scholarly journals Measuring Efficiency of Public Hospitals in Iran: A Comparative Study Using Extended Data Envelopment Analysis, 2012-2016

2020 ◽  
Author(s):  
Efat Mohamadi ◽  
Amirhossein Takian ◽  
Alireza Olyaee Manesh ◽  
Reza Majdzadeh ◽  
Farhad Hosseinzadeh Lotfi ◽  
...  

Abstract Background: Aiming to enhance quality of care and increase efficiency, public hospitals have undergone several reforms in the course of last two decades in Iran. This paper reports the result of a national research that aimed to measure the technical efficiency and productivity change of public hospitals during 2012-2016 in Iran. Methods: We used Extended Data Envelopment Analysis (Extended-DEA) (an innovative modification to conventional DEA) to measure technical efficiency and productivity of 568 public hospitals. Nationally representative data were extracted from the official annual health reports. Data were analysed using GAMS software 24.3. Results: The average efficiency score of all hospitals was 0.733. 10.1% of all hospitals were efficient while 2.68% of them were under 0.2. The Malmquist Productivity Index (MPI) progressed in 49.3% of hospitals, remained constant in 2.3%, while 48.2% of hospitals regressed during 2015-2016. The average of MPI was 1.07 over the period of analysis. Conclusions: Extra efforts seem to be essential to enhance the efficient use of resources and develop appropriate policy solutions and tools. In particular, to increase the return to scale, we advocate the merger of small-size district hospitals towards establishing bigger efficient hospitals in various geographical regions across the country.

2015 ◽  
Vol 6 (1) ◽  
pp. 25-33 ◽  
Author(s):  
Joanna Baran ◽  
Aleksandra Górecka

Abstract Seaport efficiency and productivity are the critical factors for handling of goods in the international supply chains and plays an important role in trade exchange with other countries. It is important to evaluate efficiency and productivity of seaports to reflect their status and reveal their position in competitive environment. The main purpose of this article is to use Data Envelopment Analysis and Malmquist Productivity Index to measure the technical efficiency and total factor productivity of container ports. DEA analysis enables one to assess how efficiently a seaports uses the available inputs to generate a set of outputs relative to other units in the data set. This article presents the use CCR and BCC DEA model, to determine overall technical efficiency, pure technical efficiency and scale efficiency of container ports. The analysis gives a possibility to create a efficiency ranking of seaports. The study also applies the Malmquist Productivity Index (MPI), which was used to analyze changes in seaports productivity. The study indicated that technological progress had a greater impact on the change in productivity of container ports than changes in technical efficiency.


Energies ◽  
2020 ◽  
Vol 13 (18) ◽  
pp. 4902
Author(s):  
Biswaranjita Mahapatra ◽  
Chandan Bhar ◽  
Sandeep Mondal

Coal is the primary source of energy in India. Despite being the second-largest coal-producingcountry, there exists a significant difference in demand and production in India. In this study, the relativeefficiency of twenty-eight selected opencast mines from a large public sector undertaking coal companyin India for 2018–2019 was assessed and ranked by using data envelopment analysis (DEA). This studyused input-oriented DEA with efficiency decomposition to pure technical efficiency, technical efficiency,and scale efficiency. The result showed that 25% and 36% of mines were efficient in technical efficiencyand pure technical efficiency, respectively, whereas the eight mines scale efficiency was inefficient witha decreasing return to scale. Further, in this study, theMalmquist Productivity Index (MPI)was employedto measure the efficiency of the selected mines for three consecutive years (2016–2017 to 2018–2019).The result shows that in only three mines the efficiency is continuously improving from 2016–2017 to2018–2019, whereas in more than 20% of mines the efficiency score is decreasing. Comparing theMPIefficiency and productivity assessment throughout the years, changes in innovation and technology areincreasing from 2017–2018 to 2018–2019. Finally, the study concluded with a comprehensive evaluationof each variable with mines performance. The author formulated the strategies, which in turn help coalprofessionals to improve the efficiency of the mine.


