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Journal of Medical Systems

Erschienen in:

01.06.2008 | Original Paper

Data Envelopment Analysis Comparison of Hospital Efficiency and Quality

verfasst von: Preethy Nayar, Yasar A. Ozcan

Erschienen in: Journal of Medical Systems | Ausgabe 3/2008

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Abstract

Using a sample of Virginia hospitals, performance measures of quality were examined as they related to technical efficiency. Efficiency scores for the study hospitals were computed using Data Envelopment Analysis (DEA). The study found that the technically efficient hospitals were performing well as far as quality measures were concerned. Some of the technically inefficient hospitals were also performing well with respect to quality. DEA can be used to benchmark both dimensions of hospital performance: technical efficiency and quality. The results have policy implications in view of growing concern that hospitals may be improving their efficiency at the expense of quality.

Charnes, A., Cooper, W. W., and Rhodes, E., Measuring the efficiency of decision making units. Eur. J. Oper. Res 2:429, 1978.MATHCrossRefMathSciNet

Ozcan, Y. A., Luke, R. D., and Haksever, C., Ownership and organizational performance: A comparison of technical efficiency across hospital types. Med. Care 30(9):781–794, 1992.CrossRef

Ozcan, Y. A., Sensitivity analysis of hospital efficiency under alternative output/input and peer groups: A review. Knowl. Policy 5(4):1–29, 1993.CrossRef

Ozcan, Y. A. et al., Trends in labor efficiency among American hospital markets. Ann. Oper. Res 67:61–82, 1996.CrossRef

White, K. R., and Ozcan, Y. A., Church ownership and hospital efficiency. Hosp. Health Serv. Adm 41(3):297–310, 1996.

Harris, J. M., Ozgen, H., and Ozcan, Y. A., Do mergers enhance the performance of hospital efficiency? J. Oper. Res. Soc 51:801–811, 2000.MATHCrossRef

Chilingerian, J. A., Evaluating physician efficiency in hospitals: A multivariate analysis of best practices. Eur. J. Oper. Res 80:548–574, 1995.MATHCrossRef

Ozcan, Y. A., Physician benchmarking: measuring variation in practice behavior in treatment of otitis media. Health Care Manage. Sci 1(1):5–17, 1998.CrossRef

Ozcan, Y. A., Jiang, H. J., and Pai, C. W., Do primary care physicians or specialists provide more efficient care? Health Serv. Manag. Res 13:90–96, 2000.

10.

Rosenman, R., Siddharthan, K., and Ahern, M., Output efficiency of Health Maintenance Organizations in Florida. Health Econ 6:295–302, 1997.CrossRef

11.

Draper, D. A., Solti, I., and Ozcan, Y. A., Characteristics of Health Maintenance Organizations and their influence on efficiency. Health Serv. Manag. Res 13:40–56, 2000.

12.

Ozgen, H., and Ozcan, Y. A., A national study of efficiency for dialysis centers: an examination of market competition and facility characteristics for production of multiple dialysis outputs. Health Serv. Res 37(3):711–732, 2002.CrossRef

13.

Ozgen, H., and Ozcan, Y. A., Longitudinal analysis of efficiency in multiple output dialysis markets. Health Care Manag. Sci. 7(4):253–261, 2004.CrossRef

14.

Ikegami, N., Hirdes, J. P., and Carpenter, I., Measuring the quality of long-term care in institutional and community setting. In: Smith, P. (Ed.), Measuring up: Improving health system performance in OECD Countries. OECD, Paris, 2002.

15.

Newhouse, J., Toward a theory of non-profit institutions: An economic model of a hospital. Am. Econ. Rev 60:64–74, 1970.

16.

Laine, J. et al., Measuring the productive efficiency and clinical quality of institutional long term care for the elderly. Health Econ 14:245–256, 2005.CrossRef

17.

Laine, J. et al., The association between quality of care and technical efficiency in long term care. Int. J. Qual. Health Care 17(3):259–267, 2005.CrossRefMathSciNet

18.

Sherman, D. H., and Zhu, J., Service productivity management: Improving service performance using data envelopment analysis (DEA). Springer, New York, 2006.

19.

Jacobs, R., Alternative methods to examine hospital efficiency: Data envelopment analysis and stochastic frontier analysis. Health Care Manag. Sci 4:103–115, 2001.CrossRef

20.

Linna, M., Measuring hospital cost efficiency with panel data models. Health Econ 7:415–427, 1997.CrossRef

Titel: Data Envelopment Analysis Comparison of Hospital Efficiency and Quality
verfasst von: Preethy Nayar
Yasar A. Ozcan
Publikationsdatum: 01.06.2008
Verlag: Springer US
Erschienen in: Journal of Medical Systems / Ausgabe 3/2008
Print ISSN: 0148-5598
Elektronische ISSN: 1573-689X
DOI: https://doi.org/10.1007/s10916-007-9122-8

Springer Medizin

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