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Regional Surgical Systems Response to COVID-19 Pandemic—Preliminary Insights Through Longitudinal DEA

In: Advances in the Theory and Applications of Performance Measurement and Management

Author

Listed:
  • Sean Shao Wei Lam

    (Singapore Health Services Pte Ltd
    National University of Singapore
    SingHeath Duke-NUS Global Health Institute
    Surgery Academic Clinical Programme, Duke-NUS Medical School)

  • Yao Ge

    (Singapore Health Services Pte Ltd)

  • Ashish Kumar

    (National University of Singapore)

  • Ginny Zhenzhi Chen

    (Singapore Health Services Pte Ltd
    National University of Singapore)

  • Ahmadreza Pourghaderi

    (Monash University)

  • Ma Wai Wai Zaw

    (National University of Singapore
    Singapore General Hospital)

  • Pierce K. H. Chow

    (National University of Singapore
    SingHeath Duke-NUS Global Health Institute
    National Cancer Centre Singapore and Singapore General Hospital
    Surgery Academic Clinical Programme, Duke-NUS Medical School)

  • Hiang Khoon Tan

    (National University of Singapore
    SingHeath Duke-NUS Global Health Institute
    National Cancer Centre Singapore and Singapore General Hospital
    Surgery Academic Clinical Programme, Duke-NUS Medical School)

Abstract

Goal: The objectives of this benchmarking study are: (1) to evaluate the efficiency changes, and; (2) to elicit factors associated with efficiency improvements for surgical systems in South and Southeast Asia during the COVID-19 pandemic. Methods: We performed a two-stage benchmarking analysis for 9 hospital and health services (HHS) across 6 countries from Jan 2020 till Dec 2021. The first stage involves quantifying efficiency changes in response to COVID-19 via the Malmquist Index (MI). The second stage evaluates an explanatory model to elicit the factors associated with efficiency improvements. Results: Over the study period, the trend in MIs reveals that the countries started with low efficiency improvement during the initial phases of the pandemic. The situation improved with efficiency gains varying over the course of the pandemic due to the dynamically evolving policies, resurgence of new variants and introduction of vaccines. Measures related to safeguarding the wellbeing of healthcare workers and preserving the structural capacity of HHS during the pandemic are found to be significantly associated with improvements in efficiency. Conclusion: This benchmarking study allows us to evaluate the relative efficiencies of health systems in dealing with the pandemic and to identify the best practices associated with efficiency improvements. Our analysis framework provides HHS- and country-specific insight that will help to inform policy responses to future public health crises.

Suggested Citation

  • Sean Shao Wei Lam & Yao Ge & Ashish Kumar & Ginny Zhenzhi Chen & Ahmadreza Pourghaderi & Ma Wai Wai Zaw & Pierce K. H. Chow & Hiang Khoon Tan, 2024. "Regional Surgical Systems Response to COVID-19 Pandemic—Preliminary Insights Through Longitudinal DEA," Lecture Notes in Operations Research, in: Ali Emrouznejad & Emmanuel Thanassoulis & Mehdi Toloo (ed.), Advances in the Theory and Applications of Performance Measurement and Management, pages 219-232, Springer.
    • Handle: RePEc:spr:lnopch:978-3-031-61597-9_17
    DOI: 10.1007/978-3-031-61597-9_17
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