Measuring hospital efficiency—comparing four European countries

Mateus, Céu; Joaquim, Inês; Nunes, Carla

doi:10.1093/eurpub/cku222

Cited by 15 publications

(8 citation statements)

References 23 publications

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“…The following health economic factors, one output and six inputs, were based on previous studies, 38–42 and were obtained from the China Health Statistics Yearbook. OE it is the number of outpatient and emergency room visits per 1000 personnel (output).…”

Section: Methodsmentioning

confidence: 99%

The efficiency analysis and spatial implications of health information technology: A regional exploratory study in China

Li¹,

Chao

Kong

et al. 2019

Health Informatics J

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The new adoption of healthcare information technology is costly, and effects on healthcare performance can be questionable. This nationwide study in China investigated the efficient performance of healthcare information technology and examined its spatial correlation. Panel data were extracted from the Annual Investigation Report on Hospital Information in China and the China Health Statistics Yearbook for 2007 through 2015 (279 observations). Stochastic frontier analysis was employed to estimate the technical efficiency of healthcare information technology performance and related factors at the regional level. Healthcare information technology performance was positively associated with electronic medical records, total input, and cost of inpatient stay, while picture archiving and communication systems and net assets were negatively related. Local Indicators of Spatial Association showed that there existed significant spatial autocorrelation. Governmental policies would best make distinctions among different forms of healthcare information technology, especially between electronic medical records and picture archiving and communication systems. Policies should be formulated to improve healthcare information technology adoption and reduce regional differences.

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Section: Methodsmentioning

confidence: 99%

The efficiency analysis and spatial implications of health information technology: A regional exploratory study in China

Li¹,

Chao

Kong

et al. 2019

Health Informatics J

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“…It was recommended that raising the allocation of funds for the health workforce can improve efficiency. Mateus, Joaquim, and Nunes (2015), Novignon and Lawanson (2014), and Adam (2012) assessed and compared hospital efficiency levels within and between countries using SFA with cross-section and panel data and OLS. The results revealed that in cross-sectional data SFA was not statistically different from OLS for one country while these were statistically different for other countries.…”

Section: Review Of Literature: Application Of Stochastic Frontier Analysis (Sfa)mentioning

confidence: 99%

“…The results revealed that in cross-sectional data SFA was not statistically different from OLS for one country while these were statistically different for other countries. As it gives robust results panel data were preferred over cross-section analysis (Mateus et al, 2015). Adam (2012) suggested that the differences in hospital costs were due to differences in country-specific productivity.…”

Section: Review Of Literature: Application Of Stochastic Frontier Analysis (Sfa)mentioning

confidence: 99%

Efficiency Across Hospitals in Bangladesh: Results from Stochastic Frontier Analysis

Bhuiyan

Sulatana

2021

Soc. Sci. Rev.

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The health sector of Bangladesh achieved many of its goals. The sector, however, faces challenges. One major challenge is low efficiency. In a resourcepoor country, inefficiency leads to the waste of available resources widening the financing gap of the health sector. A technically efficient production unit produces a large amount of output with a given amount of inputs using a given state of technology. Technical efficiency of the district hospitals in Bangladesh is measured using the secondary source of data applying stochastic frontier analysis. Results show that the efficiency of some facilities is quite low and there is a mismatch of utilization rate and efficiency levels of the district hospitals. Measures like reducing absenteeism, increasing healthcare demand, and ensuring proper functioning of all inputs should be taken to enhance the efficiency and utilization of the district hospitals. Social Science Review, Vol. 37(2), Dec 2020 Page 145-159

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“…Public health system efficiency and quality is challenged by factors including tightening budgets, growing demand, professional shortages, increasing disease burdens, increasing pressure on infrastructure, technological implications, changing service models and changing service accessibility (4) . An ongoing state of inefficiency amidst an environment of seemingly-constant reform is characteristic of the public health systems of many well-developed countries around the world (5,6) . Compounding this state is a common trend in rates of growth in health services demand in excess of funding growth rates, creating further pressure on already-burdened public health systems (7) .…”

Section: Introductionmentioning

confidence: 99%

Supporting Efficiency Improvement in Public Health Systems: a Rapid Systematic Review of Current Evidence

Walters¹,

Harrison²,

Sharma³

et al. 2020

Preprint

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Rationale, aims and objectives Public health systems are under pressure to meet increasing demand for health care in environments of increasing financial resource constraint. There is therefore a need to maximise health outcomes given limited public healthcare expenditure. This paper aims to establish the extent of literature and approaches to efficiency improvement in public health systems of developed countries. Methods The Rapid Evidence Assessment model was used to address the review question. Two database searches returned a result of 3,526 unique titles, which were individually screened for potential relevance. 144 titles were selected for full review to determine relevance. 73 papers were included in the final review. Results Data on country, study design, key findings and links to efficiency improvement were extracted and synthesized. Synthesis of findings revealed that the literature on this topic is disparate and non-cohesive. A range of isolated approaches were described, and no evidence or consensus on a single best-practice approach to efficiency improvement was identified. Conclusions Combining the factors identified in this review has the potential to inform a framework for supporting efficiency improvement in public health systems. By considering these factors central health system management bodies can support efficiency improvement to deliver both financial and health services benefits.

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Measuring hospital efficiency—comparing four European countries

Abstract: Panel data are preferred over cross-section analysis because results are more robust. For all countries except Slovenia, beds and employees are relevant inputs for the production process.

Cited by 15 publications

References 23 publications

The efficiency analysis and spatial implications of health information technology: A regional exploratory study in China

The efficiency analysis and spatial implications of health information technology: A regional exploratory study in China

Efficiency Across Hospitals in Bangladesh: Results from Stochastic Frontier Analysis

Supporting Efficiency Improvement in Public Health Systems: a Rapid Systematic Review of Current Evidence

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