IDEAS home Printed from https://ideas.repec.org/a/kap/hcarem/v17y2014i2p113-125.html
   My bibliography  Save this article

Intertemporal analysis of organizational productivity in residential aged care networks: scenario analyses for setting policy targets

Author

Listed:
  • Necmi Avkiran
  • Alan McCrystal

Abstract

With an increasing ageing population, there is a growing concern about how the elderly would be looked after. The primary purpose of this paper is to develop scenario analysis using simulated data where various criteria are incorporated into modeling policy targets, and apply an intertemporal productivity analysis to observe inefficiencies as reform unfolds. The study demonstrates how dynamic network data envelopment analysis (DN-DEA) can be used to evaluate the changing productivity of residential aged care (RAC) networks over time. Results indicate that it takes 9 years for 90 % of the RAC networks to have 85 % or more of the total beds in high-level care, and an optimal bed capacity is reached by the end of year 7. Number of beds and registered nurses employed are the main sources of inefficiency. The common core inefficient cohort identified with the paper’s method represents a sub-group of RAC networks more deserving of closer managerial attention because of their constantly inefficient operations over time. Copyright Springer Science+Business Media New York 2014

Suggested Citation

  • Necmi Avkiran & Alan McCrystal, 2014. "Intertemporal analysis of organizational productivity in residential aged care networks: scenario analyses for setting policy targets," Health Care Management Science, Springer, vol. 17(2), pages 113-125, June.
    • Handle: RePEc:kap:hcarem:v:17:y:2014:i:2:p:113-125
    DOI: 10.1007/s10729-013-9259-6
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.1007/s10729-013-9259-6
    Download Restriction: Access to full text is restricted to subscribers.
    File URL: https://libkey.io/10.1007/s10729-013-9259-6?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. William W. Cooper & Lawrence M. Seiford & Joe Zhu (ed.), 2011. "Handbook on Data Envelopment Analysis," International Series in Operations Research and Management Science, Springer, number 978-1-4419-6151-8, September.
    2. Avkiran, Necmi K. & Morita, Hiroshi, 2010. "Predicting Japanese bank stock performance with a composite relative efficiency metric: A new investment tool," Pacific-Basin Finance Journal, Elsevier, vol. 18(3), pages 254-271, June.
    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. Lukas Steinmann & Peter Zweifel, 2001. "The Range Adjusted Measure (RAM) in DEA: Comment," Journal of Productivity Analysis, Springer, vol. 15(2), pages 139-144, March.
    5. Bougnol, M.-L. & Dulá, J.H. & Estellita Lins, M.P. & Moreira da Silva, A.C., 2010. "Enhancing standard performance practices with DEA," Omega, Elsevier, vol. 38(1-2), pages 33-45, February.
    6. Charnes, A. & Cooper, W. W. & Rhodes, E., 1978. "Measuring the efficiency of decision making units," European Journal of Operational Research, Elsevier, vol. 2(6), pages 429-444, November.
    7. 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.
    8. Tone, Kaoru & Tsutsui, Miki, 2010. "Dynamic DEA: A slacks-based measure approach," Omega, Elsevier, vol. 38(3-4), pages 145-156, June.
    9. Kleinsorge, Ilene K. & Karney, Dennis F., 1992. "Management of nursing homes using data envelopment analysis," Socio-Economic Planning Sciences, Elsevier, vol. 26(1), pages 57-71, January.
    10. Yasar A. Ozcan, 2008. "Health Care Benchmarking and Performance Evaluation," International Series in Operations Research and Management Science, Springer, number 978-0-387-75448-2, September.
    11. A. Charnes & W. W. Cooper & E. Rhodes, 1981. "Evaluating Program and Managerial Efficiency: An Application of Data Envelopment Analysis to Program Follow Through," Management Science, INFORMS, vol. 27(6), pages 668-697, June.
    12. Kooreman, Peter, 1994. "Nursing home care in The Netherlands: a nonparametric efficiency analysis," Journal of Health Economics, Elsevier, vol. 13(3), pages 301-316, October.
    13. Sajal Chattopadhyay & Subhash C. Ray, 1996. "Technical, scale, and size efficiency in nursing home care: A nonparametric analysis of Connecticut homes," Health Economics, John Wiley & Sons, Ltd., vol. 5(4), pages 363-373, July.
    14. Commission, Productivity, 2011. "Caring for older Australians," Inquiry Reports, Productivity Commission, Government of Australia, number 53.
    15. R. D. Banker & A. Charnes & W. W. Cooper, 1984. "Some Models for Estimating Technical and Scale Inefficiencies in Data Envelopment Analysis," Management Science, INFORMS, vol. 30(9), pages 1078-1092, September.
    16. Shimshak, Daniel G. & Lenard, Melanie L. & Klimberg, Ronald K., 2009. "Incorporating quality into data envelopment analysis of nursing home performance: A case study," Omega, Elsevier, vol. 37(3), pages 672-685, June.
    17. Giulia Garavaglia & Emanuele Lettieri & Tommaso Agasisti & Silvano Lopez, 2011. "Efficiency and quality of care in nursing homes: an Italian case study," Health Care Management Science, Springer, vol. 14(1), pages 22-35, March.
    18. William Cooper & Kyung Park & Jesus Pastor, 2001. "The Range Adjusted Measure (RAM) in DEA: A Response to the Comment by Steinmann and Zweifel," Journal of Productivity Analysis, Springer, vol. 15(2), pages 145-152, March.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Margit Sommersguter-Reichmann, 2022. "Health care quality in nonparametric efficiency studies: a review," 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. 30(1), pages 67-131, March.
