scholarly journals Investigating the link between medical urgency and hospital efficiency – Insights from the German hospital market

2020 ◽  
Vol 23 (4) ◽  
pp. 649-660
Author(s):  
Annika Maren Schneider ◽  
Eva-Maria Oppel ◽  
Jonas Schreyögg
Keyword(s):  
Healthcare Expenditure ◽  
Negative Relationship ◽  
Hospital Efficiency ◽  
Data Envelopment ◽  
Truncated Regression ◽  
Hospital Market ◽  
Double Bootstrap ◽  
Linear Effects ◽  
The Relationship ◽  
Urgency Score

AbstractWith hospital budgets remaining tight and healthcare expenditure rising due to demographic change and advances in technology, hospitals continue to face calls to contain costs and allocate their resources more efficiently. In this context, efficiency has emerged as an increasingly important way for hospitals to withstand competitive pressures in the hospital market. Doing so, however, can be challenging given unpredictable fluctuations in demand, a prime example of which are emergencies, i.e. urgent medical cases. The link between medical urgency and hospitals’ efficiency, however, has been neglected in the literature to date. This study therefore aims to investigate the relationship between hospitals’ urgency characteristics and their efficiency. Our analyses are based on 4094 observations from 1428 hospitals throughout Germany for the years 2015, 2016, and 2017. We calculate an average urgency score for each hospital based on all cases treated in that hospital per year and also investigate the within-hospital dispersion of medical urgency. To analyze the association of these urgency measures with hospitals’ efficiency we use a two-stage double bootstrap data envelopment analysis approach with truncated regression. We find a negative relationship between the urgency score and hospital efficiency. When testing for non-linear effects, the results reveal a u-shaped association, indicating that having either a high or low overall urgency score is beneficial in terms of efficiency. Finally, our results reveal that higher within-hospital urgency dispersion is negatively related to efficiency.

Systematic Review: Penilaian Efisiensi Rumah Sakit dengan Metode Data Envelopment Analysis (DEA)

2021 ◽  
Vol 10 (04) ◽  
pp. 258-268
Author(s):  
Pantri Widyastuti ◽  
Atik Nurwahyuni
Keyword(s):  
Systematic Review ◽  
Data Envelopment Analysis ◽  
Hospital Efficiency ◽  
Data Envelopment ◽  
Truncated Regression ◽  
Tobit Regression

Dalam sistem kesehatan yang berkembang saat ini, efisiensi merupakan hal yang utama. Pengukuran efisiensi bermanfaat untuk pemerintah maupun swasta untuk dapat mengambil keputusan yang berhubungan dengan tinggi rendahnya biaya perawatan di rumah sakit. Penelitian ini bertujuan untuk mengkaji metode Data Envelopment Analysis (DEA) yang digunakan dalam berbagai penelitian dalam pengukuran efisiensi rumah sakit. Desain penelitian yang digunakan adalah dengan sistematic review dengan metode PRISMA tanpa meta analisis. Sumber data didapatkan dari Proquest, Sciencedirect dan Pubmed pada tahun 2019 hingga 2020. Pencarian data dilakukan pada bulan Oktober 2020 dengan kata kunci Hospital Efficiency dan Data Envelopment Analysis. Hasilnya adalah penilaian efisiensi rumah sakit menggunakan metode DEA lebih banyak dilakukan dengan analisa dua tahap menggunakan tobit regression atau truncated regression. Perhitungan index malmquist juga banyak digunakan setelah perhitungan DEA dilakukan untuk melihat efisiensi rumah sakit dalam periode waktu tertentu.

scholarly journals AN EMPIRICAL ANALYSIS OF ADMINISTRATIVE ECONOMIC EFFICIENCY IN SABAH LOCAL GOVERNMENT: A DEA APPLICATION

2020 ◽  
Vol 2 (2) ◽  
pp. 74
Author(s):  
Siew King Ting ◽  
Brian Dollery ◽  
Rene Villano
Keyword(s):  
Local Government ◽  
Urban Population ◽  
Negative Relationship ◽  
Environmental Variable ◽  
Government Reform ◽  
Data Envelopment ◽  
Policy Recommendations ◽  
Double Bootstrap ◽  
Dea Method ◽  
Performance Gains

Malaysian local government reform has been addressed through various public policies aimed at improving its performance over the decades. An important question which arises is whether these technological and management programs have translated into performance gains, particularly in the corporate centres of local authorities (LAs). Using a panel data of two inputs and four outputs from 2000 to 2012, a two-stage double bootstrap Data Envelopment Analysis (DEA) method is employed to estimate administrative technical efficiency (TE) in the corporate centres of 17 LAs in the Malaysian state of Sabah. The results showed an overall inadequate mean of TE scores and minor fluctuations in TE scores over the years under analysis, illustrating the rigidity of management performance. On average, the LAs recorded TE scores of 0.52, which implied that the LAs should be able to increase output by 48% while maintaining the same amount of input. The big urbanLAs performed better with the TE scores of 0.60; while the small urban LAs recorded lower TE scores of 0.43. Further analysis demonstrated that the environmental variable, urban population bore a negative relationship to the TE scores. Several public policy recommendations are proposed.

