Assessing the Overall Technical Efficiency, Pure Technical Efficiency, and Scale Efficiency of United States Department of Defense Hospitals.

IF 2.7 4区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Risk Management and Healthcare Policy Pub Date : 2024-12-21 eCollection Date: 2024-01-01 DOI:10.2147/RMHP.S491139

Dongjin Oh, Keon-Hyung Lee, Donwe Choi

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引用次数: 0

Abstract

Introduction: This study aims to evaluate US Department of Defense hospital efficiency.

Methods: Drawing on the American Hospital Association's annual survey data, the study employs data envelopment analysis, slack analysis, and the Malmquist Productivity Index to identify the differences in hospital efficiency between Air Force, Army, and Navy hospitals as well as the trends of their efficiency from 2010 to 2021.

Results: US Department of Defense hospitals operated inefficiently from 2010 to 2021, although the average technical efficiency of all DOD hospitals increased slightly during this period. The inefficiency of all US Department of Defense hospitals may be due to the lack of pure technical efficiency rather than the suboptimal scale. However, as the efficiency trends in Navy hospitals differ from those in Army and Air Force hospitals, we should be careful in addressing the inefficiency of each type of US Department of Defense hospital.

Conclusion: Informed by the findings, this study enhances our understanding of US Department of Defense hospital efficiency and the policy implications, offering practical advice to healthcare policymakers, hospital executives, and managers on managing military hospitals.

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美国国防部医院整体技术效率、纯技术效率和规模效率评估

本研究旨在评估美国国防部医院的效率。方法：利用美国医院协会年度调查数据，采用数据包络分析、松弛分析和Malmquist生产力指数，对2010 - 2021年空军、陆军和海军医院的医院效率差异及趋势进行分析。结果：2010 - 2021年，美国国防部各医院的平均技术效率略有提高，但运行效率较低。美国国防部所有医院的低效率可能是由于缺乏纯粹的技术效率，而不是由于规模不理想。然而，由于海军医院的效率趋势与陆军和空军医院不同，我们应该谨慎处理美国国防部各类型医院的低效率问题。结论：根据研究结果，本研究增强了我们对美国国防部医院效率及其政策影响的理解，为医疗保健政策制定者、医院高管和管理人员管理军队医院提供了实用建议。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Risk Management and Healthcare Policy Medicine-Public Health, Environmental and Occupational Health

CiteScore

6.20

自引率

2.90%

发文量

242

审稿时长

16 weeks

期刊介绍： Risk Management and Healthcare Policy is an international, peer-reviewed, open access journal focusing on all aspects of public health, policy and preventative measures to promote good health and improve morbidity and mortality in the population. Specific topics covered in the journal include: Public and community health Policy and law Preventative and predictive healthcare Risk and hazard management Epidemiology, detection and screening Lifestyle and diet modification Vaccination and disease transmission/modification programs Health and safety and occupational health Healthcare services provision Health literacy and education Advertising and promotion of health issues Health economic evaluations and resource management Risk Management and Healthcare Policy focuses on human interventional and observational research. The journal welcomes submitted papers covering original research, clinical and epidemiological studies, reviews and evaluations, guidelines, expert opinion and commentary, and extended reports. Case reports will only be considered if they make a valuable and original contribution to the literature. The journal does not accept study protocols, animal-based or cell line-based studies.