The stochastic frontier analysis technique in measuring the technical and economic efficiency of hospital diagnostic laboratories: a case study in Iran

Abstract An inefficient health system wastes scarce resources even if it makes considerable gains in accountability and equity. Such a system is expected to perform better. Therefore, it is vital to examine the current performance of health systems and their constituents and assess how to reach thei...

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Main Authors: Siamak Aghlmand, Sadegh Feizollahzadeh, Behrouz Fathi, Hasan Yusefzadeh, Mina Alinejhad
Format: Article
Language:English
Published: BMC 2022-12-01
Series:Cost Effectiveness and Resource Allocation
Subjects:
Online Access:https://doi.org/10.1186/s12962-022-00406-8
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author Siamak Aghlmand
Sadegh Feizollahzadeh
Behrouz Fathi
Hasan Yusefzadeh
Mina Alinejhad
author_facet Siamak Aghlmand
Sadegh Feizollahzadeh
Behrouz Fathi
Hasan Yusefzadeh
Mina Alinejhad
author_sort Siamak Aghlmand
collection DOAJ
description Abstract An inefficient health system wastes scarce resources even if it makes considerable gains in accountability and equity. Such a system is expected to perform better. Therefore, it is vital to examine the current performance of health systems and their constituents and assess how to reach their maximum potential. This study aimed to evaluate the technical and economic efficiency of medical diagnostic laboratories in hospitals affiliated with Urmia University of Medical Sciences (UUMS) in 2016. In this descriptive-analytical study, data from diagnostic laboratories of the hospitals of UUMS have been inputted into Frontier4.1 software after taking the log of variables. Then, the technical and economic efficiency of the laboratories were obtained by estimating the production and cost function using the stochastic frontier analysis method, assuming input minimization for 2016. The mean technical and economic efficiency score of the diagnostic laboratories were determined to be 93.1% and 51.9%, respectively. These laboratories need to reduce their inputs and costs in order to achieve full efficiency without changing the amount of their output. Although the average economic efficiency of the diagnostic laboratories of the studied hospitals was high, there is still an increase in the efficiency of these units, given the cost of inputs at the time of allocating resources. In addition, it is possible to improve the technical efficiency of the clinical laboratories of hospitals affiliated with UUMS by 48.1% by applying the same level of inputs and without increasing the costs.
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spelling doaj.art-ca1a27bea04a49db831ffce75992f6552022-12-22T04:41:20ZengBMCCost Effectiveness and Resource Allocation1478-75472022-12-012011610.1186/s12962-022-00406-8The stochastic frontier analysis technique in measuring the technical and economic efficiency of hospital diagnostic laboratories: a case study in IranSiamak Aghlmand0Sadegh Feizollahzadeh1Behrouz Fathi2Hasan Yusefzadeh3Mina Alinejhad4Department of Health Economics and Management, School of Public Health, Urmia University of Medical SciencesDepartment of Medical Laboratory Sciences, School of Allied Medical Sciences, Solid Tumor Research Center, Cellular and Molecular Medicine research Institute, Urmia University of Medical SciencesDepartment of Health Economics and Management, School of Public Health, Urmia University of Medical SciencesDepartment of Health Economics and Management, School of Public Health, Urmia University of Medical SciencesDepartment of Health Economics and Management, School of Public Health, Urmia University of Medical SciencesAbstract An inefficient health system wastes scarce resources even if it makes considerable gains in accountability and equity. Such a system is expected to perform better. Therefore, it is vital to examine the current performance of health systems and their constituents and assess how to reach their maximum potential. This study aimed to evaluate the technical and economic efficiency of medical diagnostic laboratories in hospitals affiliated with Urmia University of Medical Sciences (UUMS) in 2016. In this descriptive-analytical study, data from diagnostic laboratories of the hospitals of UUMS have been inputted into Frontier4.1 software after taking the log of variables. Then, the technical and economic efficiency of the laboratories were obtained by estimating the production and cost function using the stochastic frontier analysis method, assuming input minimization for 2016. The mean technical and economic efficiency score of the diagnostic laboratories were determined to be 93.1% and 51.9%, respectively. These laboratories need to reduce their inputs and costs in order to achieve full efficiency without changing the amount of their output. Although the average economic efficiency of the diagnostic laboratories of the studied hospitals was high, there is still an increase in the efficiency of these units, given the cost of inputs at the time of allocating resources. In addition, it is possible to improve the technical efficiency of the clinical laboratories of hospitals affiliated with UUMS by 48.1% by applying the same level of inputs and without increasing the costs.https://doi.org/10.1186/s12962-022-00406-8HospitalDiagnostic laboratoryStochastic frontier analysisEconomic efficiency
spellingShingle Siamak Aghlmand
Sadegh Feizollahzadeh
Behrouz Fathi
Hasan Yusefzadeh
Mina Alinejhad
The stochastic frontier analysis technique in measuring the technical and economic efficiency of hospital diagnostic laboratories: a case study in Iran
Cost Effectiveness and Resource Allocation
Hospital
Diagnostic laboratory
Stochastic frontier analysis
Economic efficiency
title The stochastic frontier analysis technique in measuring the technical and economic efficiency of hospital diagnostic laboratories: a case study in Iran
title_full The stochastic frontier analysis technique in measuring the technical and economic efficiency of hospital diagnostic laboratories: a case study in Iran
title_fullStr The stochastic frontier analysis technique in measuring the technical and economic efficiency of hospital diagnostic laboratories: a case study in Iran
title_full_unstemmed The stochastic frontier analysis technique in measuring the technical and economic efficiency of hospital diagnostic laboratories: a case study in Iran
title_short The stochastic frontier analysis technique in measuring the technical and economic efficiency of hospital diagnostic laboratories: a case study in Iran
title_sort stochastic frontier analysis technique in measuring the technical and economic efficiency of hospital diagnostic laboratories a case study in iran
topic Hospital
Diagnostic laboratory
Stochastic frontier analysis
Economic efficiency
url https://doi.org/10.1186/s12962-022-00406-8
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