TY - JOUR
T1 - Most productive types of hospitals
T2 - An empirical analysis
AU - Kao, Chiang
AU - Pang, Rui Zhi
AU - Liu, Shiang Tai
AU - Bai, Xue Jie
N1 - Funding Information:
The authors are grateful for the constructive comments of the three anonymous reviewers and also acknowledge the financial support of the Chinese National Funding of Social Sciences of the People's Republic of China under grant number 18BJY100 , Major Social Science Projects of Tianjin Education Science Committee under grant number 2016JWZD15 , and the Ministry of Science and Technology of the Republic of China (Taiwan) under grant numbers MOST108-2410-H-006-102-MY3 and MOST108-2410-H-238-002-MY2 .
Funding Information:
The authors are grateful for the constructive comments of the three anonymous reviewers and also acknowledge the financial support of the Chinese National Funding of Social Sciences of the People's Republic of China under grant number 18BJY100, Major Social Science Projects of Tianjin Education Science Commxittee under grant number 2016JWZD15, and the Ministry of Science and Technology of the Republic of China (Taiwan) under grant numbers MOST108-2410-H-006-102-MY3 and MOST108-2410-H-238-002-MY2.
Publisher Copyright:
© 2020
PY - 2021/3
Y1 - 2021/3
N2 - Hospitals comprise different types, including, for example, internal medicine hospitals, obstetrics/gynecology hospitals, and general hospitals, and physicians have specialties related to these types. Since a specialty may be supportive to some specialties and independent of some others, hospitals composed of certain departments may be more productive than those composed of other departments. This paper identifies the most productive types of hospitals by constructing one production frontier for each type of hospital and another for all types of hospitals. The relative distance between a type-specific frontier and the overall frontier, referred to as functional productivity, is a measure of how productive the corresponding type of hospital is. Twenty types of approximately seven thousand hospitals in China are investigated. The results show that general hospitals composed of all departments, general hospitals lacking only the Chinese medicine department, and hospitals with pediatrics and obstetrics/gynecology departments are the three most productive types. Not-for-profit hospitals are more productive than for-profit hospitals. The type-specific efficiencies are helpful for individual hospitals to make improvements, and the functional productivities are useful to design case-mix indexes to adjust measures of different types of hospitals to make them comparable.
AB - Hospitals comprise different types, including, for example, internal medicine hospitals, obstetrics/gynecology hospitals, and general hospitals, and physicians have specialties related to these types. Since a specialty may be supportive to some specialties and independent of some others, hospitals composed of certain departments may be more productive than those composed of other departments. This paper identifies the most productive types of hospitals by constructing one production frontier for each type of hospital and another for all types of hospitals. The relative distance between a type-specific frontier and the overall frontier, referred to as functional productivity, is a measure of how productive the corresponding type of hospital is. Twenty types of approximately seven thousand hospitals in China are investigated. The results show that general hospitals composed of all departments, general hospitals lacking only the Chinese medicine department, and hospitals with pediatrics and obstetrics/gynecology departments are the three most productive types. Not-for-profit hospitals are more productive than for-profit hospitals. The type-specific efficiencies are helpful for individual hospitals to make improvements, and the functional productivities are useful to design case-mix indexes to adjust measures of different types of hospitals to make them comparable.
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U2 - 10.1016/j.omega.2020.102310
DO - 10.1016/j.omega.2020.102310
M3 - Article
AN - SCOPUS:85088220399
SN - 0305-0483
VL - 99
JO - Omega
JF - Omega
M1 - 102310
ER -