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Advanced Decision Making Methods Applied to Health Care pp 83–101Cite as

Technical and scale efficiencies of Catholic hospitals: Does a system value of stewardship matter?

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Part of the book series: International Series in Operations Research & Management Science ((ISOR,volume 173))

Abstract

Applying data envelopment analyses and relevant multivariate regression techniques, this study explores the relationship between the efficiency of Catholic system-affiliated hospitals and certain organizational and market characteristics. Results show the system value of stewardship did not have a significant impact on Catholic hospital efficiency in the study period between 2005 and 2007. However, the diocesan model of organizational governance, with a value of stewardship, demonstrated a positive relationship with efficiency. This study also shows that organizational and market characteristics such as the proportion of Medicaid patients, rural location, market competition, and for-profit penetration are important determinants of Catholic hospital efficiency. Explanations, implications, and limitations of the findings as well as directions for future research are discussed and proposed.

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References

  1. Banks, D.A., Paterson, M., Wendel, J.: Uncompensated hospital care: Charitable mission or profitable business decision? Health Economics 6(2), 133–143 (1997)

    Article  Google Scholar 

  2. Bazzoli, G.J., Chan, B., Shortell, S.M., D’Aunno, T.: The financial performance of hospitals belonging to health networks and systems. Inquiry 37(3), 234–52 (2000)

    Google Scholar 

  3. Catholic Health Association of the United States: The healing ministry of catholic health care. Retrieved 10/02/2008, from http://www.chausa.org/Pub/MainNav/AboutCHA/ overview.htm (2008)

    Google Scholar 

  4. Catholic Health Association of the United States: Catholic health care in the United States. Retrieved 05/04/2009, from http://www.chausa.org/NR/rdonlyres/68B7C0E5-F9AA-4106-B182-7DF0FC30A1CA/0/FACTSHEET.pdf (2009)

    Google Scholar 

  5. Chang, H.H.: Determinants of hospital efficiency: The case of central government-owned hospitals in Taiwan. Omega 26(2), 307–318 (1998)

    Article  Google Scholar 

  6. Chilingerian, J.A.: Evaluating physician efficiency in hospitals: A multivariate analysis of best practices. European Journal of Operational Research 80(3), 548–574 (1995)

    Article  Google Scholar 

  7. Chirikos, T.N., Sear, A.M.: Technical efficiency and the competitive behavior of hospitals. Socioeconomic Planning Sciences 28(4), 219–227 (1994)

    Article  Google Scholar 

  8. Clement, J.P., White, K.R., Valdmanis, V.: Charity care: Do not-for-profits influence forprofits? Medical Care Research and Review 59(1), 59–78 (2002)

    Article  Google Scholar 

  9. Cooper, W.W., Seiford, L.M., Tone, K.: Data envelopment analysis: A comprehensive text with models, applications, references and DEA-solver software. Springer, New York (2007)

    Google Scholar 

  10. Daft, R.L.: Organization theory and design. South-Western College Pub., Cincinnati, OH (2001)

    Google Scholar 

  11. Devers, K.J., Brewster, L.R., Casalino, L.P.: Changes in hospital competitive strategy: A new medical arms race? Health Services Research 38(1), 447–469 (2003)

    Article  Google Scholar 

  12. Ettner, S.L., Hermann, R.C.: The role of profit status under imperfect information: Evidence from the treatment patterns of elderly Medicare beneficiaries hospitalized for psychiatric diagnoses. Journal of Health Economics 20(1), 23–49 (2001)

    Article  Google Scholar 

  13. Folland, S., Stano, M., Goodman, A.C.: The economics of health and health care, 4th ed. Pearson/ Prentice Hall, Upper Saddle River, NJ (2004)

    Google Scholar 

  14. Griffith J.R., White K.R.: The well-managed healthcare organization. Health Administration Press, Chicago (2007)

    Google Scholar 

  15. Harrison, J.P., Sexton, C.: The improving efficiency frontier of religious not-for-profit hospitals. Hospital Topics 84(1), 2–10 (2006)

    Article  Google Scholar 

  16. Hollingsworth, B.: The measurement of efficiency and productivity of health care delivery. Health Economics 17(10), 1107–1128 (2008)

    Article  Google Scholar 

  17. Horwitz, J.R.: Does nonprofit ownership matter? Yale Journal on Regulation 24(1), 139–199 (2007)

    Google Scholar 

  18. Horwitz, J.R., Nichols, A.: What do nonprofits maximize? nonprofit hospital service provision and market ownership mix. National Bureau of Economic Research (2007)

    Google Scholar 

  19. Hughes, R.G., Luft, H.S.: Keeping up with the joneses: The influence of public and proprietary neighbors on voluntary hospitals. Health Services Management Research 3(3), 173–181 (1990)

    Google Scholar 

  20. Iltis, A.S.: Institutional integrity in Roman Catholic health care institutions. Christian Bioethics 7(1), 95–103 (2001)

