Background: Each organization needs an assessment of the system in order to be aware of the desirability and quality of its activities, especially in complex and dynamic environments such as the hospital, which is the largest and costly unit of the health system. The purpose of this study was to compare the performance of hospitals in Mazandaran province with the approach of the Pabon Lasso model based on the type of ownership. Methods: This was a descriptive-analytic study that was performed on all hospitals in Mazandaran province in a cross-sectional and retrospective study. The data were collected from the statistics unit of the hospitals. The Pabon Lasso graphic diagram was used to compare the performance. Results: The results showed that in the year 2013 (before the implementation of the health system reform), of the total 23 public hospitals, 7 hospitals (30.43%) were in the zone 3 and 7 hospitals (30.43%) in the zone 1. In the year 2015 (after the implementation of the health system reform), 6 hospitals (26.08%) were in the zone 3 and 5 hospitals (21.73%) in the zone 1.Conclusion: After the implementation of the Health System Reform Plan, changes were made to the situation of the hospitals. In general, one-third of public hospitals had desirable performance and efficiency. Therefore, managers and planners need to adopt strategies to improve the efficiency of other hospitals and appropriate distribution of resources.
