Razi Hospital is an reference hospital in skin diseases. According to hospital building and problems, the decision makers in Tehran Medical University have decided to improve performance in Razi Hospital and it has proposed a change in the Hospital's location as part of its improvement strategy. To achieve this aim, the current research was conducted by the Iranian Institute for Health Sciences Research from February 2004 to September 2004.
This work actually included four studies:
1. To Evaluate the efficiency of Razi Hospital.
2. To analysis cost and income of Razi Hospital.
3. To identify strategies to improve performance.
4. To determine provider acceptability and client accessibility due to hospital translocation.
Efficiency indicators and related factors have been identified by using the "pabonlasso" model. Overall, the findings showed a significant degree of inefficiency in comparison with other hospitals in Tehran and other cities. The principal indicators of hospital inefficiency were high average length of patients and low of admission rate.
Despite receiving large-scale government subsides (77% of total income), the total cost for the year 1381 exceeded income. There's a considerable degree of inefficiency allocation, with personnel costs accounting for most of the total annual cost. The number of staff per bed is lower in the dermatology ward compared to other wards in the same hospital.
Based on these analysis, an improvement strategy will have to be based on the following measures:
1. Potting the diagnostic and therapeutic processes in order.
2. Facilitating accessibility to the other requirement specialists.
3. Establishing an appropriate physical structure for hospital:
- Building a new hospital in the same location.
- Allocation an appropriate financial resource for repairing the current hospital building.
- Translocation of Razi Hospital into a general hospital and its identity and name has preserved and don’t change.
In this research, providers' acceptability and patients' accessibility be determined because the Razi Hospital translocation is one of the hospital improvement strategies.
Quantitative research on patient about accessibility revealed that an eventual transfer would not affect overall accessibility. Qualitative research on providers showed that preserving Razi Hospital's identity and adequately informing the public of any transfer decision will go a long way towards mitigating any adverse consequences of such a transfer.
In strategic planning for improvement physical structure of hospital must also consider the existence of subterranean canals under the hospital site and the vulnerability of hospital buildings to earthquakes.