Efficiency of Federal Hospitals in the United States

Abstract

This study evaluates the technical efficiency of federal hospitals in the United States using a variable returns to scale, input-oriented, data envelopment analysis (DEA) methodology. Hospital executives, health care policy-makers, taxpayers, and other stakeholders, benefit from studies that improve the efficiency of federal hospitals. Data for 280 federal hospitals in 1998 and 245 in 2001 were analyzed using DEA to measure hospital efficiency. Results indicate overall efficiency in federal hospitals improved from 68% in 1998 to 79% in 2001. However, based upon 2001 spending of $42.5 billion for federal hospitals potential savings of $2.0 billion annually are possible through more efficient management of resources. From a policy perspective, this study highlights the importance of establishing more specific policies to address inefficiency in the federal health care industry.

Efficiency Evaluation of Hospitals in the Environment of the Czech and Slovak Republic

“…Based on the common technique applied in similar underlying studies (Bitran et al, 1987;Harrison et al, 2004, andrecently by Barnum et al, 2011). We have identifi ed basic inputs and outputs for selected acute care hospitals in Slovakia and the Czech Republic in order to carry out the Data Envelopment Analysis (DEA).…”

Efficiency Evaluation of Hospitals in the Environment of the Slovak Republic

“…Based on the common technique applied in similar underlying studies (BITRAN et al, 1987;HARRISON et al, 2004;BARNUM et al, 2011). We have identifi ed basic inputs and outputs for selected acute care hospitals in Slovakia in order to carry out the Data Envelopment Analysis (DEA).…”

Assessing the Queuing Process Using Data Envelopment Analysis: an Application in Health Centres

“…Selection of relevant inputs and outputs is a common issue in DEA (Harrison et al, 2004). Inclusion of inputs and outputs does not only affect the results but also the ability of a particular methodology to provide useful information (Hollingsworth and Parkin 1995).…”

“…Table 1 shows the most commonly used inputs and outputs in previous DEA studies when comparing hospitals. Number of Outpatient visits (Bwana 2015 ;Flokou et al, 2011;Masiye et al, 2006 ;Ramanathan 2005;Zuckerman et al, 1994) Number of beds (Bwana 2015;Kose et al, 2014, Al-Shammari 1999Akazili et al, 2008;Harrison et al, 2004;Puig-Junoy 2000;Weng et al, 2009;Magnussen 1996) Number of Inpatient visits (Chuang et al, 2011;Butler and Li 2005;Tsai and Molinero 2002;Zere et al, 2001;Banker et al, 1986 ;Kawaguchi et al, 2014) Number of doctors (Grosskopf and Valdmanis 1987;Kirigia et al, 2008;Chang et al, 2004;Huang et al, 1989;Prior 2006;Kose et al, 2014;Dotoli et al, 2015) Number of major and minor surgeries (Al-Shammari 1999;Chang et al, 2004 ;Puig-Junoy 2000 ;Gerdtham et al, 1999 ;Dotoli et al, 2015) Number of nurses (Chuang et al, 2011;Masiye et al, 2006;Hollingsworth and Parkin 1997;Byrnes and Valdmanis 1993;Kawaguchi et al, 2014) Number of emergency visits (Butler andLi 2005 Grosskopf andValdmanis 1987;<...>…”