SummaryFundamentalsThe study aims to carry out a comparative analysis of the technical efficiency of hospital management based on public‐private collaboration, as compared with traditional management. Specifically, we compare traditionally managed public hospitals, public hospitals managed by a private finance initiative (PFI), public hospitals managed through a public‐private partnership (PPP), and hospitals managed through other forms of management, during the period 2009 to 2014, in the hospitals dependent on the Madrid Health Service (SERMAS).MethodsThe study covers all publicly owned general hospitals under SERMAS, consisting of seven PFI hospitals, three PPP hospitals, 11 traditionally managed public hospitals (with the category of general hospital), and four hospitals managed through other forms of hospital management. The technical efficiency indices of the hospitals were calculated using the data envelopment analysis technique. Subsequently, a sensitivity analysis was performed by bootstrapping and variation of model variables to verify their impact on efficiency. Finally, an analysis of the evolution of efficiency in the analyzed period was carried out using the Malmquist Index.ResultsIn all the analysis models carried out in the analyzed period, the hospitals managed based on public‐private collaboration were more efficient than the hospitals under traditional management.ConclusionsThe greater efficiency of hospitals managed based on public‐private collaboration, as compared with traditional management, could be attributed to greater organizational and management flexibility.
Traditional uneven-aged forest management seeks a balance between equilibrium stand structure and economic profitability, which often leads to harvesting strategies concentrated in the larger diameter classes. The sustainability (i.e., population persistence over time) and influence of such economically optimal strategies on the equilibrium position of a stand (given by the stable diameter distribution) have not been sufficiently investigated in prior forest literature. This article therefore proposes a discrete optimal control model to analyze the sustainability and stability of the economically optimal harvesting strategies of uneven-aged Pinus nigra stands. For this model, we rely on an objective function that integrates financial data of harvesting operations with a projection matrix model that can describe the population dynamics. The model solution reveals the optimal management schedules for a wide variety of scenarios. To measure the distance between the stable diameter distribution and the economically optimal harvesting strategy distribution, the model uses Keyfitz's delta, which returns high values for all the scenarios and, thus, suggests that those economically optimal harvesting strategies have an unstabilizing influence on the equilibrium positions. Moreover, the economically optimal harvesting strategies were unsustainable for all the scenarios.
OPEN ACCESSForests 2013, 4 831
This study proposes a discrete optimal control model to obtain harvest strategies that maximize the net present value (NPV) of the timber harvested from uneven-aged Pinus nigra stands located in the Spanish Iberian System, between two stable positions. The model was constructed using an objective function that integrates financial data on the harvesting operations with a matrix model describing the population dynamics. The initial and final states are given by the stable diameter distribution of the stand, and the planning horizon is 70 years. The scenario analysis corresponding to the optimal solutions revealed that the stand diameter distribution does not deviate substantially from the equilibrium position over time and that the NPV for the optimal harvesting schedule was always greater than the NPV for the "sustainable/stable" harvesting strategy. The NPV increase for the different scenarios is between 5.36% and 14.43%, showing a greater increase in higher site index scenarios and higher recruitments.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.