nejati M. Combining multiple indicators to assess hospital performance in Iran using the Pabon Lasso Model. Australasian Medical Journal. 2011;4(4):175-9.

Motaghi M, Gholizade L, Ahmadi AM, Delgoshaei B. [Comparison of efficiency in Kashan Medical Science University hospitals, using indicators of hospital efficiency: 2010-2011(Persian)]. Journal of Basic and Applied Science Research. 2012;2(12):417-25.

Asbu E, Walker O, Kirigia J, Zawaira F, Magombo F, Zimpita P, et al. Assessing the efficiency of hospitals in Malawi: An application of the Pabon Lasso technique. African Health Monitor. 2012;14(1):28-33.



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