Strategic groups and performance differences among academic medical centers

Schreyögg, Jonas; Reitzenstein, Constantin von

doi:10.1097/01.hmr.0000324908.42143.1f

Cited by 32 publications

(18 citation statements)

References 40 publications

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“…Within academia, teaching hospitals (THs) are believed to play an important economic role in achieving ‘effectiveness as a social tool’ (Bevan and Rutten, ; Bluementhal et al ., ). Studies in this area have investigated both the relationship among activities and the effects of the tripartite mission on patients and stakeholders and, therefore, on the entire healthcare system (Rosko, ; Carbone et al ., ; Schreyögg and Von Reitzenstein, ). Synergies among the three main functions of THs have been considered a main point of strength and have prompted consideration of university medical centres as ‘peaks of excellence’ of national health systems.…”

Section: Introductionmentioning

confidence: 99%

“…Several international studies have analysed changes in variables that are linked to profitability and the volume of health services that are provided to attempt to understand how to measure the performance of university hospitals and improve their accountability. These studies have generally shown that THs are less efficient than non‐THs (Grosskopf et al ., ; Rosko, ; Langabeer, ; Lambiase and Harrison, ; Schreyögg and Von Reitzenstein, ).…”

Section: Introductionmentioning

confidence: 99%

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Applying the Balanced Scorecard approach in teaching hospitals: a literature review and conceptual framework

Trotta

Cardamone

Cavallaro

et al. 2012

Health Planning & Management

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Teaching hospitals (THs) simultaneously serve three different roles: offering medical treatment, teaching future doctors and promoting research. The international literature recognises such organisations as 'peaks of excellence' and highlights their economic function in the health system. In addition, the literature describes the urgent need to manage the complex dynamics and inefficiency issues that threaten the survival of teaching hospitals worldwide. In this context, traditional performance measurement systems that focus only on accounting and financial measures appear to be inadequate. Given that THs are highly specific and complex, a multidimensional system of performance measurement, such as the Balanced Scorecard (BSC), may be more appropriate because of the multitude of stakeholders, each of whom seek a specific type of accountability. The aim of the paper was twofold: (i) to review the literature on the BSC and its applications in teaching hospitals and (ii) to propose a scorecard framework that is suitable for assessing the performance of THs and serving as a guide for scholars and practitioners. In addition, this research will contribute to the ongoing debate on performance evaluation systems by suggesting a revised BSC framework and proposing specific performance indicators for THs.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Applying the Balanced Scorecard approach in teaching hospitals: a literature review and conceptual framework

Trotta

Cardamone

Cavallaro

et al. 2012

Health Planning & Management

View full text Add to dashboard Cite

show abstract

“…This can be explained by the fact that university hospitals produce multiple outputs (i.e. a combination of patient care, education, and research) (Schreyögg and Reitzenstein 2008); as a result, their production process is not adequately captured by our DEA models. In addition to the different model variations performed for sensitivity purposes we checked the robustness of our findings in several ways.…”

Section: Findings and Discussionmentioning

confidence: 96%

Effects of Ownership on Hospital Efficiency in Germany.

Tiemann

Schreyögg

2009

AMPROC

Self Cite

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“…First, initial clusters are determined using DEA and then a clustering technique such as k-means is used to specify the final clusters [39,40]. The second method uses DEA results for clustering the data [33,38,[41][42][43]. For example, Po et al [38] used the piecewise production functions obtained from DEA models for clustering the observed data.…”

Section: Literature Reviewmentioning

confidence: 99%

New clustering algorithms for vehicular ad-hoc network in a highway communication environment

Fathian

Jafarian-Moghaddam

2015

Wireless Netw

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A vehicular ad hoc network (VANET) is a network in which vehicles acting as dynamic nodes communicate with each other. A VANET is a suitable piece of infrastructure for developing intelligent transportation systems. Stable communication within a VANET leads to enhanced driver safety and better traffic management. The clustering technique, which organizes similar vehicles into similar groups, is a possible method for improving the stability of connectivity within a VANET. In this paper, two new clustering algorithms suited to the dynamic environment of a VANET are proposed. The multi-objective data envelopment analysis clustering algorithm as a mathematical clustering model and the ant system-based clustering algorithm as a meta-heuristic clustering model are introduced as algorithms for VANETs. A comparative simulation study in a highway environment is presented as well to evaluate the introduced methods and compare them with the most commonly used VANET clustering algorithms. The results show that the proposed algorithms offer improved stability and runtime along with relatively better performance than existing algorithms. Furthermore, the results show that in the VANET environment, the mathematical clustering model proposed herein yields better results than the meta-heuristic algorithm.

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Strategic groups and performance differences among academic medical centers

Cited by 32 publications

References 40 publications

Applying the Balanced Scorecard approach in teaching hospitals: a literature review and conceptual framework

Applying the Balanced Scorecard approach in teaching hospitals: a literature review and conceptual framework

Effects of Ownership on Hospital Efficiency in Germany.

New clustering algorithms for vehicular ad-hoc network in a highway communication environment

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