3.8 Article

Analysis of the effect of patients' health status on efficiency: Application of data envelopment analysis in healthcare

Journal

HEALTH SERVICES MANAGEMENT RESEARCH
Volume 36, Issue 1, Pages 2-9

Publisher

SAGE PUBLICATIONS LTD
DOI: 10.1177/09514848211065464

Keywords

efficiency; health economics; health service management; health services research; management; performance evaluation

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The effective and efficient operation of public healthcare systems is crucial and requires accurate efficiency information. This study evaluates the efficiency of in-patient rehabilitation units in Hungary, focusing on those attending to stroke or acquired brain injury patients. The novelty of the method lies in considering the change in patients' functional status.
The effective and efficient operation of public healthcare systems is more and more important as a consequence of the increasing amount of money spent on their operation. For this reason, accurate and science-based efficiency information is needed for managers and healthcare policy makers. The evaluation of the efficiency in this sector is particularly difficult because several measures and indicators are used. Data envelopment analysis (DEA) can provide aggregate and overall measures of efficiency. The purpose of this paper is the examination of the efficiency of in-patient rehabilitation units curing musculoskeletal disorders in Hungary. The research presented focuses on rehabilitation units which attend to patients recovering from stroke or other acquired brain injuries. Output-oriented, slack-based DEA models are applied for the evaluation of in-patient rehabilitation units using data of a national survey. The novelty of the method presented is the consideration of the change in patients' functional status when efficiency is evaluated using DEA.

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