    2. Necmi Kemal Avkiran, 2018. "An in-depth discussion and illustration of partial least squares structural equation modeling in health care," Health Care Management Science, Springer, vol. 21(3), pages 401-408, September.
    3. Paul Intrevado & Vedat Verter & Lucie Tremblay, 2019. "Patient-centric design of long-term care networks," Health Care Management Science, Springer, vol. 22(2), pages 376-390, June.
    4. Samira Foladi & Maghsud Solimanpur & Mustafa Jahangoshai Rezaee, 2020. "Inverse Dynamic Data Envelopment Analysis for Evaluating Faculties of University with Quasi-Fixed Inputs," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 148(1), pages 323-347, February.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Iparraguirre, José Luis & Ma, Ruosi, 2015. "Efficiency in the provision of social care for older people. A three-stage Data Envelopment Analysis using self-reported quality of life," Socio-Economic Planning Sciences, Elsevier, vol. 49(C), pages 33-46.
    2. Necmi Kemal Avkiran, 2017. "An illustration of multiple-stakeholder perspective using a survey across Australia, China and Japan," Annals of Operations Research, Springer, vol. 248(1), pages 93-121, January.
    3. George Fragkiadakis & Michael Doumpos & Constantin Zopounidis & Christophe Germain, 2016. "Operational and economic efficiency analysis of public hospitals in Greece," Post-Print hal-01414677, HAL.
    4. George Fragkiadakis & Michael Doumpos & Constantin Zopounidis & Christophe Germain, 2016. "Operational and economic efficiency analysis of public hospitals in Greece," Annals of Operations Research, Springer, vol. 247(2), pages 787-806, December.
    5. Chen, Kaihua, 2014. "Measuring and decomposing the overall efficiency of multi-period and -division systems associated with DEA," MPRA Paper 55073, University Library of Munich, Germany.
    6. Shiovan Ni Luasa & Declan Dineen & Marta Zieba, 2018. "Technical and scale efficiency in public and private Irish nursing homes – a bootstrap DEA approach," Health Care Management Science, Springer, vol. 21(3), pages 326-347, September.
    7. 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.
    8. Iveta Palečková, 2018. "Differences in Efficiency between Banks in Financial Conglomerates and other Banks in the Banking Sectors in Visegrad Countries," Working Papers 0052, Silesian University, School of Business Administration.
    9. Aleksandar Medarević & Dejana Vuković, 2021. "Efficiency and Productivity of Public Hospitals in Serbia Using DEA-Malmquist Model and Tobit Regression Model, 2015–2019," IJERPH, MDPI, vol. 18(23), pages 1-22, November.
    10. Ronald G. McGarvey & Andreas Thorsen & Maggie L. Thorsen & Rohith Madhi Reddy, 2019. "Measuring efficiency of community health centers: a multi-model approach considering quality of care and heterogeneous operating environments," Health Care Management Science, Springer, vol. 22(3), pages 489-511, September.
    11. Lampe, Hannes W. & Hilgers, Dennis, 2015. "Trajectories of efficiency measurement: A bibliometric analysis of DEA and SFA," European Journal of Operational Research, Elsevier, vol. 240(1), pages 1-21.
    12. Yongqi Feng & Haolin Zhang & Yung-ho Chiu & Tzu-Han Chang, 2021. "Innovation efficiency and the impact of the institutional quality: a cross-country analysis using the two-stage meta-frontier dynamic network DEA model," Scientometrics, Springer;Akadémiai Kiadó, vol. 126(4), pages 3091-3129, April.
    13. Yu-Chuan Chen & Yung-Ho Chiu & Tzu-Han Chang & Tai-Yu Lin, 2023. "Sustainable Development, Government Efficiency, and People’s Happiness," Journal of Happiness Studies, Springer, vol. 24(4), pages 1549-1578, April.
    14. Ferreira, D.C. & Marques, R.C., 2019. "Do quality and access to hospital services impact on their technical efficiency?," Omega, Elsevier, vol. 86(C), pages 218-236.
    15. Glover, Fred & Sueyoshi, Toshiyuki, 2009. "Contributions of Professor William W. Cooper in Operations Research and Management Science," European Journal of Operational Research, Elsevier, vol. 197(1), pages 1-16, August.
    16. Aparicio, Juan & Kapelko, Magdalena, 2019. "Accounting for slacks to measure dynamic inefficiency in data envelopment analysis," European Journal of Operational Research, Elsevier, vol. 278(2), pages 463-471.
    17. Huang, Shwu-Huei & Yu, Ming-Miin & Huang, Ya-Ling, 2022. "Evaluation of the efficiency of the local tax administration in Taiwan: Application of a dynamic network data envelopment analysis," Socio-Economic Planning Sciences, Elsevier, vol. 83(C).
    18. Liang-Han Ma & Jin-Chi Hsieh & Ying Li & Yung-Ho Chiu, 2021. "Evaluating Efficiency Change in Taiwan’s Financial Industry," SAGE Open, , vol. 11(2), pages 21582440211, April.
    19. Wang, Qian & Ren, Shuming, 2022. "Evaluation of green technology innovation efficiency in a regional context: A dynamic network slacks-based measuring approach," Technological Forecasting and Social Change, Elsevier, vol. 182(C).
    20. Maria Silva Portela & Pedro Borges & Emmanuel Thanassoulis, 2003. "Finding Closest Targets in Non-Oriented DEA Models: The Case of Convex and Non-Convex Technologies," Journal of Productivity Analysis, Springer, vol. 19(2), pages 251-269, April.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:kap:hcarem:v:17:y:2014:i:2:p:113-125. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.