Provider experience and technical efficiency in the treatment of stroke patients: DEA approach

Özcan, Yaşar A.; Watts, Jessica; Harris, James M.; Wogen, StephenE.

doi:10.1057/palgrave.jors.2600582

Cited by 14 publications

(2 citation statements)

References 19 publications

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“…DEA has been used to analyze stroke treatment in some studies. The initial study was published by Ozcan et al in 1998 [ 95 ]. They applied CRS input-oriented DEA to analyze relations among contributors’ knowledge and technical efficiency.…”

Section: Techniques and Viewsmentioning

confidence: 99%

The Application of Data Envelopment Analysis to Emergency Departments and Management of Emergency Conditions: A Narrative Review

Mirmozaffari,

Kamal

2023

Healthcare

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The healthcare industry is one application for data envelopment analysis (DEA) that can have significant benefits for standardizing health service delivery. This narrative review focuses on the application of DEA in emergency departments (EDs) and the management of emergency conditions such as acute ischemic stroke and acute myocardial infarction (AMI). This includes benchmarking the proportion of patients that receive treatment for these emergency conditions. The most frequent primary areas of study motivating work in DEA, EDs and management of emergency conditions including acute management of stroke are sorted into five distinct clusters in this study: (1) using basic DEA models for efficiency analysis in EDs, i.e., applying variable return to scale (VRS), or constant return to scale (CRS) to ED operations; (2) combining advanced and basic DEA approaches in EDs, i.e., applying super-efficiency with basic DEA or advanced DEA approaches such as additive model (ADD) and slack-based measurement (SBM) to clarify the dynamic aspects of ED efficiency throughout the duration of a first-aid program for AMI or heart attack; (3) applying DEA time series models in EDs like the early use of thrombolysis and percutaneous coronary intervention (PCI) in AMI treatment, and endovascular thrombectomy (EVT) in acute ischemic stroke treatment, i.e., using window analysis and Malmquist productivity index (MPI) to benchmark the performance of EDs over time; (4) integrating other approaches with DEA in EDs, i.e., combining simulations, machine learning (ML), multi-criteria decision analysis (MCDM) by DEA to reduce patient waiting times, and futile transfers; and (5) applying various DEA models for the management of acute ischemic stroke, i.e., using DEA to increase the number of eligible acute ischemic stroke patients receiving EVT and other medical ischemic stroke treatment in the form of thrombolysis (alteplase and now Tenecteplase). We thoroughly assess the methodological basis of the papers, offering detailed explanations regarding the applied models, selected inputs and outputs, and all relevant methodologies. In conclusion, we explore several ways to enhance DEA’s status, transforming it from a mere technical application into a strong methodology that can be utilized by healthcare managers and decision-makers.

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Section: Techniques and Viewsmentioning

confidence: 99%

The Application of Data Envelopment Analysis to Emergency Departments and Management of Emergency Conditions: A Narrative Review

Mirmozaffari,

Kamal

2023

Healthcare

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“…Some selected studies measured hospital efficiency using DEA in Saudi Arabia ( 13 ), South Korea ( 14 ), Turkey ( 15 ), Greek ( 16 ) and Gambia ( 17 ). Several other studies adopted DEA to compute efficiency in regard to disease conditions such as stroke ( 18 ), diabetes ( 19 ), malaria ( 20 ), and HIV/AIDS ( 21 ). In addition, the application of DEA has also been extended to measure the efficiency of healthcare services, such as oral health services ( 22 ), nursing units ( 23 ), primary care ( 24 ), maternal health ( 25 , 26 ), pharmacy services ( 27 , 28 ) and general practitioners ( 29 ).…”

Section: Insights From the Literature On Efficiency Studiesmentioning

confidence: 99%

Efficiency and management factors: finding the balance in Thalassaemia care centres

et al. 2022

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Background Optimizing efficiency has become increasingly critical with the growing demand for finite healthcare resources driven by population growth and an ageing society. Hence, policymakers are urgently finding more efficient ways to deliver health services. Thalassemia is a complex inherited blood disorder with significant prevalence in Malaysia. The high number of patients put substantial strain on the healthcare system. This study aims to evaluate the technical efficiency of thalassaemia care centres throughout Malaysia and the determinants that affect the efficiency. Method Data from 30 public hospitals with thalassaemia care centres were collected. A double bootstrap data envelopment analysis (DEA) approach is used with the assumption of input-oriented and variable-to-scale DEA models to generate technical efficiency scores. Bootstrap truncated regression was later conducted to identify the factors affecting the efficiency scores. Results The mean bias-corrected technical efficiency score has improved to 0.75 in 2017 from 0.71 in 2016. In both years, more than 50% of thalassaemia care centres showed good efficiency scores (0.8-1.0). Management factors that affect the efficiency scores include separation of patient management (β = 0.0653) and budget (β = 0.0843), where they are found to positively affect the efficiency scores. In contrast, having longer operating hours is found to inversely influence the performance levels (β = − 0.4023). Conclusions The study provides a pioneering framework to evaluate the technical efficiency of thalassaemia treatment centres in public healthcare settings and could provide a useful guide for policymaker and thalassaemia care centre managers to improve efficiency in service delivery to thalassaemia patients and their caregivers without compromising quality of care.

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Nursing Home Applications

Özcan

2014

International Series in Operations Research &Amp; Management Science

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Provider experience and technical efficiency in the treatment of stroke patients: DEA approach

Cited by 14 publications

References 19 publications

The Application of Data Envelopment Analysis to Emergency Departments and Management of Emergency Conditions: A Narrative Review

The Application of Data Envelopment Analysis to Emergency Departments and Management of Emergency Conditions: A Narrative Review

Efficiency and management factors: finding the balance in Thalassaemia care centres

Nursing Home Applications

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