بررسی تأثیر طرح تحول نظام سلامت بر شاخص‌های عملکردی مراکز بیمارستانی تحت پوشش دانشگاه علوم پزشکی لرستان

Background : Health systems in order to confirmity with changing conditions and responding to community needs, community needs to change and continuous improvement of their structure,  function, and subsequent evaluationindicators. Therefore the purpose of this study was to evaluate effect of health system reform plan on performance indicators. Materials and Methods : This study was a cross-sectional descriptive study using data from the years 1392 to 1394, the years before and after the implementation of healthcare reform was carried out. The population consisted of all hospitals of the Lorestan University of Medical Sciences (14 Hospitals). For data analysis using SPSS version 16, Paired sample T tests and Wilcoxon software were used. Results: After health system reform plan all indicators had better than before and this development  was significant in all cases. After health reform plan average length of stay was slightly increased (0.5%), although this was not significant statistically (P = 0.653). Before the health reform plan, the difference between the average bed occupancy indicator only for educational and non-educational centers were significant statistically (p = 0/05), but after the reform mean for all the indicators except indicator of average length of stay (p = 0/038), was significant. Conclusion: The health system  reform plan has been positive changes in indicators of hospital performance. Therefore, while considering the current trend of continuous improvement, the continuity of the project was advised based on the results of this study.