en مدیریت خدمات بهداشتی درمانی Health care management پژوهشي Research <div style="text-align: justify;"><span style="font-size:12px;"><span style="font-family:Times New Roman;"><span style="line-height:115%"><b><span style="line-height:115%">Background</span></b><span style="line-height:115%">: Given the importance of public health, evaluating the performance of the health system and striving to address its shortcomings is a concern for policymakers and health officials. The aim of this study is to examine the health system efficiency in Iran and investigate the impact of economic variables on the health system efficiency.</span></span><br> <span style="line-height:115%"><b><span style="line-height:115%">Methods</span></b><span style="line-height:115%">: In this study, the Stochastic Frontier Analysis (SFA) method was used to evaluate the health system efficiency in Iran, using data from Iranian provinces in 2016. The Stata software was used to evaluate the health system efficiency and investigate the impact of economic variables on the health system efficiency.</span></span><br> <span style="line-height:115%"><b><span style="line-height:115%">Results</span></b><span style="line-height:115%">: According to findings, the highest level of efficiency belonged to Alborz and Mazandaran provinces, while the lowest level of efficiency belonged to Sistan and Baluchestan and Ilam provinces. Regression estimates using the Tobit method indicated that the coverage of social insurance and the private sector share of healthcare costs have a positive effect on efficiency, while per capita production has a negative effect on the health system efficiency. Also, the coefficients obtained for GDP per capita, the population covered by insurance and the share of the private sector were -0.00049, 0.00602, and 0.00640, respectively.</span></span><br> <span style="line-height:115%"><b><span style="line-height:115%">Conclusion</span></b><span style="line-height:115%">: The average health system efficiency in the provinces varies significantly, suggesting that there is a considerable gap from optimal efficiency. It is recommended to expand the coverage of social insurance, which includes healthcare insurance, in order to improve the health system efficiency, so that more people can benefit from its services. The second suggestion is to pay more attention to the private sector in the health sector.</span></span></span></span><br> &nbsp;</div> Health System, Efficiency, Stochastic Frontier Analysis, Tobit, Iran 221 227 http://jhr.ssu.ac.ir/browse.php?a_code=A-10-2203-1&slc_lang=en&sid=1 Habib Ansari Samani Ha.ansarisa@gmail.com 0000-0002-0075-5097 Yes Department of Economics - Faculty of Economics, Management and Accounting - Yazd University - Yazd - Iran Malek Khabbazi Khanaghah m.khabbazi.kh@gmail.com 0000-0003-0969-5948 No Department of Economics - Faculty of Economics, Management and Accounting - Yazd University - Yazd - Iran