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Determinants of hospital inefficiency. The case of Polish county hospitals

Local hospitals play a crucial role in the healthcare system. In this study, the efficiency of Polish county hospitals is assessed by considering characteristics of hospitals that may determine their performance, such as the form of ownership, size, and staff structure. The main goal was to analyze...

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Autor principal: Sielskas, Agata
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8660014/
https://www.ncbi.nlm.nih.gov/pubmed/34403449
http://dx.doi.org/10.1371/journal.pone.0256267
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description Local hospitals play a crucial role in the healthcare system. In this study, the efficiency of Polish county hospitals is assessed by considering characteristics of hospitals that may determine their performance, such as the form of ownership, size, and staff structure. The main goal was to analyze the effect of three possible determinants on efficiency: ownership, the presence of an Emergency Department, and the presence of an Intensive Care Unit. The study covered different subgroups of hospitals and different approaches of inputs and outputs. An input-oriented radial super-efficiency DEA model under variable returns to scale was used for the efficiency analysis, and then differences between distributions of efficient and inefficient units were evaluated using a Chi-square test. A Kruskal-Wallis test was also used to analyze differences in mean efficiency. Inefficiency scores were regressed with hospital characteristics to test for other determinants. These results did not confirm differences in efficiency concerning ownership. However, in some subgroups of hospitals, running an Emergency Department or an Intensive Care Unit had a significant effect. Tobit regression results provided additional insight into how an Emergency Department or Intensive Care Unit can affect efficiency. Both cases had an effect of increasing inefficiency, and the data suggested that the department/unit size plays an important role.
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spelling pubmed-86600142021-12-10 Determinants of hospital inefficiency. The case of Polish county hospitals Sielskas, Agata PLoS One Research Article Local hospitals play a crucial role in the healthcare system. In this study, the efficiency of Polish county hospitals is assessed by considering characteristics of hospitals that may determine their performance, such as the form of ownership, size, and staff structure. The main goal was to analyze the effect of three possible determinants on efficiency: ownership, the presence of an Emergency Department, and the presence of an Intensive Care Unit. The study covered different subgroups of hospitals and different approaches of inputs and outputs. An input-oriented radial super-efficiency DEA model under variable returns to scale was used for the efficiency analysis, and then differences between distributions of efficient and inefficient units were evaluated using a Chi-square test. A Kruskal-Wallis test was also used to analyze differences in mean efficiency. Inefficiency scores were regressed with hospital characteristics to test for other determinants. These results did not confirm differences in efficiency concerning ownership. However, in some subgroups of hospitals, running an Emergency Department or an Intensive Care Unit had a significant effect. Tobit regression results provided additional insight into how an Emergency Department or Intensive Care Unit can affect efficiency. Both cases had an effect of increasing inefficiency, and the data suggested that the department/unit size plays an important role. Public Library of Science 2021-08-17 /pmc/articles/PMC8660014/ /pubmed/34403449 http://dx.doi.org/10.1371/journal.pone.0256267 Text en © 2021 Agata Sielskas https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Sielskas, Agata
Determinants of hospital inefficiency. The case of Polish county hospitals
title Determinants of hospital inefficiency. The case of Polish county hospitals
title_full Determinants of hospital inefficiency. The case of Polish county hospitals
title_fullStr Determinants of hospital inefficiency. The case of Polish county hospitals
title_full_unstemmed Determinants of hospital inefficiency. The case of Polish county hospitals
title_short Determinants of hospital inefficiency. The case of Polish county hospitals
title_sort determinants of hospital inefficiency. the case of polish county hospitals
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8660014/
https://www.ncbi.nlm.nih.gov/pubmed/34403449
http://dx.doi.org/10.1371/journal.pone.0256267
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