scholarly journals Operational Efficiency of Mexican Water Utilities: Results of a Double-Bootstrap Data Envelopment Analysis

Water ◽  
2020 ◽  
Vol 12 (2) ◽  
pp. 553 ◽  
Author(s):  
Jose Humberto Ablanedo-Rosas ◽  
Aaron Guerrero Campanur ◽  
Elias Olivares-Benitez ◽  
Jacqueline Y. Sánchez-García ◽  
Juan Enrique Nuñez-Ríos
Keyword(s):  
Distribution Function ◽  
Data Envelopment Analysis ◽  
Research Method ◽  
Operational Efficiency ◽  
Water Utilities ◽  
Data Envelopment ◽  
Truncated Regression ◽  
Context Variable ◽  
Context Variables ◽  
Double Bootstrap

The objective of this paper is to estimate the operational efficiency of Mexican water utilities and identify the context variables that impact their efficiency. In particular, a bootstrap data envelopment analysis (DEA) and a bootstrap truncated regression analysis are combined in a two-stage research method. In the first stage, an input-oriented DEA model is used to determine bootstrap efficiency scores. Then, the corrected distribution function of the efficiency scores is used to estimate a truncated regression which is aimed to identify the significant influential context variables. Three categorical and two continuous context variables are considered in the analysis. Results show that only one context variable has a significant impact on the water utilities efficiency scores. Managerial recommendations are drawn from the analysis. It is suggested that water utilities continue or implement wastewater treatment, persist in decreasing and controlling leakage across the distribution network, and maximizing sewer coverage.

scholarly journals Application of the DEA Double Bootstrap to Analyze Efficiency in Galician Sheltered Workshops

2020 ◽  
Vol 12 (16) ◽  
pp. 6625 ◽  
Author(s):  
María-Celia López-Penabad ◽  
José Manuel Maside-Sanfiz ◽  
Juan Torrelles Manent ◽  
Ana Iglesias-Casal
Keyword(s):  
Economic Value ◽  
Point Of View ◽  
Social Enterprises ◽  
Data Envelopment ◽  
Truncated Regression ◽  
Social Efficiency ◽  
Sheltered Workshops ◽  
Explanatory Variables ◽  
Double Bootstrap ◽  
The Subject

Sheltered workshops (SW), as social enterprises, need to be efficient and maintain a balance between social aspects and economic prosperity. An important part of research on the subject has been focused on measuring the economic value created by these entities. In this study, we analyzed performance of SWs in Galicia (Spain), from the point of view of efficiency, combining social and economic aspects and investigating its key determinants. Using panel data from 609 entities from 2008 to 2017, we followed Simar and Wilson’s two-stage approach (2007). Specifically, we used data envelopment analysis (DEA) at the first stage to estimate efficiency scores and then used truncated regression estimation with double-bootstrap to test the significance of explanatory variables. Our results show that SWs have high levels of performance, higher in economic than in social terms, and we found that several factors, such as size and age, positively influence total, economic and social efficiency individually. We also found a positive, significant relationship between social efficiency and economic profitability.

Efficiency in the Provision of Public Municipal Cultural Facilities

2014 ◽  
Vol 12 (2) ◽  
pp. 163-191 ◽  
Author(s):  
Bernardino Benito ◽  
José Solana ◽  
María-Rocío Moreno
Keyword(s):  
Financial Resources ◽  
The Political ◽  
Data Envelopment ◽  
Categorical Variable ◽  
Truncated Regression ◽  
Significant Relation ◽  
The Public ◽  
Second Stage ◽  
Final Sample ◽  
Double Bootstrap

Recent years have seen a wealth of studies on Cultural Economics, in line with the importance of the economic performance of the public sector. In this context, the two-stage double bootstrap procedure of Simar and Wilson (2007) has been used to estimate the efficiency determinants of Spanish local entities in the management of culture oriented public infrastructures, given the limited financial resources available to these entities. The final sample comprises 1,159 municipalities. In the first stage, technical efficiency is estimated by Data Envelopment Analysis (DEA) and, based on a truncated-regression, the resulting efficiency estimates are regressed on a group of 10 selected environmental variables in a second stage. We have also considered the influence of a dummy categorical variable –the political sign of the governing party– on the efficient provision of the facilities under study. The results show the existence of a significant relation between efficiency and all the variables except two: unemployment rate and political strength. Our results also show that municipalities governed by conservatives parties are more efficient.

