Benchmarking the Performance of Public Hospitals in Tamil Nadu

Dash, Umakant; Vaishnavi, S.D.; Muraleedharan, V. R.; Acharya, Debashis

doi:10.1177/097206340700900104

Cited by 15 publications

(7 citation statements)

References 11 publications

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“…The finding of 50% district hospitals operating with technical inefficiency is similar to a study conducted in Gujarat state of India (17), whereas, a study conducted in Tamilnadu state found that 72% of the district hospitals were operating as technically inefficient during the year 2004–2005 (18). Another study conducted in Tamilnadu (19) revealed that 34.5, 41.3, 62, 55.2, and 51.7% of district hospitals were operating as technically inefficient during the years 2002–2003, 03–04, 04–05, 05–06, and 06–07, respectively.…”

Section: Discussionsupporting

confidence: 76%

Technical efficiency of public district hospitals in Madhya Pradesh, India: a data envelopment analysis

Jat

Sebastián

2013

Global Health Action

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BackgroundScarcity of resources for healthcare is a well-acknowledged problem. In this context, efficient utilization of existing financial and human resources becomes crucial for strengthening the healthcare delivery. The assessment of efficiency of health facilities can guide decision makers in ensuring the optimum utilization of available resources.ObjectiveThe objective of this study was to evaluate the technical efficiency (TE) of the public district hospitals in Madhya Pradesh, India, with special emphasis on maternal healthcare services, using data envelopment analysis (DEA).MethodsData from 40 district hospitals from January to December 2010 were collected from the health management information system and other records of the department of health and family welfare of the state. DEA was performed with input orientation and variable returns to scale assumption.ResultsTE and scale efficiency scores of the district hospitals were 0.90 (SD=0.14) and 0.88 (SD=0.15), respectively. Of the total district hospitals in the study, 20 (50%) were technically efficient constituting the ‘best practice frontier’. The other half were technically inefficient, with an average TE score of 0.79 (SD=0.12) meaning that these hospitals could produce the same outputs by using 21% less inputs from current input levels. Twenty-six (65%) district hospitals were found to be scale inefficient, manifesting a mean score of 0.81 (SD=0.16).ConclusionsHalf of the district hospitals in the study were operating inefficiently. Decision makers and administrators in the state should identify the causes of the observed inefficiencies and take appropriate measures to increase efficiency of these hospitals.

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Section: Discussionsupporting

confidence: 76%

Technical efficiency of public district hospitals in Madhya Pradesh, India: a data envelopment analysis

Jat

Sebastián

2013

Global Health Action

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“…These techniques showed that VRS/CRS distinction was the most significant determinant of the performance differences in the DEA models tested. In fact; VRS models have been suggested by previous studies on hospital efficiency (Dash et al [42]; Mark et al [43]; Ozcan et al [44]; Ketabi [45]; Gautam et al [46]; Prakash and Annapoorni [47] and our results show that VRS models would be better for EDs as well. On the other hand, to determine whether using only a single output (number of emergency patients) or two outputs (number of emergency patients and number of referrals) made a significant difference in the efficiency rankings of the hospitals, we employed a novel approach utilizing outlier detection with regression.…”

Section: Conclusion and Further Suggestionssupporting

confidence: 72%

Efficiency analysis of emergency departments in metropolitan areas

Akkan

Karadayı

Ekinci

et al. 2020

Socio-Economic Planning Sciences

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The demand in the healthcare industry is increasing exponentially due to aging population of the world and this is leading to a rapid increase in the cost of healthcare. The emergency departments of the hospitals are the frontline of health care systems and play an additional critical role in providing an efficient and high-quality response for patients. The overcrowding at the emergency departments due to growing demand results in a situation where the demand for ED services exceeds the ability to provide care in a reasonable amount of time. This has led countries to reconsider their health policies in a way to increase their efficiency in their healthcare systems in general and in emergency departments, in particular. As in many countries, there has been a steady and significant increase in the number of patients that seek health services at the emergency departments of state hospitals of Turkey, due to the significant structural reforms in health services since 2003. While meeting this increasing demand, it is ever more important to provide these critical health services efficiently. Therefore, the efficiency of the emergency departments of seven general hospitals run by Istanbul's Beyoglu State Hospitals Association have been analyzed using categorical Data Envelopment Analysis (DEA) models. The analysis of DEA results is supported by a set of statistical methods to make it easier for the hospital administrators to interpret the analysis and draw conclusions. The analysis shows that less-equipped EDs are supported by better equipped, larger EDs, resulting in a hub-and-spoke type of structure among the EDs where "satellite" EDs serve an important referral function and thus evaluating their efficiency without taking the interoperability among these units into account would not be an accurate assessment of their performance.

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“…Hence, there are numerous reports of empirical nature that are making roads in evaluating the factors for efficient healthcare organizations in the states of India. The studies by Dash et al (2007Dash et al ( , 2010 and Sengupta and Mondal (2009) are some of the attempts at the individual state level. It is vastly understood that a fair view of the characteristics that are responsible for the changes in the functioning at the substate level is required to modify the various approaches and better manage the sector of health.…”

Section: Review Of Literaturementioning

confidence: 99%

Health System in Andhra Pradesh

Tirukoti

Rout

2018

Journal of Health Management

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Building health systems that are responsive to community needs particularly for the poor is essential. In view of the growing divergence both between and within the states, disaggregated studies are necessary for identification of the critical areas calling for policy intervention. In this connection, the article is an attempt to analyse the performance of healthcare system of Andhra Pradesh (AP) at district level by focusing on technical efficiency. The study is based on secondary data. Stochastic frontier model has been used for analysis. The results show that the efficiency of the public health delivery system remains low. Not all the districts with lower infant mortality rate (IMR) have efficient health systems. The disparities across districts in terms of availability of hospitals and primary health centres have an adverse impact on improving IMR in AP. Overcoming these disparities within the health system may lead to improvement of public health system at district level in AP. Further, reduction in IMR may be possible at a faster pace in the state if such efforts are coupled with steps to promote literacy particularly female literacy. This could make them empowered to demand for adequate health infrastructure and ensure better utilization of it in poorly performing districts. MotivationA healthcare system (HCS) is a system, framework or network of all the organizations/institutions, resources, personnel, commodities, information, technologies, research, logistic and governance strategies whose primary purpose is to establish, promote, strengthen, maintain and sustain delivery of preventive, promotive and curative health services (goodness) to the targeted population in a fair and equitable

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Benchmarking the Performance of Public Hospitals in Tamil Nadu

Cited by 15 publications

References 11 publications

Technical efficiency of public district hospitals in Madhya Pradesh, India: a data envelopment analysis

Technical efficiency of public district hospitals in Madhya Pradesh, India: a data envelopment analysis

Efficiency analysis of emergency departments in metropolitan areas

Health System in Andhra Pradesh

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