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Optimal productive size of hospital's intensive care units

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  • Leleu, Hervé
  • Moises, James
  • Valdmanis, Vivian

Abstract

Authors of past studies focusing on returns to scale in hospitals proffered mixed results. These seemingly contradictory findings have probably arisen due to different methodological approaches (parametric or non parametric), different aggregation levels of analysis (hospital/department/units), nature of data (quantity data or economic values) and also due to technological improvements operating in hospitals and case mix adjustment to account for the severity of patients' conditions.

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  • Leleu, Hervé & Moises, James & Valdmanis, Vivian, 2012. "Optimal productive size of hospital's intensive care units," International Journal of Production Economics, Elsevier, vol. 136(2), pages 297-305.
    • Handle: RePEc:eee:proeco:v:136:y:2012:i:2:p:297-305
    DOI: 10.1016/j.ijpe.2011.12.006
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    4. Pascual Saez, Marta & Cantarero Prieto, David, 2013. "Understanding Health Economics: A Review of Efficiency, Equity and Inequalities Studies /Entendiendo la Economía de la Salud: Una revisión de los estudios sobre eficiencia, equidad y desigualdades," Estudios de Economia Aplicada, Estudios de Economia Aplicada, vol. 31, pages 281-302, Septiembr.
    5. Élisé Wendlassida Miningou & Medjy Pierre‐Louis & Jean‐Marc Bernard, 2022. "Improving learning outcomes in francophone Africa: More resources or improved efficiency?," African Development Review, African Development Bank, vol. 34(1), pages 127-141, March.
    6. Élisé Wendlassida Miningou, 2020. "Matching the Education System to the Needs of the Economy: Evidence from Burkina Faso," Cahiers de recherche 20-04, Departement d'économique de l'École de gestion à l'Université de Sherbrooke.
    7. Wasim Sultan & José Crispim, 2016. "Evaluating the Productive Efficiency of Jordanian Public Hospitals," International Journal of Business and Management, Canadian Center of Science and Education, vol. 12(1), pages 1-68, December.
    8. Ferreira, D.C. & Marques, R.C. & Nunes, A.M., 2018. "Economies of scope in the health sector: The case of Portuguese hospitals," European Journal of Operational Research, Elsevier, vol. 266(2), pages 716-735.
    9. Gholam R. Amin & Ali Emrouznejad & Said Gattoufi, 2017. "Modelling generalized firms’ restructuring using inverse DEA," Journal of Productivity Analysis, Springer, vol. 48(1), pages 51-61, August.
    10. George Fragkiadakis & Michael Doumpos & Constantin Zopounidis & Christophe Germain, 2016. "Operational and economic efficiency analysis of public hospitals in Greece," Post-Print hal-01414677, HAL.
    11. 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.
    12. De Nicola, Arianna & Mancuso, Paolo & Valdmanis, Vivian, 2013. "Quality and health care performance in the Italian regions," MPRA Paper 50495, University Library of Munich, Germany.
    13. Ya Chen & Justin Wang & Joe Zhu & H. David Sherman & Shin-Yi Chou, 2019. "How the Great Recession affects performance: a case of Pennsylvania hospitals using DEA," Annals of Operations Research, Springer, vol. 278(1), pages 77-99, July.
    14. Jean-Philippe Boussemart & Walter Briec & Raluca Parvulescu & Paola Ravelojaona, 2022. "$\Lambda$-Returns to Scale and Individual Minimum Extrapolation Principle," Papers 2212.04724, arXiv.org, revised Dec 2023.
    15. Buzzacchi, Luigi & Scellato, Giuseppe & Ughetto, Elisa, 2016. "Frequency of medical malpractice claims: The effects of volumes and specialties," Social Science & Medicine, Elsevier, vol. 170(C), pages 152-160.
    16. Fermín Mallor & Cristina Azcárate & Julio Barado, 2016. "Control problems and management policies in health systems: application to intensive care units," Flexible Services and Manufacturing Journal, Springer, vol. 28(1), pages 62-89, June.
    17. Silva, Elvira & Lansink, Alfons Oude & Stefanou, Spiro E., 2015. "The adjustment-cost model of the firm: Duality and productive efficiency," International Journal of Production Economics, Elsevier, vol. 168(C), pages 245-256.
    18. Walter Briec & Kristiaan Kerstens & Ignace Van de Woestyne, 2022. "Nonconvexity in Production and Cost Functions: An Exploratory and Selective Review," Springer Books, in: Subhash C. Ray & Robert G. Chambers & Subal C. Kumbhakar (ed.), Handbook of Production Economics, chapter 18, pages 721-754, Springer.
    19. Chowdhury, Hedayet & Zelenyuk, Valentin & Laporte, Audrey & Wodchis, Walter P., 2014. "Analysis of productivity, efficiency and technological changes in hospital services in Ontario: How does case-mix matter?," International Journal of Production Economics, Elsevier, vol. 150(C), pages 74-82.

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