Comparing Hospital Efficiency
An Illustrative Study of Knee and Hip Replacement Surgeries in Spain
Bibliographic Data
| ID | 15478024 |
|---|---|
| Authors | Sophie Gorgemans (0000-0002-1847-3442, Universidad de Zaragoza, corresponding author), Micaela Comendeiro-Maaløe (0000-0002-1479-8418, Institute for Health Sciences in Aragon (IACS), 50009 Zaragoza, Spain), Manuel Ridao-López (0000-0001-7837-5759, Institute for Health Sciences in Aragon (IACS), 50009 Zaragoza, Spain), Enrique Bernal (0009-0001-1753-9104), Enrique Bernal-Delgado (Institute for Health Sciences in Aragon (IACS), 50009 Zaragoza, Spain) |
| Year | 2023 |
| Volume | 20 |
| Issue | 4 |
| Pages | 3389-3389 |
| Publication date | 2023-02-15 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph20043389 |
| PMID | 36834085 |
| OpenAlex | W4320919969 |
| Language | EN |
| References cited | 19 |
WHO's Health Systems Performance Assessment framework suggests monitoring a set of dimensions. This study aims to jointly assess productivity and quality using a treatment-based approach, specifically analyzing knee and hip replacement, two prevalent surgical procedures performed with consolidated technology and run in most acute-care hospitals. Focusing on the analysis of these procedures sets out a novel approach providing clues for hospital management improvements, covering an existing gap in the literature. The Malmquist index under the metafrontier context was used to estimate the productivity in both procedures and its decomposition in terms of efficiency, technical and quality change. A multilevel logistic regression was specified to obtain the in-hospital mortality as a quality factor. All Spanish public acute-care hospitals were classified according to their average severity attended, dividing them into three groups. Our study revealed a decrease in productivity mainly due to a decrease in the technological change. Quality change remained constant during the period with highest variations observed between one period to the next according to the hospital classification. The improvement in the technological gap between different levels was due to an improvement in quality. These results provide new insights of operational efficiency after incorporating the quality dimension, specifically highlighting a decreasing operational performance, confirming that the technological heterogeneity is a critical question when measuring hospital performance
Arthroplasty · Context (archaeology · Data envelopment analysis · Dimension (graph theory · Economics · Health care · Knee replacement · Logistic regression · Management system · Operations management · Productivity · Quality (philosophy · Quality management · Set (abstract data type · Statistics · Technological change · Computer Science · Efficiency Analysis Using DEA · Engineering · Health Systems, Economic Evaluations, Quality of Life · Healthcare Policy and Management · Mathematics · Medicine · Surgery
Estimation and inference in two-stage, semi-parametric models of production processes
A global Malmquist productivity index
The Economic Theory of Index Numbers and the Measurement of Input, Output, and Productivity
Models and Measurement of Welfare and Inequality
Comorbidity Measures for Use with Administrative Data
Rural vs urban hospital performance in a 'competitive' public health service
| Citation velocity | historical |
|---|---|
| Highly cited | No |