Hospital Productivity: The Role of Efficiency Drivers

Ali, Manhal; Salehnejad, Reza; Mansur, Mohaimen

doi:10.2139/ssrn.2817610

Cited by 4 publications

(4 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Surprisingly, despite extensive literature on hospital efficiency and its determinants [ 8 ], the link between efficiency and urgency characteristics of hospitals has not been investigated to date. While initial evidence points to the importance of emergency care in explaining hospital productivity and efficiency [ 9 – 11 ], this research has only a very limited relevance in explaining how the urgency characteristics affect their efficiency. However, prior research on the (performance) implications of emergency care in hospitals offers valuable guidance in developing our reasoning on potential mechanisms through which hospitals’ urgency characteristics might affect their efficiency.…”

Section: Introductionmentioning

confidence: 99%

Investigating the link between medical urgency and hospital efficiency – Insights from the German hospital market

Schneider¹,

Oppel²,

Schreyögg³

2020

Health Care Manag Sci

View full text Add to dashboard Cite

With hospital budgets remaining tight and healthcare expenditure rising due to demographic change and advances in technology, hospitals continue to face calls to contain costs and allocate their resources more efficiently. In this context, efficiency has emerged as an increasingly important way for hospitals to withstand competitive pressures in the hospital market. Doing so, however, can be challenging given unpredictable fluctuations in demand, a prime example of which are emergencies, i.e. urgent medical cases. The link between medical urgency and hospitals’ efficiency, however, has been neglected in the literature to date. This study therefore aims to investigate the relationship between hospitals’ urgency characteristics and their efficiency. Our analyses are based on 4094 observations from 1428 hospitals throughout Germany for the years 2015, 2016, and 2017. We calculate an average urgency score for each hospital based on all cases treated in that hospital per year and also investigate the within-hospital dispersion of medical urgency. To analyze the association of these urgency measures with hospitals’ efficiency we use a two-stage double bootstrap data envelopment analysis approach with truncated regression. We find a negative relationship between the urgency score and hospital efficiency. When testing for non-linear effects, the results reveal a u-shaped association, indicating that having either a high or low overall urgency score is beneficial in terms of efficiency. Finally, our results reveal that higher within-hospital urgency dispersion is negatively related to efficiency.

show abstract

Section: Introductionmentioning

confidence: 99%

Investigating the link between medical urgency and hospital efficiency – Insights from the German hospital market

Schneider¹,

Oppel²,

Schreyögg³

2020

Health Care Manag Sci

View full text Add to dashboard Cite

show abstract

“…Relative to hospitals operating in health service areas with a low-level of per capita public health spending, hospitals operating in health service areas with a high-level of spending experience significant gains in efficiency. This suggests that increases in per capita public health will not only result in a healthier population as previous research concludes, but will increase hospital productivity and therefore lower expenditures (Ali et al, 2016).…”

mentioning

confidence: 74%

Better outcomes at lower costs? The effect of public health expenditures on hospital efficiency

Hunt

2019

Applied Economics

View full text Add to dashboard Cite

Local health departments play a critical role in the community that they serve as they comprise the foundation of the U.S. public health system. Providing public health services such as immunizations to the less affluent and advocating for state smoking bans, local health departments rely on government resources to fund their operations. Research indicates a positive impact of public health expenditures on the overall health of the population. However, individuals may not be the sole beneficiaries of public health expenditures. A healthier population may lead to efficiency gains for surrounding health care providers. In this research, I use efficiency analysis to explore the relationship between public health expenditures and hospital efficiency. Specifically, I use the two-stage semi-parametric Data Envelopment Analysis proposed by Simar and Wilson (2007) to estimate how public health spending affects the technical efficiency of the surrounding hospitals. The results of this research suggest that hospitals are indeed positively affected by higher levels of public health spending that has occurred in their patient market two years prior. Specifically, hospitals operating in an area with a high level of per capita public health expenditures experience gains in efficiency of approximately 1.66 percentage points relative to those hospitals operating in low public health spending areas. x

show abstract

“…Within this dimension, admission outcome and rehospitalization were given the most important weights, while test results were given the least important scores. These results indicate the importance of admission outcome and avoiding error as the main determinant of the perception of the quality of health care services …”

Section: Discussionmentioning

confidence: 99%

An integrated MUSA to measure health care service quality from a patient's perspective in a resource‐constrained setting

Al-Awlaqi

Aamer

2019

Health Planning & Management

View full text Add to dashboard Cite

Purpose:Although assessing the quality of health services offered in a least developed country such as Yemen is very important, it is not yet given attention. As a result, Yemeni patients started to look for higher quality of health services abroad. Thus, Yemeni health private providers need to know how to link their patients' satisfaction to the quality of the services offered to end up with more satisfied patients and higher health service quality offered. Methodology: Data were collected form 5310 patients in 249 private clinics. The patients evaluated their satisfaction on the quality of service on the basis of nine criteria that comprised 31 subcriteria. We used multicriteria satisfaction analysis (MUSA) to analyze the data. Findings and Conclusion: The data analysis results showed low level of satisfaction on the health care quality services offered by the private clinics in Yemen. The majority of the criteria and subcriteria showed low level of satisfaction, high demand, and high mandate for improvement. K E Y W O R D S health care quality, multicriteria satisfaction analysis, private clinics, Yemen

show abstract

Hospital Productivity: The Role of Efficiency Drivers

Cited by 4 publications

References 7 publications

Investigating the link between medical urgency and hospital efficiency – Insights from the German hospital market

Investigating the link between medical urgency and hospital efficiency – Insights from the German hospital market

Better outcomes at lower costs? The effect of public health expenditures on hospital efficiency

An integrated MUSA to measure health care service quality from a patient's perspective in a resource‐constrained setting

Contact Info

Product

Resources

About