Measurement of efficiency of the dialysis sector in Turkey using data envelopment analysis

Özgen, Hacer; Şahin, İsmet

doi:10.1016/j.healthpol.2009.11.020

Cited by 16 publications

(7 citation statements)

References 18 publications

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“…DEA can simultaneously measure the efficiency of input and output indicators from multiple perspectives, but the disadvantage is that it is very sensitive to data errors and deficiencies. 39 Different indicators may be selected to obtain different results. Therefore, representative indicators should be selected carefully.…”

Section: Discussionmentioning

confidence: 99%

Changes in efficiency of tertiary public general hospitals during the reform of public hospitals in Beijing, China

Zhu

Song

2021

Health Planning & Management

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Background: In March 2009, the Chinese government formally launched a new round of healthcare reform. As the city with the highest concentration of high-quality medical resources in China, in the past 10 years, Beijing has also been exploring medical reforms. This article studied the performance and development of the 10 tertiary general public hospitals managed by Beijing Municipal Hospital Management Centre to provide policy basis for further deepening Beijing public hospital reform and improving hospital efficiency.

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Section: Discussionmentioning

confidence: 99%

Changes in efficiency of tertiary public general hospitals during the reform of public hospitals in Beijing, China

Zhu

Song

2021

Health Planning & Management

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“…All the above methods have their own restrictions alongside their strengths, for example despite DEA's advantages in calculating the relative and not absolute efficiency and incorporating multiple input and output factors and also determining optimum level of practice and performance targets (14), there are some noticeable limitations attributed to this method such as eliminating some significant variables and the effect of outliers and missing data (8), where all can lead to wrong estimations of efficiency and performance status (15). …”

Section: Discussionmentioning

confidence: 99%

Various Indicators for the Assessment of Hospitals' Performance Status: Differences and Similarities

Lotfi

Kalhor

Bastani

et al. 2014

Iran Red Crescent Med J

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Background:Hospitals are the most costly operational and really important units of health system because they consume about 50%-89% of total health resources. Therefore efficient use of resources could help in saving and reallocating the financial and physical resources.Objectives:The aim of this study was to obtain an overview of hospitals' performance status by applying different techniques, to compare similarities and differences between these methods and suggest the most comprehensive and practical method of appraisal for managers and policy makers.Patients and Methods:This is a cross sectional study conducted in all hospitals of Ahvaz (eight hospitals affiliated with Jundishapur University of Medical Sciences and eight non-affiliated hospitals) during 2007 to 2011. Two kinds of data were collected through separate special checklists. Excel 2007 and Windeap 2.1 software were applied for data analysis.Results:The present findings show that the average of bed occupancy rate (BOR) in the studied hospitals was about 65.91 ± 1.16. The maximum number of inefficient hospitals in the present study happened in the years 2007, 2008 and 2010 (four hospitals) but there were two hospitals in the third part of the present graph which had maximum level of efficiency and optimal level of productivity in the years 2007 and 2009. Data Envelopment Analysis (DEA) showed that the mean score of technical efficiency for the studied hospitals is 0.924 ± 0.105 with the minimum of 0.585 ± 0.905 for hospital number 1. Furthermore It shows that only five hospitals (31.25%) reach complete technical efficiency (TE) scores across all five years of 2007-11 (TE = 1).Conclusions:Results of the present and similar studies should be considered for the future planning and resource allocation of Iranian public hospitals. At the same time it is very important to consider need assessment results for each region according to its potentials, population under the coverage and other geographical and cultural indices. Furthermore because of potential limitations of each of the above models it is highly recommended to apply different methods of performance evaluation to reach a complete and real status view of the hospitals for future planning.

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“…The majority of the management research in healthcare efficiency has focused on micro-elements like hospitals, health centers, and so on. For example, Kirigia et al ( 2013 ), Mishra et al ( 2020 ), Kontodimopoulos and Niakas ( 2005 ), Arfa et al ( 2017 ) analyzed health centers, hemodialysis centers, safety in hazardous waste-recycling facilities, and district hospitals; and Özgen and Şahin ( 2010 ) examined pharmaceutical sectors and dialysis sectors. However, there is a lack of focus on assessing healthcare efficiency in a broader scale, e.g., at state or national level.…”

Section: Prior Researchmentioning

confidence: 99%

Examining operational efficiency with prudent risks of Covid-19: a contextual DEA analysis with an undesirable intermediate measure

2023

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In the wake of the losses of human lives and disruption to the world economy caused by the spread of the COVID-19 pandemic, it has become imperative to assess the effectiveness of containment strategies adopted by countries. The success of any containment strategy of achieving low mortality and high recovery rate depends on the efficient utilization of available but limited resources, such as number of hospital beds and healthcare workers. While the spreading pattern of the pandemic has been researched heavily, there is limited research that comprehensively focuses on the efficient utilization of available resources to achieve the desired aims of low mortality and high recovery. In order to close this research gap, we employ a two-stage network data envelopment analysis (DEA) to identify the inefficiency in the process and resolve the resource constraints by considering medical and non-medical (administrative) interventions as two serial stages. The number of infected people is treated as the intermediate product, which is an undesirable output of the first stage and subsequently enters the second stage as an input. This network DEA model successfully addresses the conflict between the two stages over the handling of infected people and assesses the vulnerabilities of the countries against the transmission rates of the disease in the respective countries. Thus, the objective of this study is to develop a well-coordinated plan for different government agencies to jointly mitigate the risk under constrained resources. The findings reveal that almost of the Organization for Economic Cooperation and Development (OECD) countries have used their resources suboptimally and are producing, on average, almost half the amount of the maximum possible outputs. As a sizeable amount of inefficiency can be explained by varying economic and demographic factors, such as health expenditure and the proportion of the aged population, the efficiency evaluation has been revisited with adjustments for unfavorable externalities. The analysis and its implications can help policymakers formulate optimal resource plans and identify potential areas for improvement.

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Measurement of efficiency of the dialysis sector in Turkey using data envelopment analysis

Cited by 16 publications

References 18 publications

Changes in efficiency of tertiary public general hospitals during the reform of public hospitals in Beijing, China

Changes in efficiency of tertiary public general hospitals during the reform of public hospitals in Beijing, China

Various Indicators for the Assessment of Hospitals' Performance Status: Differences and Similarities

Examining operational efficiency with prudent risks of Covid-19: a contextual DEA analysis with an undesirable intermediate measure

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