    Article  Google Scholar 

  21. Jones, G.R.: Organizational theory: Text and cases. Prentice Hall, Upper Saddle River, NJ (2001)

    Google Scholar 

  22. Kauffman, C.J.: Ministry and meaning: A religious history of Catholic health care in the united states. Crossroad, New York (1995)

    Google Scholar 

  23. Kessler, D.P., McClellan, M.B.: The effects of hospital ownership on medical productivity. The Rand Journal of Economics 33(3), 488–506 (2002)

    Article  Google Scholar 

  24. LeBlanc, A.J., Hurley, R.E.: Adoption of HIV-related services among urban US hospitals: 1988 and 1991. Medical Care 33(9), 881–891 (1995)

    Article  Google Scholar 

  25. Mobley, L.R.: Effects of selective contracting on hospital efficiency, costs and accessibility. Health Economics 7(3), 247–261 (1998)

    Article  Google Scholar 

  26. O’Neill, L., Rauner, M., Heidenberger, K., Kraus, M.: A cross-national comparison and taxonomy of DEA-based hospital efficiency studies. Socioeconomic Planning Sciences 42(3), 158–189 (2008)

    Article  Google Scholar 

  27. O’Reilly, C.A., Pfeffer, J.: Hidden value: How great companies achieve extraordinary results with ordinary people. Harvard Business School Press, Boston (2000)

    Google Scholar 

  28. Ozcan, Y.A.: Health care benchmarking and performance evaluation an assessment using data envelopment analysis (DEA). Springer, New York (2008)

    Book  Google Scholar 

  29. Rosko, M.D.: Impact of HMO Penetration and Other Environmental Factors on Hospital XInefficiency. Medical Care Research and Review 58: 430–454 (2001)

    Article  Google Scholar 

  30. Rosko, M.D., Proenca, J., Zinn, J.S., Bazzoli, G.J.: Hospital Inefficiency: What is the Impact of Membership in Different Types of Systems? Inquiry 44(3): 335–349 (2007)

    Article  Google Scholar 

  31. Schlesinger, M., Dorwart, R., Hoover, C., Epstein, S.: Competition, ownership, and access to hospital services: evidence from psychiatric hospitals. Medical Care 35(9), 974–992 (1997)

    Article  Google Scholar 

  32. Scott, W.R., Davis, G.F.: Organizations and organizing: Rational, natural, and open system perspectives. Pearson Prentice Hall, Upper Saddle River, NJ (2007)

    Google Scholar 

  33. United States Conference of Catholic Bishops: Ethical and Religious Directives for Catholic Health Care Services, 4th ed. (2001). Retrieved 07/01/2010, from http://www.nccbuscc.org/bishops/directives.shtml

    Google Scholar 

  34. Wang, B.B., Ozcan, Y.A., Wan, T.T., Harrison, J.: Trends in hospital efficiency among metropolitan markets. Journal of Medical Systems 23(2), 83–97 (1999)

    Article  Google Scholar 

  35. Weick, K.: The social psychology of organizing. Addison-Wesley, Reading, MA (1969)

    Google Scholar 

  36. Welbig, L.M.: Our defined social purpose. Catholic hospitals have organic relationships with communities. Health Progress 89(1), 48–50 (2008)

    Google Scholar 

  37. White, K.R., Chou, T.H., Dandi, R.: Catholic hospital services for vulnerable populations: Are system values sufficient determinants? Health Care Management Review 35(2), 175–186 (2010)

    Article  Google Scholar 

  38. White, K.R., Dandi, R.: Intrasectoral variation in mission and values: The case of the Catholic health systems. Health Care Management Review 34(1), 68–79 (2009)

    Article  Google Scholar 

  39. White, K.R., Begun, J.W., Tian, W.: Hospital service offerings: Does Catholic ownership matter? Health Care Management Review 31(2), 99–108 (2006)

    Article  Google Scholar 

  40. White, K.R., Cochran, C.E., Patel, U.B.: Hospital provision of end-of-life services:Who, what, and where? Medical Care 40(1), 17–25 (2002)

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Mennonite Christian Hospital, 44 Min-chuan Rd., 970, Hualien City, Taiwan

    Tiang-Hong Chou

  2. Department of Health Administration, Virginia Commonwealth University, P.O. Box 980203, 23298-0203, Richmond, VA, USA

    Yasar A. Ozcan & Kenneth R. White

Authors
  1. Tiang-Hong Chou
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  2. Yasar A. Ozcan
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  3. Kenneth R. White
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Corresponding author

Correspondence to Yasar A. Ozcan .

Editor information

Editors and Affiliations

  1. Department of Economics and Quantitative Methods (DIEM), University of Genova, Italy

    Elena Tànfani  & Angela Testi  & 

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Chou, TH., Ozcan, Y.A., White, K.R. (2012). Technical and scale efficiencies of Catholic hospitals: Does a system value of stewardship matter?. In: Tànfani, E., Testi, A. (eds) Advanced Decision Making Methods Applied to Health Care. International Series in Operations Research & Management Science, vol 173. Springer, Milano. https://doi.org/10.1007/978-88-470-2321-5_6

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