Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on sleep in brain health

LIVE: Thursday 2nd May 2024, 18:00-19:30 (CEST)

Quality sleep is essential for health. But what happens to our brains when sleep patterns are disturbed? Join our experts to explore the interplay between sleep disruption and neurological diseases, and the questions that you need to be asking your patients to help you prevent the harmful effects of sleep deprivation.
ADVANCED SEARCH
Log in
Top
BMC Health Services Research
Published in: BMC Health Services Research 1/2017

Open Access 01-12-2017 | Research article

The application of DEA (Data Envelopment Analysis) window analysis in the assessment of influence on operational efficiencies after the establishment of branched hospitals

Authors: Tongying Jia, Huiyun Yuan

Published in: BMC Health Services Research | Issue 1/2017

Login to get access

Abstract

Background

Many large-scaled public hospitals have established branched hospitals in China. This study is to provide evidence for strategy making on the management and development of multi-branched hospitals by evaluating and comparing the operational efficiencies of different hospitals before and after their establishment of branched hospitals.

Methods

DEA (Data Envelopment Analysis) window analysis was performed on a 7-year data pool from five public hospitals provided by health authorities and institutional surveys.

Results

The operational efficiencies of sample hospitals measured in this study (including technical efficiency, pure technical efficiency and scale efficiency) had overall trends towards increase during this 7-year period of time, however, a temporary downturn occurred shortly after the establishment of branched hospitals; pure technical efficiency contributed more to the improvement of technical efficiency compared to scale efficiency.

Conclusions

The establishment of branched-hospitals did not lead to a long-term negative effect on hospital operational efficiencies. Our data indicated the importance of improving scale efficiency via the optimization of organizational management, as well as the advantage of a different form of branch-establishment, merging and reorganization. This study brought an insight into the practical application of DEA window analysis on the assessment of hospital operational efficiencies.
Appendix
Available only for authorised users
Literature
1.
O’Neil L, Rauner M, Hedidenberger K, Kraus M. A cross-national comparison and taxonomy of DEA- based hospital efficiency studies. Socio Econ Plan Sci. 2008;42(3):158–89.CrossRef
2.
Harris IJ, Ozgen H, Ozcan Y. Do mergers enhance performance of hospital efficiency? J Oper Res Soc. 2000;51(7):801–11.CrossRef
3.
Charnes A, Clark CT, Cooper WW, Golany B. A developmental study of data envelopment analysis in measuring the efficiency of maintenance units in the U.S. Air Forces. Ann Oper Res. 1985;2(1):95–112.CrossRef
4.
Halkos GE, Tzeremes NG. Exploring the existence of Kuznets curve in countries’ environmental efficiency using DEA window analysis. Ecol Econ. 2009;68:2168–76.CrossRef
5.
Yang HH, Chang CY. Using DEA window analysis to measure efficiencies of Taiwan’s integrated telecommunication firms. Telecommun Policy. 2009;33:98–108.CrossRef
6.
Banker RD, Charnes A, Cooper WW. Some models for estimating technical and scale inefficiencies in data envelopment analysis. Manag Sci. 1984;30:1078–92.CrossRef
7.
Kumar S, Gulati R. An examination of technical, pure technical, and scale efficiencies in Indian Public Sector Banks using Data Envelopment Analysis. Eurasian J Bus Econ. 2008;1(2):33–69.
8.
Charnes A, Cooper W, Rhodes E. Measuring the efficiency of decision making units. Eur J Oper Res. 1978;15(3):429–44.CrossRef
9.
Sherman DH. Hospital efficiency measurement and evaluation: tests of a new technique. Med Care. 1984;22:922–38.CrossRefPubMed
10.
Ozcan YA. Sensitivity analysis of hospital efficiency under alternative output input and peer groups: a review. Knowl Policy. 1993;5:1–29.CrossRef
11.
Li H, Dong SP, Liu TF. Relative efficiency and productivity: a preliminary exploration of public hospitals in Beijing, China. BMC Health Service Res. 2014;14(5):158.CrossRef
12.
Sufian F. Benchmarking the efficiency of the Korean Banking Sector: A DEA approach [J]. Benchmarking. 2007;18(1):107–27.CrossRef
13.
Cooper WW, Seiford LM, Tone K. A comprehensive text with models, applications, references and DEA-Solver software (p. 327). 2nd ed. New York, NY: Springer; 2007.
14.
Raisch S, Birkinshaw JM, Probst G, Tushman M. Organizational amibdexterity: balancing exploration for ustained corporate performance. Organ Sci. 2009;20(4):685–95.CrossRef
15.
Asmild M, Paradi JC, Aggarwall V, Schaffnit C. Combining DEA window analysis with the Malmquist index approach in a study of the Canadian banking industry. J Prod Anal. 2004;21:67–89.CrossRef
Metadata
Title
The application of DEA (Data Envelopment Analysis) window analysis in the assessment of influence on operational efficiencies after the establishment of branched hospitals
Authors
Tongying Jia
Huiyun Yuan
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2017
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-017-2203-6

Other articles of this Issue 1/2017

BMC Health Services Research 1/2017 Go to the issue

Research article

Perceived barriers to effective implementation of public reporting of hospital performance data in Australia: a qualitative study

Research article

Telephone triage utilization among patients with limited English proficiency

Research article

Main drivers of health expenditure growth in China: a decomposition analysis

Research article

Performance of health laboratories in provision of HIV diagnostic and supportive services in selected districts of Tanzania

Research article

Examining the relationship between therapeutic self-care and adverse events for home care clients in Ontario, Canada: a retrospective cohort study

Research article

Greater involvement of HIV-infected peer-mothers in provision of reproductive health services as “family planning champions” increases referrals and uptake of family planning among HIV-infected mothers