IDEAS home Printed from https://ideas.repec.org/a/spr/cejnor/v24y2016i4d10.1007_s10100-015-0420-9.html
   My bibliography  Save this article

The relationship between the efficiency of orthopedic wards and the socio-economic status of their patients

Author

Listed:
  • Zilla Sinuany-Stern

    () (Ben-Gurion University of the Negev)

  • Simona Cohen-Kadosh

    () (Ben-Gurion University of the Negev)

  • Lea Friedman

    () (Ben-Gurion University of the Negev)

Abstract

Abstract The purpose of this paper is to study the effect of the socio-economic status of patients on the efficiency of orthopedic wards in acute hospitals in Israel (20 hospitals), from the viewpoint of the regulator—Israel Ministry of Health. At the first stage, data envelopment analysis is used with two inputs, and three outputs, where one output is undesirable—“number of deaths”—which also reflects the quality of the health services. At the second stage, various nonparametric tests are utilized to test the relationship between the socio-economic status of patients and the efficiency. As by-product DEA provides benchmark analysis, which indicates the peers of each inefficient ward, and the I/O improvements are needed for achieving efficiency. Two versions of DEA were used: the output oriented version (variable returns to scale), and the non-oriented version (Additive). Further analysis provides comparison of the results with other simple efficiency measures. We also compare between the efficiency from the regulator viewpoint and the hospitals’ viewpoint.

Suggested Citation

  • Zilla Sinuany-Stern & Simona Cohen-Kadosh & Lea Friedman, 2016. "The relationship between the efficiency of orthopedic wards and the socio-economic status of their patients," 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. 24(4), pages 853-876, December.
  • Handle: RePEc:spr:cejnor:v:24:y:2016:i:4:d:10.1007_s10100-015-0420-9
    DOI: 10.1007/s10100-015-0420-9
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s10100-015-0420-9
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.

    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. O'Neill, Liam & Rauner, Marion & Heidenberger, Kurt & Kraus, Markus, 2008. "A cross-national comparison and taxonomy of DEA-based hospital efficiency studies," Socio-Economic Planning Sciences, Elsevier, vol. 42(3), pages 158-189, September.
    2. 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.
    3. Pedro Simões & Rui Marques, 2011. "Performance and congestion analysis of the portuguese hospital services," 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(1), pages 39-63, March.
    4. 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.
    5. Ismet Sahin & Yasar Ozcan & Hacer Ozgen, 2011. "Assessment of hospital efficiency under health transformation program in Turkey," 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(1), pages 19-37, March.
    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. Zilla Sinuany-Stern & H. Sherman, 2014. "Operations research in the public sector and nonprofit organizations," Annals of Operations Research, Springer, vol. 221(1), pages 1-8, October.
    8. Juan Du & Justin Wang & Yao Chen & Shin-Yi Chou & Joe Zhu, 2014. "Incorporating health outcomes in Pennsylvania hospital efficiency: an additive super-efficiency DEA approach," Annals of Operations Research, Springer, vol. 221(1), pages 161-172, October.
    9. Murat Bilsel & Nurhan Davutyan, 2014. "Hospital efficiency with risk adjusted mortality as undesirable output: the Turkish case," Annals of Operations Research, Springer, vol. 221(1), pages 73-88, October.
    10. Adler, Nicole & Friedman, Lea & Sinuany-Stern, Zilla, 2002. "Review of ranking methods in the data envelopment analysis context," European Journal of Operational Research, Elsevier, vol. 140(2), pages 249-265, July.
    11. 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.
    12. Roberto Aringhieri, 2009. "Composing medical crews with equity and efficiency," 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. 17(3), pages 343-357, September.
    13. Seiford, Lawrence M. & Zhu, Joe, 2002. "Modeling undesirable factors in efficiency evaluation," European Journal of Operational Research, Elsevier, vol. 142(1), pages 16-20, October.
    Full references (including those not matched with items on IDEAS)

    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:spr:cejnor:v:24:y:2016:i:4:d:10.1007_s10100-015-0420-9. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Sonal Shukla) or (Rebekah McClure). General contact details of provider: http://www.springer.com .

    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 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.

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

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.