2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Slađana Savović ◽  
Predrag Mimović

PurposeThe purpose of this paper is to explore the effects of cross-border acquisitions on the efficiency and productivity of acquired companies in the cement industry in the context of a transitional economy.Design/methodology/approachThe Data Envelopment Analysis (DEA) and Malmquist Productivity Index were used to assess the efficiency and productivity of the acquired companies over the period 2000–2018. DEA and Malmquist index are combined with bootstrapping to perform succinct statistical inferences for determining the accuracy of results. The study assesses partial efficiency and productivity of three inputs: material, capital and labour, as well as the total factor efficiency and productivity of the acquired companies in the short and long term after the acquisitions.FindingsThe research results suggest that efficiency of material, efficiency of labour and the total factor efficiency of the acquired companies are higher after the acquisitions than before, while efficiency of capital is lower. In addition, the results show that the acquisitions had a positive impact on total factor productivity of the acquired companies.Practical implicationsThe results of this study have practical implications for managers, especially for policy-makers and industry analysts in deciding whether to encourage or discourage cross-border acquisitions in transitional economies.Originality/valueThe study contributes to a better understanding of the impact of cross-border acquisitions on efficiency and productivity of acquired companies in the manufacturing industry. Research in transitional economies related to subject matter is limited, and this study is the first empirical investigation of the effect of cross-border acquisitions on the efficiency and productivity in the cement industry in Serbia by applying the Data Envelopment Analysis.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Luca Piubello Orsini ◽  
Chiara Leardini ◽  
Silvia Vernizzi ◽  
Bettina Campedelli

Abstract Background The objective of this study was to assess public hospital efficiency, including quality outputs, inefficiency determinants, and changes to efficiency over time, in an Italian region. To achieve this aim, the study used secondary data from the Veneto region for the years 2018 and 2019. Methods A nonparametric approach—that is, multistage data envelopment analysis (DEA)—was applied to a sample of 43 hospitals. We identified three categories of input: capital investments (Beds), labor (FTE), operating expenses. We selected five efficiency outputs (outpatient visits, inpatients, outpatient visit revenue, inpatient revenue, bed occupancy rate) and two quality outputs (mortality rate and inappropriate admission rate). Efficiency scores were estimated and decomposed into two components. Slack analysis was then conducted. Further, DEA efficiency scores were regressed on internal and external variables using a Tobit model. Finally, the Malmquist Productivity Index was applied. Results On average, the hospitals in the Veneto region operated at more than 95% efficiency. Technical and scale inefficiencies often occurred jointly, with 77% of inefficient hospitals needing a downsizing strategy to gain efficiency. The inputs identified as needing significant reductions were full-time employee (FTE) administrative staff and technicians. The size of the hospital in relation to the size of the population served and the length of patient stay were important factors for the efficiency score. The major cause of decreased efficiency over time was technical change (0.908) rather than efficiency change (0.974). Conclusions The study reveals improvements that should be made from both the policy and managerial perspectives. Hospital size is an important feature of inefficiency. On average, the results show that it is advisable for hospitals to reorganize nonmedical staff to enhance efficiency. Further, increasing technology investment could enable higher efficiency levels.


2021 ◽  
Vol 14 (12) ◽  
pp. 111
Author(s):  
Jui-Lung Chen

Data envelopment analysis (DEA) is widely used to measure the business efficiency of many industries, among which the Taiwanese machine tool industry is well-known for its complete supply-chain system. Relying on DEA and Malmquist Productivity Index to analyze the business efficiency of Taiwanese listed machine tool manufacturers from 2018 to 2019, this study compared the changes in their business efficiencies and productivities. According to the five change indicators of Malmquist, only the technical efficiency, pure technical efficiency, and scale efficiency of the overall industry posted some growth during the research period, showing that the whole industry is actively improving its technical efficiency and striving to achieve the scale efficiency. However, technical change and total factor productivity declined slightly, indicating that the industry still makes more technical progress. Thus, companies should adjust their inputs and outputs to improve the production boundary for technical progress. The purposes of this study are to identify the success factors of the excellent performance of manufacturers and the benchmarking indicators of the decision-making unit on the efficient frontier results to provide some references for formulating future business strategies and direction.


2021 ◽  
Author(s):  
Mohamad Yousefi Nayer ◽  
Aliakbar Fazaeli ◽  
Yadollah Hamidi

Abstract Objective The optimal hospital performance and optimal use of resources are among the goals of healthcare policymakers. This study aimed to assess the association between hospital size and hospital area population with technical efficiency in public hospitals . Methods In this descriptive-analytical study, the statistical population consisted of 15 public hospitals in the west of Iran. First, the data envelopment analysis (DEA) method was used to evaluate technical efficiency. Data inputs included staff and beds, and data outputs consisted of the number of surgeries, the number of patients, and the average length of stay. Then, according to the public ownership of all hospitals, their educational and therapeutic activities, as well as their size and population were considered as the environmental factor affecting efficiency. Thus, Tobit regression was applied to measure their effects on efficiency. Results The average technical efficiency of the studied hospitals, the average management efficiency, and the average efficiency of the scale were 0.933, 0.951, and 0.977, respectively. Out of the total evaluated hospitals, six and nine hospitals had an efficiency of less than one and one, respectively. Moreover, the size of the hospital and the population as the environment variable were significant in the Tobit model. Our regression demonstrated that although the size of the hospital is positively associated with its technical efficiency, the hospital population negatively affects hospital efficiency. Conclusion According to the size and area population of the hospitals, they decrease their inputs to maximize their efficacy by optimizing their surplus amounts. It would be possible for policy-makers to examine the least efficient hospitals to correct widespread inefficiency.


