Volume 23, Issue 4 (2-2025)
jhosp 2025, 23(4): 407-421 |
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Abdolalipour A, Mikailiy M, Alizadeh K. Modeling the Impact of Financial Variables on Hospital Service Performance: An Integrated Structural Equation Approach. jhosp 2025; 23 (4) :407-421
URL: http://jhosp.tums.ac.ir/article-1-6705-en.html
URL: http://jhosp.tums.ac.ir/article-1-6705-en.html
1- Assistant Professor, Department of Management, Khoy Branch, Islamic Azad University, Khoy, Iran. *Corresponding Author Email: Amirhpour@iau.ir , Amirhpour@iau.ir
2- Master of Public Administration, Khoy Branch, Islamic Azad University, Khoy, Iran.
3- Physician, Director of the Department of Population Youth, Family and School Health, Faculty of Medicine Sciences, Khoy, Iran.
2- Master of Public Administration, Khoy Branch, Islamic Azad University, Khoy, Iran.
3- Physician, Director of the Department of Population Youth, Family and School Health, Faculty of Medicine Sciences, Khoy, Iran.
Abstract: (484 Views)
Background and purpose: This study proposes an integrated model to explore the mediating role of financial performance in the relationship between quality indicators, learning and growth, and the overall performance of hospital facility management services.
Methods: The statistical population included hospital managers across West Azerbaijan Province, Iran. Based on Cochran’s formula, 147 participants were selected using a simple random sampling method. Data were analyzed using Structural Equation Modeling (SEM) via SmartPLS software. Standardized factor loadings were used to assess model fit, and the Z-test was applied to evaluate the statistical significance of the relationships. Predictive power was assessed using the adjusted R² and Stone-Geisser Q² criteria.
Results: The indirect effects of quality indicators (t = 2.41), learning and growth indicators (t = 2.20), and internal process indicators (t = 2.39) on hospital service performance—mediated by financial performance—were all statistically significant (t > 1.96). Standardized path coefficients of 0.201, 0.344, 0.359, and 0.805 further confirmed the model's empirical robustness and goodness of fit.
Conclusion :The findings suggest that improvements in internal processes, service quality, and organizational learning and growth significantly enhance financial performance, which in turn improves the effectiveness of hospital facility management services. These enhancements contribute to increased patient satisfaction, strengthened hospital reputation, reduced operational costs, and ultimately improved revenue and financial efficiency.
Methods: The statistical population included hospital managers across West Azerbaijan Province, Iran. Based on Cochran’s formula, 147 participants were selected using a simple random sampling method. Data were analyzed using Structural Equation Modeling (SEM) via SmartPLS software. Standardized factor loadings were used to assess model fit, and the Z-test was applied to evaluate the statistical significance of the relationships. Predictive power was assessed using the adjusted R² and Stone-Geisser Q² criteria.
Results: The indirect effects of quality indicators (t = 2.41), learning and growth indicators (t = 2.20), and internal process indicators (t = 2.39) on hospital service performance—mediated by financial performance—were all statistically significant (t > 1.96). Standardized path coefficients of 0.201, 0.344, 0.359, and 0.805 further confirmed the model's empirical robustness and goodness of fit.
Conclusion :The findings suggest that improvements in internal processes, service quality, and organizational learning and growth significantly enhance financial performance, which in turn improves the effectiveness of hospital facility management services. These enhancements contribute to increased patient satisfaction, strengthened hospital reputation, reduced operational costs, and ultimately improved revenue and financial efficiency.
Keywords: Hospital Financial Management, Service Performance, Facility Management, Internal Processes, Healthcare Quality, Organizational Learning and Growth
Type of Study: Original Article |
Subject:
مدیریت تسهیلات (فیزیکی ، تاسیساتی و تجهیزاتی ) در بیمارستان
Received: 2024/11/9 | Accepted: 2025/05/10 | Published: 2025/05/27
Received: 2024/11/9 | Accepted: 2025/05/10 | Published: 2025/05/27
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