文章基本信息

标题：Hospital efficiency:how to spend less maintaining quality?
本地全文：下载
作者：Paolo Campanella ; Elena Azzolini ; Alessio Izzi 等
期刊名称：Annali dell'Istituto Superiore di Sanita
印刷版ISSN：0021-2571
出版年度：2017
卷号：53
期号：1
页码：46-53
DOI：10.4415/ANN_17_01_10
出版社：Editrice Kurtis Srl
摘要：Introduction. The recent global economic crisis is pushing governments worldwide toobtain a more explicit and urgent rationing of resources. The purpose of this study is toprovide, through Data Envelopment Analysis (DEA), a methodological framework usefulfor investigating technical efficiency of hospital care.Methods. To validate such framework, we compared 50 Italian public hospital trusts(AOs) to identify relative efficient using inputs and outputs from national databases. Wealso evaluated if, and how, efficiency is affected by various exogenous factors.Results. On average, Italian AOs had an efficiency score of 77% (SD 0.12). Tobit regressionmodel identified a positive association between efficiency and a lower case-mixindex, being in the north of Italy, in a region with fiscal autonomy, with a higher publicand a lower private expenditure on health as percentage of GDP.Conclusions. DEA may provide useful and especially objective information regardingthe technical efficiency of hospital care and support hospital management and policymakers’ decisions.
关键词：hospital care; technical efficiency; Data Envelopment;Analysis; Italy