Abstract
The focus of the study is to analyses the efficiency of the public run hospitals in the eastern part of India and also provide an overview of the status of the service is being delivered regarding their operational efficiency. There is also a need to identify the various factors like bed turnover rate, bed occupancy rate, average length of stay, outpatient per bed day, the rate of major surgery performed, emergency admission rate, the rate of patients referred to another hospital, percentage of referring patients to total inpatient, physician to nurse ratio, etc., that’s affecting the efficiency and identify the correlation between these factors. For that non-parametric frontier techniques, Data Envelopment Analysis (DEA) has been utilized to assess and compare the efficiency of the public hospital systems of India. Results of DEA show that some of the hospitals are performing efficiently, and some of the hospitals are performing inefficiently. Whereas there is slack in beds, physicians and nurses in inefficient hospitals due to not utilize the input resources efficiently.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Hollingsworth, B.: Non-parametric and parametric applications measuring efficiency in health care. Health Care Manag. Sci. 6(4), 203–218 (2003)
Puig-Junoy, J.: Measuring health production performance in the OEDC. Appl. Econ. Lett. 85, 255–259 (1998)
Afonso, A., St Aubyn, M.: Non-parametric approaches to education and health efficiency in OECD countries. J. Appl. Econ. 8(2), 227–246 (2005)
Bhat, V.N.: Institutional arrangements and efficiency of health care delivery systems. Eur. J. Health Econ. 3, 215–222 (2005)
Retzlaff-Roberts, D., Chang, C.F., Rubin, R.M.: Technical efficiency in the use of health care resources: a comparison of OECD countries. Health Policy 69(1), 55–72 (2004)
Gerdtham, U.G., Rehnberg, C., Tambour, M.: The impact of internal markets on health care efficiency: evidence from health care reforms in Sweden. Appl. Econ. 31(8), 935–945 (1999)
Sahin, I., Ozcan, Y.A.: Public sector hospital efficiency for provincial markets in Turkey. J. Med. Syst. 24, 307–320 (2000)
Ramalho, E.A., Ramalho, J.J., Murteira, J.M.: Alternative estimating and testing empirical strategies for fractional regression models. J. Econ. Surv. 25(1), 19–68 (2011)
Färe, R., Grosskopf, S., Lindgren, B., Roos, P.: Productivity developments in Swedish hospitals: a Malmquist output index approach. In: Charnes, A., Cooper, W.W., Lewin, A.Y., Seiford, M.L. (eds.) Data Envelopment Analysis: Theory, Methodology and Applications, pp. 253–272. Kluwer Academic Publishers, Boston (1994)
Parkin, D., Hollingsworth, B.: Measuring production efficiency of acute hospitals in Scotland, 1991–94: validity issues in data envelopment analysis. Appl. Econ. 29(11), 1425–1433 (1997)
Grosskopf, S., Margaritis, D., Valdmanis, V.: Comparing teaching and non-teaching hospitals: a frontier approach (teaching vs. non-teaching hospitals). Health Care Manag. Sci. 4(2), 83–90 (2001)
Ferrier, G.D., Rosko, M.D., Valdmanis, V.G.: Analysis of uncompensated hospital care using a DEA model of output congestion. Health Care Manag. Sci. 9(2), 181–188 (2006)
Simões, P., Marques, R.C.: Performance and congestion analysis of the Portuguese hospital services. Cent. Eur. J. Oper. Res. 19(1), 39–63 (2011)
Clement, J.P., Valdmanis, V.G., Bazzoli, G.J., Zhao, M., Chukmaitov, A.: Is more better? An analysis of hospital outcomes and efficiency with a DEA model of output congestion. Health Care Manag. Sci. 11, 67–77 (2008)
Nayar, P., Ozcan, Y.A.: Data envelopment analysis comparison of hospital efficiency and quality. J. Med. Syst. 32(3), 193–199 (2008)
Navarro-Espigares, J.L., Torres, E.H.: Efficiency and quality in health services: a crucial link. Serv. Ind. J. 31(3), 385–403 (2011)
Harrison, J.P., Coppola, M.N., Wakefield, M.: Efficiency of federal hospitals in the United States. J. Med. Syst. 28(5), 411–422 (2004)
Ouellette, P., Vierstraete, V.: Technological change and efficiency in the presence of quasi-fixed inputs: a DEA application to the hospital sector. Eur. J. Oper. Res. 154(3), 755–763 (2004)
Chang, S.J., Hsiao, H.C., Huang, L.H., Chang, H.: Taiwan quality indicator project and hospital productivity growth. Omega 39(1), 14–22 (2011)
Hatami-Marbini, A., Tavana, M., Emrouznejad, A.: Productivity growth and efficiency measurements in fuzzy environments with an application to health care. Int. J. Fuzzy Syst. Appl. 2, 1–35 (2012)
Reynolds, D., Thompson, G.M.: Multiunit restaurant productivity assessment using three-phase data envelopment analysis. Int. J. Hosp. Manag. 26(1), 20–32 (2007)
Ozcan, Y. A.: Performance measurement using data envelopment analysis (DEA). In: Health Care Benchmarking and Performance Evaluation, pp. 15–47. Springer, US (2014)
Farrell, M.J.: The measurement of productive efficiency. J. R. Stat. Soc. Ser. A (Gen.) 120(3), 253–290 (1957)
Charnes, A., Cooper, W.W., Rhodes, E.: Measuring the efficiency of decision making units. Eur. J. Oper. Res. 2(6), 429–444 (1978)
Cooper, W.W., Ruiz, J.L., Sirvent, I.: Choosing weights from alternative optimal solutions of dual multiplier models in DEA. Eur. J. Oper. Res. 180(1), 443–458 (2007)
Banker, R.D., Charnes, A., Cooper, W.W.: Some models for estimating technical and scale inefficiencies in data envelopment analysis. Manag. Sci. 30(9), 1078–1092 (1984)
Bryce, C.L., Engberg, J.B., Wholey, D.R.: Comparing the agreement among alternative models in evaluating HMO efficiency. Health Serv. Res. 35(2), 509 (2000)
Hollingsworth, B., Street, A.: The market for efficiency analysis of health care organisations. Health Econ. 15(10), 1055–1059 (2006)
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG
About this paper
Cite this paper
Patra, A., Ray, P.K. (2018). Operational Efficiency Analysis of Public Hospital Systems of India: Application of Data Envelopment Analysis. In: Duffy, V., Lightner, N. (eds) Advances in Human Factors and Ergonomics in Healthcare and Medical Devices. AHFE 2017. Advances in Intelligent Systems and Computing, vol 590. Springer, Cham. https://doi.org/10.1007/978-3-319-60483-1_43
Download citation
DOI: https://doi.org/10.1007/978-3-319-60483-1_43
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-60482-4
Online ISBN: 978-3-319-60483-1
eBook Packages: EngineeringEngineering (R0)