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

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 bef...

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Main Authors: Tongying Jia, Huiyun Yuan
Format: Article
Language:English
Published: BMC 2017-04-01
Series:BMC Health Services Research
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12913-017-2203-6
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author Tongying Jia
Huiyun Yuan
author_facet Tongying Jia
Huiyun Yuan
author_sort Tongying Jia
collection DOAJ
description 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.
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spelling doaj.art-1af4c12d92f54ff0a9f2dc23f721dbc62022-12-21T18:47:33ZengBMCBMC Health Services Research1472-69632017-04-011711810.1186/s12913-017-2203-6The application of DEA (Data Envelopment Analysis) window analysis in the assessment of influence on operational efficiencies after the establishment of branched hospitalsTongying Jia0Huiyun Yuan1Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong UniversityRen Ji Hospital, School of Medicine, Shanghai Jiao Tong UniversityAbstract 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.http://link.springer.com/article/10.1186/s12913-017-2203-6DEA window analysisMulti-campuses hospitalPublic hospitalChina
spellingShingle Tongying Jia
Huiyun Yuan
The application of DEA (Data Envelopment Analysis) window analysis in the assessment of influence on operational efficiencies after the establishment of branched hospitals
BMC Health Services Research
DEA window analysis
Multi-campuses hospital
Public hospital
China
title The application of DEA (Data Envelopment Analysis) window analysis in the assessment of influence on operational efficiencies after the establishment of branched hospitals
title_full The application of DEA (Data Envelopment Analysis) window analysis in the assessment of influence on operational efficiencies after the establishment of branched hospitals
title_fullStr The application of DEA (Data Envelopment Analysis) window analysis in the assessment of influence on operational efficiencies after the establishment of branched hospitals
title_full_unstemmed The application of DEA (Data Envelopment Analysis) window analysis in the assessment of influence on operational efficiencies after the establishment of branched hospitals
title_short The application of DEA (Data Envelopment Analysis) window analysis in the assessment of influence on operational efficiencies after the establishment of branched hospitals
title_sort application of dea data envelopment analysis window analysis in the assessment of influence on operational efficiencies after the establishment of branched hospitals
topic DEA window analysis
Multi-campuses hospital
Public hospital
China
url http://link.springer.com/article/10.1186/s12913-017-2203-6
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