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Performance of French intensive care units: A directional distance function approach at the patient level

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Author Info
Dervaux, B.
Leleu, H.
Minvielle, E.
Valdmanis, V.
Aegerter, P.
Guidet, B.

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Abstract

By using a novel adaptation of the free-disposable hull analysis of productivity, we assess the medical and technical efficiency of patient care in 25 Parisian intensive care units (ICUs) during 2000. The robust free disposable hull (RFDH) as defined by [Cazals et al., 2002. Nonparametric frontier estimation: a robust approach. Journal of Econometrics 106, 1-25] reduces the impact outliers may have on findings by employing Monte-Carlo techniques and repeated sample selection. Among our key findings, there was no overall significant correlation between medical and technical efficiencies for all the ICUs, therefore performing well in one does not guarantee good performance in the other. We also found that over 80% of inefficiency is concentrated in less than 20% of the sampled patients.

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Publisher Info
Article provided by Elsevier in its journal International Journal of Production Economics.

Volume (Year): 120 (2009)
Issue (Month): 2 (August)
Pages: 585-594
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Handle: RePEc:eee:proeco:v:120:y:2009:i:2:p:585-594

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Web page: http://www.elsevier.com/locate/ijpe

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Related research
Keywords: Efficiency Robust free disposal hull Directional distance function Hospital Intensive care units;

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This page was last updated on 2009-12-3.


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