IDEAS home Printed from https://ideas.repec.org/a/eee/jpolmo/v41y2019i5p905-925.html
   My bibliography  Save this article

Efficiency and Productivity changes in the presence of undesirable outcomes in Emergency Obstetric and Newborn Care

Author

Listed:
  • Rajasulochana, Subramania Raju
  • Chen, Po-Chi

Abstract

This paper analyzes efficiency and productivity changes in Emergency Obstetric and Newborn care (EmONC) in regional public hospitals in India. A novel approach of Weighted Russell Directional Distance Function Model (WRDDFM) has been employed. This model considers all the radial and non-radial slacks associated with good outputs as well as the undesirable outcomes while estimating inefficiency and helps to identify the source of the inefficiency. The empirical results based on a sample of 46 regional public hospitals from 2006–07 to 2013–14 show on average overall inefficiency of 24% and much of these are due to inefficiencies associated with undesirable outcome of stillbirths and intra-uterine deaths. Further, on an average the sampled hospitals have experienced marginal productivity decline over the reform period. The study indicates that there is a greater scope for efficiency and productivity gains in public hospitals, particularly if the undesirable outcome of still birth is minimized.

Suggested Citation

  • Rajasulochana, Subramania Raju & Chen, Po-Chi, 2019. "Efficiency and Productivity changes in the presence of undesirable outcomes in Emergency Obstetric and Newborn Care," Journal of Policy Modeling, Elsevier, vol. 41(5), pages 905-925.
  • Handle: RePEc:eee:jpolmo:v:41:y:2019:i:5:p:905-925
    DOI: 10.1016/j.jpolmod.2019.03.001
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0161893819300201
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.jpolmod.2019.03.001?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. Cooper, W.W. & Huang, Zhimin & Li, Susan X. & Parker, Barnett R. & Pastor, Jesus T., 2007. "Efficiency aggregation with enhanced Russell measures in data envelopment analysis," Socio-Economic Planning Sciences, Elsevier, vol. 41(1), pages 1-21, March.
    2. Raman, Parvathy & Mavalankar, Dileep & Jain M L & Dwivedi Hemant, 2004. "Managing Equipment for Emergency Obstetric Care in Rural Hospitals," IIMA Working Papers WP2004-03-08, Indian Institute of Management Ahmedabad, Research and Publication Department.
    3. M. Hashem Pesaran, 2021. "General diagnostic tests for cross-sectional dependence in panels," Empirical Economics, Springer, vol. 60(1), pages 13-50, January.
    4. Anatoly Pilyavsky & Matthias Staat, 2008. "Efficiency and productivity change in Ukrainian health care," Journal of Productivity Analysis, Springer, vol. 29(2), pages 143-154, April.
    5. Chen, Po-Chi & Yu, Ming-Miin & Chang, Ching-Cheng & Hsu, Shih-Hsun & Managi, Shunsuke, 2015. "The enhanced Russell-based directional distance measure with undesirable outputs: Numerical example considering CO2 emissions," Omega, Elsevier, vol. 53(C), pages 30-40.
    6. Bert Balk, 2001. "Scale Efficiency and Productivity Change," Journal of Productivity Analysis, Springer, vol. 15(3), pages 159-183, May.
    7. Fukuyama, Hirofumi & Weber, William L., 2009. "A directional slacks-based measure of technical inefficiency," Socio-Economic Planning Sciences, Elsevier, vol. 43(4), pages 274-287, December.
    8. Reuben Elan & Verma Bharat Bhushan & Bhat Ramesh, 2001. "Hospital Efficiency: An Empirical Analysis of District and Grant-in-Aid Hospitals in Gujarat," IIMA Working Papers WP2001-07-05, Indian Institute of Management Ahmedabad, Research and Publication Department.
    9. Chia-Hsuan Wu & Ching-Cheng Chang & Po-Chi Chen & Ken-Nan Kuo, 2013. "Efficiency and productivity change in Taiwan’s hospitals: a non-radial quality-adjusted measurement," 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. 21(2), pages 431-453, 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. Falavigna, G. & Ippoliti, R., 2021. "Reform policy to increase the judicial efficiency in Italy: The opportunity offered by EU post-Covid funds," Journal of Policy Modeling, Elsevier, vol. 43(5), pages 923-943.
    2. Mustafa Jahangoshai Rezaee & Abuzar Karimdadi & Hamidreza Izadbakhsh, 2019. "Road map for progress and attractiveness of Iranian hospitals by integrating self-organizing map and context-dependent DEA," Health Care Management Science, Springer, vol. 22(3), pages 410-436, September.
    3. İlgün, Gülnur & Sönmez, Seda & Konca, Murat & Yetim, Birol, 2022. "Measuring the efficiency of Turkish maternal and child health hospitals: A two-stage data envelopment analysis," Evaluation and Program Planning, Elsevier, vol. 91(C).