2018 ◽  
Vol 25 (9) ◽  
pp. 3570-3591 ◽  
Author(s):  
Aradhana Vikas Gandhi ◽  
Dipasha Sharma

Purpose The purpose of this paper is to ascertain the performance of Indian hospitals in recent past and derive meaningful insights for policy makers and practicing managers in this area. Design/methodology/approach This paper analyses the technical efficiency of select Indian private hospitals using three related methodologies: data envelopment analysis (DEA), Malmquist Productivity Index (MPI) and Tobit regression. Two output variables (i.e. total income and profit after tax) and four input variables (i.e. cost of labour, net fixed assets, current assets and other operating expenses) were selected for the purpose of the study. Findings DEA analysis has shown that 14 out of 37 hospitals are found to be efficient under the Cooper and Rhodes model of DEA and 20 out of 37 hospitals are efficient under the Banker, Charles and Cooper model of DEA. The empirical results pertaining to MPI indicate an overall productivity progress in the private Indian hospital industry during the study period, which is largely due to technological advancement in the industry. Tobit regression demonstrates that chain affiliated, specialized and multi-city located hospitals exhibit a higher technical efficiency. Research limitations/implications This study has a limitation with reference to the unavailability of data on the input and output parameters of the model. The data related to the number of beds, number of doctors, number of nurses, etc., were not available for the period under consideration. Originality/value This study seems to be one of the few studies applying productivity and performance analysis using DEA, MPI and Tobit regression for the Indian private hospital industry.


PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0255851
Author(s):  
Sufang Zheng ◽  
Rabnawaz Khan

As a new business form of international trade and electronic commerce, e-commerce has been a controversial topic that has attracted the attention of scholars and industry professionals. This study estimated the operating efficiency and total factor productivity (TFP) of listed e-commerce firms in China from 2015 to 2019. Three related methodologies were applied: data envelopment analysis (DEA), the Malmquist TFP index, and stochastic frontier analysis. The DEA analysis results showed that environmental variables exerted a substantial effect on technical efficiency. Most firms demonstrated effective technical efficiency after adjustment for input variables. Business-to-business firms had the highest operating efficiency, followed by business-to-consumer and production-to-consumer firms. Technical progress and scale were identified as two major factors affecting improvement in TFP. Hence, e-commerce firms should make full use of advanced technology and aim to achieve economies of scale.


2018 ◽  
Vol 3 (3) ◽  
pp. 69-82 ◽  
Author(s):  
Selvia Rustyani ◽  
Suherman Rosyidi

This study aims to measure the level of efficiency and productivity of zakat institutions in Indonesia.Quantitative research using the methods of Data Envelopment Analysis (DEA) and the Malmquist Productivity Index (MPI). There are six Amil Zakat (LAZ) institutions in Indonesia, namely Yayasan Dana SosialAl-Falah (YDSF), Al-Azhar Peduli Ummat, Aksi Cepat Tanggap (ACT), Yayasan Rumah Yatim Arrohman Indonesia,Pos Kemanusiaan Peduli Ummat (PKPU), and Rumah Zakat Indonesia, with 2014–2016 annual data as the number of DMUs (decision making units). This study uses an intermediation approach in determining the variables.The input variables of this research are Collected Funds (X1), Total Costs (X2), and Amil Acceptance (X3), while the Output variables are Funds Distributed (Y1) and Total Assets (Y2).There were two LAZs that experienced inefficiencies in 2014 and 2015, namely LAZ YDSF and ACT. Meanwhile, in 2016, all LAZs achieved optimal levels of efficiency. The results of the MPI analysis show that in the first year two LAZs experienced a decline in productivity, namely LAZ Al-Azhar and PKPU. The other four LAZs sawan increase in productivity, namely LAZ YDSF, ACT, Rumah Yatim, and Rumah Zakat. In the second year, three LAZsexperienced a rise in productivity, namely LAZ Al-Azhar, PKPU, and Rumah Zakat, while the other three LAZs experienced a decrease in productivity, namely LAZ YDSF, ACT, and Rumah Yatim.


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