IDEAS home Printed from https://ideas.repec.org/a/eee/soceps/v60y2017icp15-23.html
   My bibliography  Save this article

Are hospitals producing quality care efficiently? An analysis using Dynamic Network Data Envelopment Analysis (DEA)

Author

Listed:
  • Khushalani, Jaya
  • Ozcan, Yasar A.

Abstract

This paper examines efficiency of producing quality in hospitals between 2009 and 2013 using Dynamic Network Data Envelopment Analysis (DEA) and the hospital characteristics that contribute to this efficiency. Dynamic Network DEA was used to compute efficiency scores for hospital sub-divisions i.e. medical/surgical care (patient visits, surgeries and discharges) and quality. Pearson's correlation test was performed to assess if there are trade-offs or synergies between the efficiency of producing quality and efficiency of producing medical/surgical care. Multinomial logistic regression was performed to determine hospital and market characteristics that contribute to efficiency in production of quality outputs. Efficiency of quality production improved significantly between 2009 and 2013 with no trade-off between efficiency of producing quality outputs and efficiency of producing medical care. Urban and teaching hospitals were less likely to improve efficiency of quality production.

Suggested Citation

  • 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.
    • Handle: RePEc:eee:soceps:v:60:y:2017:i:c:p:15-23
    DOI: 10.1016/j.seps.2017.01.009
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S003801211630101X
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.seps.2017.01.009?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. 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. Kathleen Carey & James F. Burgess, 1999. "On measuring the hospital cost/quality trade‐off," Health Economics, John Wiley & Sons, Ltd., vol. 8(6), pages 509-520, September.
    3. Sloan, Frank A. & Picone, Gabriel A. & TaylorJr., Donald H. & Chou, Shin-Yi, 2001. "Hospital ownership and cost and quality of care: is there a dime's worth of difference?," Journal of Health Economics, Elsevier, vol. 20(1), pages 1-21, January.
    4. Gary Ferrier & Julie Trivitt, 2013. "Incorporating quality into the measurement of hospital efficiency: a double DEA approach," Journal of Productivity Analysis, Springer, vol. 40(3), pages 337-355, December.
    5. Chuang-Min Chao & Ming-Miin Yu & Hsiao-Ning Wu, 2015. "An Application of the Dynamic Network DEA Model: The Case of Banks in Taiwan," Emerging Markets Finance and Trade, Taylor & Francis Journals, vol. 51(S1), pages 133-151, January.
    6. Tone, Kaoru & Tsutsui, Miki, 2009. "Network DEA: A slacks-based measure approach," European Journal of Operational Research, Elsevier, vol. 197(1), pages 243-252, August.
    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. Joe Zhu, 2014. "Data Envelopment Analysis," International Series in Operations Research & Management Science, in: Quantitative Models for Performance Evaluation and Benchmarking, edition 3, chapter 1, pages 1-9, Springer.
    9. Joe Sarkis, 2007. "Preparing Your Data for DEA," Springer Books, in: Joe Zhu & Wade D. Cook (ed.), Modeling Data Irregularities and Structural Complexities in Data Envelopment Analysis, chapter 0, pages 305-320, Springer.
    10. Avkiran, Necmi Kemal, 2015. "An illustration of dynamic network DEA in commercial banking including robustness tests," Omega, Elsevier, vol. 55(C), pages 141-150.
    11. Cook, Wade D. & Tone, Kaoru & Zhu, Joe, 2014. "Data envelopment analysis: Prior to choosing a model," Omega, Elsevier, vol. 44(C), pages 1-4.
    12. Matthew S. Kraatz & Edward J. Zajac, 2001. "How Organizational Resources Affect Strategic Change and Performance in Turbulent Environments: Theory and Evidence," Organization Science, INFORMS, vol. 12(5), pages 632-657, October.
    13. 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.
    14. Mary E. Deily & Niccie L. McKay, 2006. "Cost inefficiency and mortality rates in Florida hospitals," Health Economics, John Wiley & Sons, Ltd., vol. 15(4), pages 419-431, April.
    15. Stephen A. Rhoades, 1993. "The Herfindahl-Hirschman index," Federal Reserve Bulletin, Board of Governors of the Federal Reserve System (U.S.), issue Mar, pages 188-189.
    16. Yasar A. Ozcan, 2014. "Evaluation of Performance in Health Care," International Series in Operations Research & Management Science, in: Health Care Benchmarking and Performance Evaluation, edition 2, chapter 0, pages 3-14, Springer.
    17. William W. Cooper & Lawrence M. Seiford & Kaoru Tone, 2007. "Data Envelopment Analysis," Springer Books, Springer, edition 0, number 978-0-387-45283-8, June.
    18. Yasar A. Ozcan, 2014. "Health Care Benchmarking and Performance Evaluation," International Series in Operations Research and Management Science, Springer, edition 2, number 978-1-4899-7472-3, December.
    Full references (including those not matched with items on IDEAS)

