Trends in Hospital Efficiency Among Metropolitan Markets

被引：0
作者：
Bill Binglong Wang
Yasar A. Ozcan
Thomas T.H. Wan
Jeff Harrison
机构：
[1] National Medical Center,Department of Health Administration
[2] Virginia Commonwealth University,undefined
[3] National Heritage Insurance Company,undefined
来源：
Journal of Medical Systems | 1999年 / 23卷
关键词：
hospital efficiency; data envelopment analysis; DEA; MSAs;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
This study evaluates trends in efficiency among American hospital markets. A total of 6010 hospitals were identified for use in the analysis from the American Hospital Association's Annual Surveys for 1989 and 1993. Using data envelopment analysis (DEA), a longitudinal study of hospital efficiency was conducted on all 314 metropolitan markets in the United States. Results suggest that large hospital markets generally demonstrated higher inefficiency. The major inefficiencies exist in the availability of hospital services, the number of operating beds, the utilization of hospital staffing and operating expenses. Consequently, the large hospital market had a significant excess of health manpower that resulted in inefficiency that amounted to approximately $23 billion. From a policy perspective, this study has shed some light on the need to establish more specific policies to address inefficiency in the health care industry.
引用
收藏
页码：83 / 97
页数：14
相关论文
共 49 条
[1]  
Ginsburg P.B.(1996)Tracking health care costs Health Affairs 15 140-149
[2]  
Pickreign J.D.(1997)In search of value: An international comparison of cost, access, and outcomes Health Affairs 16 163-171
[3]  
Anderson G.F(1994)Nation's health care bill to top $1 trillion in 1994 Bus. Ins. 28 2-7
[4]  
Geisel J.(1992)Advancing the debate on international spending comparisons Health Affairs Fall 199-201
[5]  
Schieber G.J.(1993)National health care spending in 1991 Health Affair 12 94-110
[6]  
Poullier J.P.(1972)Health care and the United States economic system: An essay in abnormal physiology Milbank Mem. Fund Quart. 50 211-37
[7]  
Letsch S.W.(1987)Competition and the cost of hospital care 1972–82 J. Am. Med. Assoc. 257 3241-45
[8]  
Fuchs V.(1988)Competition, regulation, and hospital care 1972–82 J. Am. Med. Assoc. 260 2676-81
[9]  
Robinson J.C.(1995)Assessing the impact of continuous quality improvement/total quality management: concept versus implementation Health Serv. Res. 30 377-401
[10]  
Luft H.F.(1983)Effects of teaching on hospital costs J. Health Econ. 2 1-28
12345