World Journal of
Pharmaceutical and Life Sciences

DESIGNING A COMPETITIVE MODEL FOR FARS PROVINCE GOVERNMENTAL HOSPITALS

Elahe Pahlavan and *Erfan Kharazmi and Shaghayegh Vahdat

ABSTRACT

Utilizing market set ups in hospital services requires the government to notice the market structural conditions and competition between providers. The impact of competition apply depends on several factors. This study aims to design a pattern in which Iran governmental hospitals somehow compete in providing treatment services with the aid of structural equations. This applied study has been conducted with descriptive – analytical method. The research tool is scholar made questionnaire of competitiveness in governmental hospitals whose reliability was acquired by specialists and its dimensions validity was obtained using Cronbach alpha test as 0.83. The statistical society includes all experts of healthcare management domain that 30 persons were selected as statistical sample and the study tool was distributed among them. Analyzing the statistical data was performed by SPSS 23 software and single sample T-test, KMO and Bartlet were used. the findings of this study by single sample T showed that in P< 0.05 level, competitiveness , services efficiency and supplying financial resources was confirmed for explaining competitiveness structural equations, but process method was rejected. About determining competition pattern with the aid of structural equations, the results of KMO and Bartlet tests showed that hospital services cost proportionate to competition market and the patient freedom in selecting physician has been identified as the first factor, the hospital entrance to competition market and the patient freedom in hospital selection as the second factor and the hospitals policy making by the university as third factor in governmental hospitals competiveness. Omission of additional organizations, omission of unnecessary hospitalizations and omission of unnecessary services have been identified as the first factor, continuous evaluation of treatment sectors, improving services quality and physicians single occupation as the second factor in efficiency of governmental hospitals services. Methods of the hospital financial supply through governmental subside, methods of hospital financial supply through lateral services were identified as the first factor and methods of hospital financial supply through state or province budget, methods of hospital financial supply through insurances, methods of hospital financial supply through tax and methods of hospital financial supply through institutes financial aids as the second factor in supplying financial resources of governmental hospitals. Personnel payment method based on fee, method of personnel payment based on tariffs and method of personnel payment based on salary system were identified as the first factor in payment method and method of personnel payment based on salary system as the second factor in payment method of governmental hospitals.

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