Journal of Medical Systems

, Volume 31, Issue 3, pp 166–172 | Cite as

Efficiency Measurement for Hospitals Owned by the Iranian Social Security Organisation

  • Hossein HajialiafzaliEmail author
  • J. R. Moss
  • M. A. Mahmood
Original Paper


This study used Data Envelopment Analysis (DEA) to examine the relative efficiency of hospitals owned by the Iranian Social Security Organization, which is the second largest institutional source of hospital care in that country. Using data for the year 2002, 26 of the 53 hospitals were deemed to be efficient. Inefficient hospitals had an average score of 90%, implying a potential reduction in all inputs on average by about 10% with no impact on output levels. In addition to the conventional DEA measurement, efficient hospitals were ranked by calculating super-efficiency scores, by identifying weak efficient hospitals, and by determining the frequency of peers. The study provides useful information for improving hospital management, rationalizing resource allocation, and improving services provided by hospitals.


Hospital efficiency Resource allocation Health economics DEA Iran 



The authors wish to express their gratitude to Dr. Ali Emrouznejad, Dr. Ebrahim Hashemi and Dr. Mohmmadreza Fooladi for their comments and assistance in obtaining the data. We also gratefully acknowledge financial support for the study from the Iranian Social Security Organisation.


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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Hossein Hajialiafzali
    • 1
    • 2
    Email author
  • J. R. Moss
    • 1
  • M. A. Mahmood
    • 1
  1. 1.Discipline of Public Health, Schiool of Population Health and Clinical PracticeThe University of AdelaideAdelaideAustralia
  2. 2.Health Affairs DepartmentIranian Social Security OrganisationTehranIran

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