Congestion analysis to evaluate the efficiency and appropriateness of hospitals in Sicily

Matranga, Domenica; Sapienza, Francesca

doi:10.1016/j.healthpol.2014.12.012

Cited by 31 publications

(16 citation statements)

References 25 publications

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“…Alternatively, these quality indicators can be considered through considering some outputs such as morbidity and mortality rate and some indicators such as average length of stay and adverse outcomes that have been previously used in developed countries. 54,55 It was generally observed that different input and output variables were selected based on previous efficiency studies and data availability.…”

Section: Discussionmentioning

confidence: 99%

Assessing the Efficiency of Health-care Facilities in Sub-Saharan Africa: A Systematic Review

Babalola

Moodley

2020

Health Services Research and Managerial Epidemiology

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Background: The provision of health-care services is dependent on the effective and efficient functioning of various components of a health-care system. It is therefore important to evaluate the functioning of these various components. Hence, the aim of this study was to review studies on health-care facilities efficiency in sub-Saharan Africa (SSA) with respect to the methodologies used as well as outcomes and factors influencing efficiency. Methods: The review was conducted through a comprehensive search of electronic databases which included PubMed, Web of science, academic search complete via EBSCOhost, Science Direct, and Google scholar. A search was also conducted by looking into citations in the reference list of selected articles and through gray literature. Studies were screened by examining their titles, abstracts, and full-text based on stated inclusion and exclusion criteria. The concurrent screening and data extraction were conducted by the two authors. Results: A total of 40 studies were shortlisted for the review. The majority (90.0%) of the studies employed the data envelopment analysis technique for their efficiency measurements. The input and output variables utilized by most of the studies were predominantly human resources and health-related services respectively. The outcome from majority of the studies showed that less than 40% of the studied facilities were efficient. The leading influencing factors reported by the studies were catchment population, facility ownership, and location. Conclusions: The review showed that there was a marked degree of inefficiency across the health-care facilities. Consequently, due to severe resource constraints facing SSA, there is a need to determine how to use the available resources optimally to improve health systems performance.

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Section: Discussionmentioning

confidence: 99%

Assessing the Efficiency of Health-care Facilities in Sub-Saharan Africa: A Systematic Review

Babalola

Moodley

2020

Health Services Research and Managerial Epidemiology

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“…Recent studies in European countries have evaluated the technical efficiency of public and private hospitals using DEA, traditionally differentiating between three types of ownership: public hospitals, private for-profit hospitals and private non-profit hospitals. Examples of this work have been carried out in Italy [ 34 , 35 ], Germany [ 36 , 37 , 38 , 39 ], Austria [ 21 , 40 ], Portugal [ 41 ] and Spain [ 32 , 33 ]. The results point to an ambiguous and contradictory relationship between hospital ownership and technical efficiency, depending on the incentive structure provided by the regulatory framework to which they are subject [ 9 , 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

Multilevel Analysis of the Relationship between Ownership Structure and Technical Efficiency Frontier in the Spanish National Health System Hospitals

Ortega-Díaz

Ocaña-Riola

Pérez-Romero

et al. 2020

IJERPH

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Objective: To evaluate the relationship between the ownership structure of hospitals and the possibility of their being positioned on the frontier of technical efficiency in the economic crisis period 2010–2012, adjusting for hospital variables and regional characteristics in the areas where the Spanish National Health System (SNHS) hospitals are located. Methods: 230 National Health System hospitals were studied over the two-year period 2010–2012 according to their ownership structure—public hospitals, private hospitals and public–private partnership (PPP)—data envelopment analysis orientated to inputs was used to measure the overall technical efficiency, pure efficiency and efficiency of scale. A generalised linear mixed model (GLMM) with binomial distribution and logit link function was used to analyse the hospital and regional variables associated with positioning on the frontier. Results: There are substantial differences between the average pure technical efficiency of public, private and PPP hospitals, as well as a greater number of PPP models being positioned on the efficiency frontier (91.67% in 2012). The odds of being positioned on the frontier are 41.7 times higher in PPP models than in public hospitals. The average annual household income per region is related to the greater odds of hospitals being positioned on the frontier of efficiency. Conclusions: During the most acute period of recession in the Spanish economy, PPP formulas favoured hospital efficiency, by increasing the odds of being positioned on the frontier of efficiency when compared to private and public hospitals. The position on the frontier of efficiency of a hospital is related to the wealth of its region.

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“…Yang and Zeng (2014) noted the average annual production growth rate of public and private hospitals in Shenzhen from 2006 to 2010 is 4.1% and 2.8% through the Malmquist DEA model, respectively, and the annual operating quality decreases by 2.5% and 7.2% on average. Matranga and Sapienza (2015) employed the DEA model to discuss the efficiency of Sicily hospitals in 2009. The results show that the overall inefficiency of most hospitals there is due to traffic congestion and pure technical inefficiencies.…”

Section: Literature Reviewmentioning

confidence: 99%

“…Regarding research on medical‐related issues, many scholars have analyzed the internal administration management of hospitals but most mainly cover administrational or operational efficiency, like Ouellette and Vierstraete (2004); Linna et al (2006); Caballer‐Tarazona et al (2010); Halkos and Tzeremes (2011); Hu et al (2012); Varabyova and Schreyögg (2013); Al‐Refaie et al (2014); Leleu et al (2014); Yang and Zeng (2014); Matranga and Sapienza (2015); Chen et al (2016); Khushalani and Ozcan (2017); Otay et al (2017); Omrani et al (2018); Deng et al (2019); Li and He (2019); Ferreira and Marques (2019); Giménez et al (2019); Zheng et al (2019); Jiang et al (2020); Cinaroglu (2020); Barpanda and Sreekumar (2020); and Top, Konca, and Sapaz (2020).…”

Section: Introductionmentioning

confidence: 99%

Analyzing hospital medical efficiency of administration and medical treatment in China

Chiu

Chang

et al. 2021

Manage Decis Econ

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Previous studies have mostly focused on the operation management efficiency of medical institutions, but the efficiency levels of treatment and medical personnel are rarely considered simultaneously. Therefore, this paper uses the Modified Undesirable Meta‐two‐stage Dynamic data envelopment analysis (DEA) model to evaluate the efficiency of the administration and the treatment stage of 31 provincial medical and health institutions in China. The research results are as follows: (1) the group average efficiency of the high GDP region is better than the low GDP region after dynamic intertemporal impacts, and (2) most of region's administration stage efficiency is superior to the treatment stage efficiency.

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Congestion analysis to evaluate the efficiency and appropriateness of hospitals in Sicily

Cited by 31 publications

References 25 publications

Assessing the Efficiency of Health-care Facilities in Sub-Saharan Africa: A Systematic Review

Assessing the Efficiency of Health-care Facilities in Sub-Saharan Africa: A Systematic Review

Multilevel Analysis of the Relationship between Ownership Structure and Technical Efficiency Frontier in the Spanish National Health System Hospitals

Analyzing hospital medical efficiency of administration and medical treatment in China

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