Risk Attitude and Corporate Investment under Output Market Uncertainty: Evidence from The Mekong River Delta, Vietnam

2016 ◽  
pp. 59-70
Author(s):  
Ninh Le Khuong ◽  
Nghiem Le Tan ◽  
Tho Huynh Huu
Keyword(s):  
Negative Relationship ◽  
Risk Attitude ◽  
Business Strategies ◽  
Risk Averse ◽  
Market Uncertainty ◽  
Firm Investment ◽  
Output Market ◽  
The Impact ◽  
The Relationship

This paper aims to detect the impact of firm managers’ risk attitude on the relationship between the degree of output market uncertainty and firm investment. The findings show that there is a negative relationship between these two aspects for risk-averse managers while there is a positive relationship for risk-loving ones, since they have different utility functions. Based on the findings, this paper proposes recommendations for firm managers to take into account when making investment decisions and long-term business strategies as well.

Relationship of Organizational Citizenship Behavior and Production Deviance: Role of Perceived Organizational Politics

2019 ◽  
Vol 34 (2) ◽  
pp. 367-382
Author(s):  
Irsa Fatima Makhdoom ◽  
Mohsin Atta ◽  
Najma Iqbal Malik
Keyword(s):  
Organizational Citizenship ◽  
Organizational Citizenship Behavior ◽  
Negative Relationship ◽  
Civic Virtue ◽  
Organizational Politics ◽  
Work Behavior ◽  
Citizenship Behavior ◽  
Production Deviance ◽  
Relationship Of ◽  
The Relationship

The present study was an endeavor to extend the literature of perceived organizational politics by examining its moderating role between the relationship of organizational citizenship behavior and production deviance. Organizational Citizenship Behavior Scale (Mackenzie, Podsakoff, & Paine, 1999), Production Deviance sub-scale of Counterproductive Work Behavior Checklist-32 (Spector et al., 2006), and Perception of Organizational Politics Scale (Kacmar & Carlson, 1997) were used in present study. Hierarchical regression analyses revealed that low levels of perceived organizational politics moderated the relationship between courtesy and production deviance by strengthening the negative relationship of these behaviors while perceived organizational politics did not act as a moderator for the relationship of civic virtue and conscientiousness with production deviance. High level of go-along-to-get-ahead as a moderator strengthened the relationship of civic virtue and conscientiousness with production deviance and its low level was found to be moderating the relationship between courtesy and production deviance. Future implications of the study were also discussed.

Work Stress and Organisational Citizenship Behaviours (OCBs) in Call Centers Employees

2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Sunita ◽  
Urvashi Singh ◽  
Shalini Singh ◽  
Rajnee Sharma
Keyword(s):  
Negative Impact ◽  
Call Centers ◽  
Negative Relationship ◽  
Married Couples ◽  
Call Centre ◽  
Simple Correlation ◽  
Nuclear Families ◽  
Set Up ◽  
Stress At Work ◽  
The Relationship

The present study was conducted to examine the relationship between organisational stress and organisational citizenship behaviours (OCBs) in employees of call centers. The study also further explored as how stress at work set-up has negative impact on OCBs. A sample of 250 employees working in call centre of Gurgaon belonging to an age group of 25-30 years were selected on availability basis. All were working married couples living in nuclear families. Job stress survey (Spielberger & Vagg, 1999) and Organisational Citizenship Behaviour (Bateman & Organ, 1983) were administered. Data was analysed by using simple correlation and multiple regression. Results showed the negative relationship between organisational stress and OCBs. Results of regression analysis also exhibited the negative impact of stress on OCBs. The implications for the employees are discussed.

The Relationship Among Job Satisfaction, Oreganizational Commitiment and Employees’ Turnover at Unilever Corporation in Nigeria

2017 ◽  
Vol 5 (1) ◽  
pp. 370
Author(s):  
Chiemeke Kingsley Chiedu ◽  
Choi Sang Long ◽  
Hapriza BT Ashar
Keyword(s):  
Job Satisfaction ◽  
Organizational Commitment ◽  
Organizational Performance ◽  
Employee Turnover ◽  
Turnover Intentions ◽  
Pearson Correlation ◽  
Negative Relationship ◽  
Survey Method ◽  
Employee Turnover Intentions ◽  
The Relationship

Employee turnover has become a key performance indicator for many organizations as they struggle to retain talented employees. The negative impact of turnover on organizational performance has continually forced organizational leaders to seek better ways of retaining valuable employees. The relationship between man and work has always attracted the attention of philosophers. A major part of men’s life is spent at work. Work is social reality and social expectation to which men seem to conform. It not only provides status to the individual but also binds him to the society. An employee who is satisfied with his job would perform his duties well and be committed to his job, and subsequently to his organization. This paper examines relationship among job satisfaction, organizational commitment and employees’ turnover intentions at Unilever Corporation in Nigeria. The data for this study was collected from 117 employees currently working at Unilever Nigeria PLC using the survey method via the questionnaire. Pearson Correlation and the multiple regression analysis techniques using the SPSS version 22.0 was used for the data analysis. The findings of the study revealed that both job satisfaction and organizational commitment have significant negative relationship with employee turnover intentions. In addition, organizational commitment was revealed to have a more dorminant influence on employee turnover intentions than job satisfaction. Based on these findings, the implications, recommendations, practice, and theory were discussed.

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