COVID-19 health policy evaluation: integrating health and economic perspectives with a data envelopment analysis approach

Klumpp, Matthias; Loske, Dominic; Bicciato, Silvio

doi:10.1007/s10198-021-01425-7

Cited by 16 publications

(10 citation statements)

References 120 publications

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“…Indeed, studies regarding Covid-19 impact on hospitals e ciency at micro level is less than a ngers of hand: Kamel and Mousa [20] for Egytp, Nepomuceno et al [21] for Brazil, Caunic et al [22] for Romania, and Henriques and Gouveia [23] for Portugal. Most of concurrent studies investigate country wise or state wise e ciencies of the health systems under Covid-19 at macro level such as: Kaye et al [5], Xu et al [24], Klumpp et al [25], Breitenbach et al [26]. Thus, our study offers a benchmark for future research and makes important contribution to literature examining Turkish public hospitals experience at micro level.…”

Section: Introductionmentioning

confidence: 88%

Measuring Efficiency of Public Hospitals Under the Impact of Covid-19 in Türki̇ye

SÜLKÜ,

Mortaş,

Küçük

2023

Preprint

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The Covid-19 pandemic has had serious medical, administrative and financial effects on the health system and hospitals around the world. In Türkiye, compared to 2019 realizations, in 2020 and 2021 respectively there were 39% and 21% decrease in the number of outpatient services and 29% and 17% decline in total inpatient services of public hospitals. The main subject of this research is how the pandemic period affects the Turkish public hospitals’ efficiency. We have measured the technical efficiency of outpatient and inpatient care services of Turkish public hospitals using Stochastic Frontier Analysis (SFA). The dataset includes 563 hospitals for the years 2015 through 2021. Inputs of number of physicians, nurses and other medical staff, and number of beds and their interactions with each other are introduced to the SFA models of outputs of outpatient visits and inpatient discharges adjusted with case mix index are derived. Firstly, we found that the years associated with Covid-19 have a significant negative impact on the inpatient service efficiency. Training and Research and City Hospitals have low efficiency scores in outpatient services but high efficiency scores in inpatient services. In addition, the regions with high population rates have positive impact in outpatient efficiency and negative impact in inpatient efficiency. During the pandemic, city hospitals, have received large investments, gained a key role by increasing both the patient load and their efficiency. Future reforms can be guided by taking advantage of the efficiency differences of hospitals in different environmental factors. JEL Codes: D22, D24, I11, I180

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Section: Introductionmentioning

confidence: 88%

Measuring Efficiency of Public Hospitals Under the Impact of Covid-19 in Türki̇ye

SÜLKÜ,

Mortaş,

Küçük

2023

Preprint

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“…Notably, raw counts, not rates, were used for COVID-19 cases and deaths. A similar methodological approach was used in another study by Klumpp et al (2022), analyzing healthcare efficiency impact across 19 OECD countries over 12 time periods, starting from the first COVID-19 death in each country. The primary focus was comparing the effects of restriction policies during the initial wave of the pandemic.…”

Section: Literature Reviewmentioning

confidence: 99%

“…The focus on high-and upper-middle-income countries limits insights into factors that affect efficiency in low and low-middle income countries (Mbau et al, 2022). Examining literature during the COVID-19 pandemic highlights challenges in country comparisons due to diversity among countries in pandemic developments and input/output selections, introducing bias and complexity in interpretation of results (Breitenbach et al, 2021b;Klumpp et al, 2022;Mourad et al, 2021;Ordu et al, 2021;Singh et al, 2023). Additionally, we found a lack of studies that examined efficiency incorporating the recommended metric of estimated excess death cases by the World Health Organization (WHO) for assessing the pandemic's impact (World Health Organization, 2023b).…”

Section: Introductionmentioning

confidence: 99%

Healthcare System Efficiency and Its Drivers in Pre- And Covid-19 Pandemic Settings

Vishniakov,

Kasiev,

Abdrasulova

2023

Business, Management and Economics Engineering

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Purpose – The aim of the study is to assess healthcare system efficiency in both regular circumstances and during the COVID-19 pandemic, with a focus on key factors influencing efficiency, and offer health authorities insights into healthcare system resilience. Research methodology – The analysis was conducted in two stages. The initial stage involved the application of Data Envelopment Analysis output-oriented model with a constant-returnto-scale framework. The second stage employed Tobit regression method to identify factors that influenced countries’ efficiency. Findings – We identified the healthcare system efficiency of 14 CIS and EU countries in Pre and pandemic settings and provided a methodology for results interpretation accounting for the complexity of healthcare systems and temporal variations in pandemic trends. The Tobit regression highlighted the role of the health workforce, emphasizing the caution for the reduction of physicians in the system. Research limitations – The research focused on efficiency in just two regions of Eurasia and only considered medical factors as the primary drivers of efficiency. Additionally, the examination covered the initial year of the pandemic, reflecting only the earlier stages of countries’ performance during the pandemic. Practical implications – This study contributes to the assessment of healthcare resilience on a global scale and provides information for policymakers, aiding in the selection of optimal practices during the pandemic and enhancing preparedness for future crises. Originality/Value – Countries’ efficiency assessment in four models and two settings provides valuable insight into the healthcare systems’ resilience.

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“…On 12 June 2022, at 11:43 am (UTC-03:00), we applied the final query string (Q4) for updating the systematic search with possible recent publications that were not covered in this investigation. This search results in the following additional references, which we kindly invite readers to consult [ 87 , 232 , 233 , 234 , 235 , 236 , 237 , 238 , 239 , 240 , 241 , 242 , 243 , 244 , 245 , 246 ].…”

Section: Updatementioning

confidence: 99%

The Core of Healthcare Efficiency: A Comprehensive Bibliometric Review on Frontier Analysis of Hospitals

et al. 2022

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Parametric and non-parametric frontier applications are typical for measuring the efficiency and productivity of many healthcare units. Due to the current COVID-19 pandemic, hospital efficiency is the center of academic discussions and the most desired target for many public authorities under limited resources. Investigating the state of the art of such applications and methodologies in the healthcare sector, besides uncovering strategical managerial prospects, can expand the scientific knowledge on the fundamental differences among efficiency models, variables and applications, drag research attention to the most attractive and recurrent concepts, and broaden a discussion on the specific theoretical and empirical gaps still to be addressed in future research agendas. This work offers a systematic bibliometric review to explore this complex panorama. Hospital efficiency applications from 1996 to 2022 were investigated from the Web of Science base. We selected 65 from the 203 most prominent works based on the Core Publication methodology. We provide core and general classifications according to the clinical outcome, bibliographic coupling of concepts and keywords highlighting the most relevant perspectives and literature gaps, and a comprehensive discussion of the most attractive literature and insights for building a research agenda in the field.

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COVID-19 health policy evaluation: integrating health and economic perspectives with a data envelopment analysis approach

Cited by 16 publications

References 120 publications

Measuring Efficiency of Public Hospitals Under the Impact of Covid-19 in Türki̇ye

Measuring Efficiency of Public Hospitals Under the Impact of Covid-19 in Türki̇ye

Healthcare System Efficiency and Its Drivers in Pre- And Covid-19 Pandemic Settings

The Core of Healthcare Efficiency: A Comprehensive Bibliometric Review on Frontier Analysis of Hospitals

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