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Metafrontier efficiency analysis for hospital pharmacy services using dynamic network DEA framework

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  • See, Kok Fong
  • Md Hamzah, Nurhafiza
  • Yu, Ming-Miin

Abstract

Medication management is a complex but critical process within the healthcare delivery system. The pharmacy department in healthcare facilities is responsible for acquisition, distribution and dispensing of medication to patients that involves a series of network process. This process can be categorized into two main subprocesses: i) pharmacy store and ii) patient services (i.e., ambulatory and inpatient pharmacy). The objective of this study was to investigate the relative efficiency level of the two subprocesses of pharmacy services in Malaysia's public hospitals. We used a nonconvex metafrontier technology to estimate technical efficiency of hospital pharmacies between specialist and nonspecialist hospital categories under the dynamic network data envelopment analysis (DNDEA) framework. For overall efficiency, both specialist and nonspecialist categories had similar mean efficiency scores. However, when measuring the efficiency level according to pharmacy store and patient services separately, the nonspecialist category had a higher mean efficiency score in pharmacy store, whereas for patient service efficiency, both categories had similar results. The patient service efficiency level was lower consistently over time, suggesting that the overall inefficiency of hospital pharmacy is greatly influenced by the inefficiency of the patient service. This suggests that systematic improvements in patient service efficiency should be a higher priority than pharmacy store efficiency to further increase the overall efficiency level. We believe that our findings will provide valuable information to policymakers towards achieving an efficient public healthcare service.

Suggested Citation

  • See, Kok Fong & Md Hamzah, Nurhafiza & Yu, Ming-Miin, 2021. "Metafrontier efficiency analysis for hospital pharmacy services using dynamic network DEA framework," Socio-Economic Planning Sciences, Elsevier, vol. 78(C).
    • Handle: RePEc:eee:soceps:v:78:y:2021:i:c:s0038012121000367
    DOI: 10.1016/j.seps.2021.101044
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    as
    1. Rolf Färe & Shawna Grosskopf & Gerald Whittaker, 2014. "Network DEA II," International Series in Operations Research & Management Science, in: Wade D. Cook & Joe Zhu (ed.), Data Envelopment Analysis, edition 127, chapter 0, pages 307-327, Springer.
    2. Kerstens, Kristiaan & O’Donnell, Christopher & Van de Woestyne, Ignace, 2019. "Metatechnology frontier and convexity: A restatement," European Journal of Operational Research, Elsevier, vol. 275(2), pages 780-792.
    3. Bruce Hollingsworth, 2008. "The measurement of efficiency and productivity of health care delivery," Health Economics, John Wiley & Sons, Ltd., vol. 17(10), pages 1107-1128, October.
    4. Chiang Kao, 2014. "Efficiency Decomposition in Network Data Envelopment Analysis," International Series in Operations Research & Management Science, in: Wade D. Cook & Joe Zhu (ed.), Data Envelopment Analysis, edition 127, chapter 0, pages 55-77, Springer.
    5. Liu, John S. & Lu, Louis Y.Y. & Lu, Wen-Min & Lin, Bruce J.Y., 2013. "A survey of DEA applications," Omega, Elsevier, vol. 41(5), pages 893-902.
    6. Lothgren, Mickael & Tambour, Magnus, 1999. "Productivity and customer satisfaction in Swedish pharmacies: A DEA network model," European Journal of Operational Research, Elsevier, vol. 115(3), pages 449-458, June.
    7. Daniel L. Friesner & Matthew Q. McPherson & Robert Rosenman, 2010. "Are Hospital Pharmacies More Efficient if They Employ Nurses?," Economics Bulletin, AccessEcon, vol. 30(1), pages 139-156.
    8. Kao, Chiang & Hwang, Shiuh-Nan, 2008. "Efficiency decomposition in two-stage data envelopment analysis: An application to non-life insurance companies in Taiwan," European Journal of Operational Research, Elsevier, vol. 185(1), pages 418-429, February.
    9. Kaoru Tone & Miki Tsutsui, 2014. "Slacks-Based Network DEA," International Series in Operations Research & Management Science, in: Wade D. Cook & Joe Zhu (ed.), Data Envelopment Analysis, edition 127, chapter 0, pages 231-259, Springer.
    10. Christopher O’Donnell & D. Rao & George Battese, 2008. "Metafrontier frameworks for the study of firm-level efficiencies and technology ratios," Empirical Economics, Springer, vol. 34(2), pages 231-255, March.
    11. Fare, Rolf & Shawna Grosskopf & Mary Norris & Zhongyang Zhang, 1994. "Productivity Growth, Technical Progress, and Efficiency Change in Industrialized Countries," American Economic Review, American Economic Association, vol. 84(1), pages 66-83, March.
    12. Nurhafiza Md Hamzah & Kok Fong See, 2019. "Technical efficiency and its influencing factors in Malaysian hospital pharmacy services," Health Care Management Science, Springer, vol. 22(3), pages 462-474, September.
    13. repec:ebl:ecbull:v:30:y:2010:i:1:p:139-156 is not listed on IDEAS
    14. Fare, R. & Grosskopf, S. & Roos, P., 1995. "Productivity and quality changes in Swedish pharmacies," International Journal of Production Economics, Elsevier, vol. 39(1-2), pages 137-144, April.
    15. Fukuyama, Hirofumi & Weber, William L., 2010. "A slacks-based inefficiency measure for a two-stage system with bad outputs," Omega, Elsevier, vol. 38(5), pages 398-409, October.
    16. Kao, Chiang, 2014. "Network data envelopment analysis: A review," European Journal of Operational Research, Elsevier, vol. 239(1), pages 1-16.
    17. Khushalani, Jaya & Ozcan, Yasar A., 2017. "Are hospitals producing quality care efficiently? An analysis using Dynamic Network Data Envelopment Analysis (DEA)," Socio-Economic Planning Sciences, Elsevier, vol. 60(C), pages 15-23.
    18. A. Charnes & W. W. Cooper, 1962. "Programming with linear fractional functionals," Naval Research Logistics Quarterly, John Wiley & Sons, vol. 9(3‐4), pages 181-186, September.
    19. Cook, Wade D. & Seiford, Larry M., 2009. "Data envelopment analysis (DEA) - Thirty years on," European Journal of Operational Research, Elsevier, vol. 192(1), pages 1-17, January.
    20. Torben Tiedemann & Tammo Francksen & Uwe Latacz-Lohmann, 2011. "Assessing the performance of German Bundesliga football players: a non-parametric metafrontier approach," Central European Journal of Operations Research, Springer;Slovak Society for Operations Research;Hungarian Operational Research Society;Czech Society for Operations Research;Österr. Gesellschaft für Operations Research (ÖGOR);Slovenian Society Informatika - Section for Operational Research;Croatian Operational Research Society, vol. 19(4), pages 571-587, December.
    21. Hiroyuki Kawaguchi & Kaoru Tone & Miki Tsutsui, 2014. "Estimation of the efficiency of Japanese hospitals using a dynamic and network data envelopment analysis model," Health Care Management Science, Springer, vol. 17(2), pages 101-112, June.
    22. Tone, Kaoru, 2001. "A slacks-based measure of efficiency in data envelopment analysis," European Journal of Operational Research, Elsevier, vol. 130(3), pages 498-509, May.
    23. Afsharian, Mohsen & Podinovski, Victor V., 2018. "A linear programming approach to efficiency evaluation in nonconvex metatechnologies," European Journal of Operational Research, Elsevier, vol. 268(1), pages 268-280.
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    Cited by:

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    2. Chin‐wei Huang & Hsiao‐Yin Chen, 2023. "Using nonradial metafrontier data envelopment analysis to evaluate the metatechnology and metafactor ratios for the Taiwanese hotel industry," Managerial and Decision Economics, John Wiley & Sons, Ltd., vol. 44(4), pages 1904-1919, June.
    3. Shahari, Mohd Ridzwan & See, Kok Fong & Mohammed, Noor Syahireen & Yu, Ming-Miin, 2023. "Constructing the performance index of Malaysia’s district health centers using effectiveness-based hierarchical data envelopment analysis," Socio-Economic Planning Sciences, Elsevier, vol. 89(C).
    4. Ghiyasi, Mojtaba & Soltanifar, Mehdi & Sharafi, Hamid, 2022. "A novel inverse DEA-R model with application in hospital efficiency," Socio-Economic Planning Sciences, Elsevier, vol. 84(C).
    5. Zhang, Cai Wen & Yang, Yuanhui, 2023. "Appraisal of regional hospital efficiency and healthcare quality in China: Impacts of subsidies and marketization," Socio-Economic Planning Sciences, Elsevier, vol. 89(C).
    6. Lívia Torres & Francisco S. Ramos, 2024. "Allocating Benefits Due to Shared Resources Using Shapley Value and Nucleolus in Dynamic Network Data Envelopment Analysis," Mathematics, MDPI, vol. 12(5), pages 1-23, February.
    7. Azadi, Majid & Yousefi, Saeed & Farzipoor Saen, Reza & Shabanpour, Hadi & Jabeen, Fauzia, 2023. "Forecasting sustainability of healthcare supply chains using deep learning and network data envelopment analysis," Journal of Business Research, Elsevier, vol. 154(C).
    8. Del Barrio-Tellado, María José & Gómez-Vega, Mafalda & Herrero-Prieto, Luis César, 2023. "Performance of cultural heritage institutions: A regional perspective," Socio-Economic Planning Sciences, Elsevier, vol. 87(PB).

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