    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. Yagi, Michiyuki & Managi, Shunsuke & Kaneko, Shinji, 2014. "Water Use and Wastewater Discharge of Industrial Sector in China," MPRA Paper 96425, University Library of Munich, Germany.
    2. Chen, Po-Chi & Yu, Ming-Miin & Chang, Ching-Cheng & Hsu, Shih-Hsun & Managi, Shunsuke, 2015. "The enhanced Russell-based directional distance measure with undesirable outputs: Numerical example considering CO2 emissions," Omega, Elsevier, vol. 53(C), pages 30-40.
    3. Shwu-Huei Huang & Ming-Miin Yu & Ming-Shenq Hwang & Yu-Shan Wei & Ming-Huei Chen, 2017. "Efficiency of Tax Collection and Tax Management in Taiwan's Local Tax Offices," Pacific Economic Review, Wiley Blackwell, vol. 22(4), pages 620-648, October.
    4. Diogo Cunha Ferreira & Rui Cunha Marques, 2016. "Malmquist and Hicks–Moorsteen Productivity Indexes for Clusters Performance Evaluation," International Journal of Information Technology & Decision Making (IJITDM), World Scientific Publishing Co. Pte. Ltd., vol. 15(05), pages 1015-1053, September.
    5. Ayouba, Kassoum & Boussemart, Jean-Philippe & Lefer, Henri-Bertrand & Leleu, Hervé & Parvulescu, Raluca, 2022. "An indirect, Luenberger approach to price performance," International Journal of Production Economics, Elsevier, vol. 244(C).
    6. Songping Zhu & Azhong Ye, 2018. "Does the Impact of China’s Outward Foreign Direct Investment on Reverse Green Technology Process Differ across Countries?," Sustainability, MDPI, vol. 10(11), pages 1-19, October.
    7. Lei, Ming & Yin, Zihan & Yu, Xiaowen & Deng, Shijie, 2017. "Carbon-weighted economic development performance and driving force analysis: Evidence from China," Energy Policy, Elsevier, vol. 111(C), pages 179-192.
    8. Halická, Margaréta & Trnovská, Mária, 2021. "A unified approach to non-radial graph models in data envelopment analysis: common features, geometry, and duality," European Journal of Operational Research, Elsevier, vol. 289(2), pages 611-627.
    9. Ali Homayoni & Reza Fallahnejad & Farhad Hosseinzadeh Lotfi, 2022. "Cross Malmquist Productivity Index in Data Envelopment Analysis," 4OR, Springer, vol. 20(4), pages 567-602, December.
    10. Rolf Färe & Giannis Karagiannis, 2024. "The denominator rule with unit ratio difference," Journal of Productivity Analysis, Springer, vol. 61(2), pages 183-190, April.
    11. Wei, Chu & Ni, Jinlan & Du, Limin, 2012. "Regional allocation of carbon dioxide abatement in China," China Economic Review, Elsevier, vol. 23(3), pages 552-565.
    12. Po-Chi Chen, 2012. "Measurement of technical efficiency in farrow-to-finish swine production using multi-activity network data envelopment analysis: evidence from Taiwan," Journal of Productivity Analysis, Springer, vol. 38(3), pages 319-331, December.
    13. Kevork, Ilias S. & Pange, Jenny & Tzeremes, Panayiotis & Tzeremes, Nickolaos G., 2017. "Estimating Malmquist productivity indexes using probabilistic directional distances: An application to the European banking sector," European Journal of Operational Research, Elsevier, vol. 261(3), pages 1125-1140.
    14. Cécile Couharde & Rémi Generoso, 2015. "Hydro-climatic thresholds and economic growth reversals in developing countries: an empirical investigation," EconomiX Working Papers 2015-26, University of Paris Nanterre, EconomiX.
    15. Peter Fuleky & Carl S. Bonham & Qianxue Zhao, 2013. "Estimating Demand Elasticities in Non-Stationary Panels: The Case of Hawaii's Tourism Industry," Working Papers 201314, University of Hawaii at Manoa, Department of Economics.
    16. Peppel-Srebrny, Jemima, 2021. "Not all government budget deficits are created equal: Evidence from advanced economies' sovereign bond markets," Journal of International Money and Finance, Elsevier, vol. 118(C).
    17. Jessica M. Mc Lay & Roy Lay-Yee & Barry J. Milne & Peter Davis, 2015. "Regression-Style Models for Parameter Estimation in Dynamic Microsimulation: An Empirical Performance Assessment," International Journal of Microsimulation, International Microsimulation Association, vol. 8(2), pages 83-127.
    18. Mishra, Vinod & Smyth, Russell, 2014. "Convergence in energy consumption per capita among ASEAN countries," Energy Policy, Elsevier, vol. 73(C), pages 180-185.
    19. Liu, Duan & Yu, Nizhou & Wan, Hong, 2022. "Does water rights trading affect corporate investment? The role of resource allocation and risk mitigation channels," Economic Modelling, Elsevier, vol. 117(C).
    20. Cem Ertur & Antonio Musolesi, 2017. "Weak and Strong Cross‐Sectional Dependence: A Panel Data Analysis of International Technology Diffusion," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 32(3), pages 477-503, 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:eee:jpolmo:v:41:y:2019:i:5:p:905-925. 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: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/locate/inca/505735 .

    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.