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- W2969421101 abstract "Background and Objective: Expressing relationship between financialpayments and performances’ results in health system could be explained byperformance-based financing presentation. This study aimed to indicatedifferences in budget efficiencies amongst the Iranian provinces by comparativemeans, using performances data on public health sector in the provinces, andresults of computing provinces’ relative budget efficiencies.Materials and Methods: in this study, statistical-descriptive analysis methodwas used and operational or performance-based budget efficiency indicators inthe Iranian provinces using record data from the Health Ministry and the IranianHealth Insurance Organization were used. Presenting a simple picture ofperformance-based budgeting, by health expenditure, manpower and physicalresources for outpatient and inpatient performances in the provinces, thecomparative indicators of efficiencies were computed, using Data EnvelopmentAnalysis (DEA) method.Results: The country average of budget efficiencies for performancesmaximization in 2011 and 2013 were 0.55 and 0.58 for outpatient services,respectively, and 0.82 and 0.86 for inpatient services, respectively. Theefficiency indicators in the public sector showed provinces, despite having thesame conditions on revenue collecting and performance regulating, are classifiedwith considerable differences in service maximization and expenditure or budgetminimizationConclusion: This study is the first research, introducing efficiency indicators inoperational or performance-based budgeting scheme in the public health sector.Efficiency differences amongst provinces, and declining efficiency in someprovinces in the second year could be considered sources of efficiencyunsustainability and inequalities and limiting access to health sector goals." @default.
- W2969421101 created "2019-08-29" @default.
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- W2969421101 date "2019-07-08" @default.
- W2969421101 modified "2023-09-27" @default.
- W2969421101 title "Assessment of budget efficiency in public health sector for outpatient and inpatient services by operational performance-based model" @default.
- W2969421101 hasPublicationYear "2019" @default.
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