    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. Yasar A. Ozcan & Jaya Khushalani, 2017. "Assessing efficiency of public health and medical care provision in OECD countries after a decade of reform," 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. 25(2), pages 325-343, June.
    2. 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.
    3. Mohammad Nourani & VGR Chandran & Qian Long Kweh & Wen-Min Lu, 2018. "Measuring Human, Physical and Structural Capital Efficiency Performance of Insurance Companies," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 137(1), pages 281-315, May.
    4. Joe Zhu, 2022. "DEA under big data: data enabled analytics and network data envelopment analysis," Annals of Operations Research, Springer, vol. 309(2), pages 761-783, February.
    5. Beata Gavurova & Kristina Kocisova & Jakub Sopko, 2021. "Health system efficiency in OECD countries: dynamic network DEA approach," Health Economics Review, Springer, vol. 11(1), pages 1-25, December.
    6. Liu, John S. & Lu, Louis Y.Y. & Lu, Wen-Min, 2016. "Research fronts in data envelopment analysis," Omega, Elsevier, vol. 58(C), pages 33-45.
    7. Sommersguter-Reichmann, Margit & Stepan, Adolf, 2015. "The interplay between regulation and efficiency: Evidence from the Austrian hospital inpatient sector," Socio-Economic Planning Sciences, Elsevier, vol. 52(C), pages 10-21.
    8. Kristína Kočišová & Jakub Sopko, 2020. "The Efficiency of Public Health and Medical Care Systems in EU Countries: Dynamic Network Data Envelopment Analysis," Acta Universitatis Agriculturae et Silviculturae Mendelianae Brunensis, Mendel University Press, vol. 68(2), pages 383-394.
    9. Yu, Ming-Miin & Lin, Chung-I & Chen, Kuan-Chen & Chen, Li-Hsueh, 2021. "Measuring Taiwanese bank performance: A two-system dynamic network data envelopment analysis approach," Omega, Elsevier, vol. 98(C).
    10. Mallikarjun, Sreekanth, 2015. "Efficiency of US airlines: A strategic operating model," Journal of Air Transport Management, Elsevier, vol. 43(C), pages 46-56.
    11. Chen, Yufeng & Ni, Liangfu & Liu, Kelong, 2021. "Does China's new energy vehicle industry innovate efficiently? A three-stage dynamic network slacks-based measure approach," Technological Forecasting and Social Change, Elsevier, vol. 173(C).
    12. Yang, Guo-liang & Fukuyama, Hirofumi & Chen, Kun, 2019. "Investigating the regional sustainable performance of the Chinese real estate industry: A slack-based DEA approach," Omega, Elsevier, vol. 84(C), pages 141-159.
    13. Huang, Tai-Hsin & Lin, Chung-I & Chen, Kuan-Chen, 2017. "Evaluating efficiencies of Chinese commercial banks in the context of stochastic multistage technologies," Pacific-Basin Finance Journal, Elsevier, vol. 41(C), pages 93-110.
    14. Antonio Peyrache & Maria C. A. Silva, 2022. "Efficiency and Productivity Analysis from a System Perspective: Historical Overview," Springer Books, in: Duangkamon Chotikapanich & Alicia N. Rambaldi & Nicholas Rohde (ed.), Advances in Economic Measurement, chapter 0, pages 173-230, Springer.
    15. Eucabeth Majiwa & Boon L. Lee & Clevo Wilson & Hidemichi Fujii & Shunsuke Managi, 2018. "A network data envelopment analysis (NDEA) model of post-harvest handling: the case of Kenya’s rice processing industry," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 10(3), pages 631-648, June.
    16. Antonio Peyrache & Maria C. A. Silva, 2019. "The Inefficiency of Production Systems and its decomposition," CEPA Working Papers Series WP052019, School of Economics, University of Queensland, Australia.
    17. Lee, Boon L. & Worthington, Andrew C., 2016. "A network DEA quantity and quality-orientated production model: An application to Australian university research services," Omega, Elsevier, vol. 60(C), pages 26-33.
    18. Kottas, Angelos T. & Madas, Michael A., 2018. "Comparative efficiency analysis of major international airlines using Data Envelopment Analysis: Exploring effects of alliance membership and other operational efficiency determinants," Journal of Air Transport Management, Elsevier, vol. 70(C), pages 1-17.
    19. Pooja Bansal & Aparna Mehra & Sunil Kumar, 2022. "Dynamic Metafrontier Malmquist–Luenberger Productivity Index in Network DEA: An Application to Banking Data," Computational Economics, Springer;Society for Computational Economics, vol. 59(1), pages 297-324, January.
    20. Raith, Andrea & Ehrgott, Matthias & Fauzi, Fariza & Lin, Kuan-Min & Macann, Andrew & Rouse, Paul & Simpson, John, 2022. "Integrating Data Envelopment Analysis into radiotherapy treatment planning for head and neck cancer patients," European Journal of Operational Research, Elsevier, vol. 296(1), pages 289-303.

    More about this item

    Statistics

    Access and download statistics

    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:soceps:v:60:y:2017:i:c:p:15-23. 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/seps .

    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.