Optimising efficiency and patient-centredness in general hospitals: insights from data envelopment and matrix analysis.

IF 1.7 4区医学 Q3 HEALTH POLICY & SERVICES

Journal of Health Organization and Management Pub Date : 2025-01-21 DOI:10.1108/JHOM-07-2024-0302

Hyunseo Lee, Minsung Sohn, Mankyu Choi

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引用次数: 0

Abstract

Purpose: Medical institutions face management challenges from intense competition and an unclear link between patient-centredness and profitability. This study examined the association between efficiency and patient-centredness in general hospitals and identified management strategies to optimise both.

Design/methodology/approach: Data from the 2021 patient experience evaluation by the Health Insurance Review and Assessment Service and financial statements from the Korea Health Industry Development Institute for general hospitals in South Korea were used. Efficiency scores and patient-centredness were determined for 256 general hospitals using data envelopment analysis (DEA), and their relationships were analysed through matrix analysis. The Kruskal-Wallis and Mann-Whitney tests assessed group differences identified through matrix analysis.

Findings: Efficiency and patient-centredness can be improved concurrently. Hospitals in the highest efficiency group reported significantly higher average inpatient revenue per 100 beds (179.67) and net profit (158.84) than those in lower-performing groups (p < 0.001). Optimal management of hospital beds and specialised diagnostic equipment per 100 beds was associated with higher efficiency scores, while a greater number of doctors and nurses positively influenced patient-centredness metrics. Therefore, general hospitals should invest in personnel and resources to enhance efficiency and patient-centredness, achieving optimal financial and operational outcomes.

Originality/value: This study combines DEA and matrix analysis to explore the link between hospital efficiency and patient-centredness, using recent data on patient experience and financials from South Korean hospitals. It identifies strategies to enhance both dimensions.

查看原文本刊更多论文

优化综合医院的效率和以患者为中心：来自数据包络和矩阵分析的见解。

目的：医疗机构面临着激烈竞争和以患者为中心与盈利能力之间不明确联系的管理挑战。本研究考察了综合医院效率和以患者为中心之间的关系，并确定了优化两者的管理策略。设计/方法/方法：使用来自健康保险审查和评估服务机构2021年患者体验评估的数据和韩国保健产业发展研究院针对韩国综合医院的财务报表。采用数据包络分析（DEA）确定256家综合医院的效率评分和以患者为中心，并通过矩阵分析分析两者之间的关系。Kruskal-Wallis和Mann-Whitney测试评估了通过矩阵分析确定的组差异。结果：效率和以患者为中心可以同时提高。效率最高组的医院报告的每100张病床的平均住院收入（179.67）和净利润（158.84）明显高于效率较低组的医院(p独创性/价值：本研究结合DEA和矩阵分析，利用韩国医院最近的患者体验和财务数据，探索医院效率和以患者为中心之间的联系。它确定了加强这两个方面的战略。

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来源期刊

Journal of Health Organization and Management HEALTH POLICY & SERVICES-

CiteScore

3.20

自引率

7.10%

发文量

期刊介绍： ■International health and international organizations ■Organisational behaviour, governance, management and leadership ■The inter-relationship of health and public sector services ■Theories and practices of management and leadership in health and related organizations ■Emotion in health care organizations ■Management education and training ■Industrial relations and human resource theory and management. As the demands on the health care industry both polarize and intensify, effective management of financial and human resources, the restructuring of organizations and the handling of market forces are increasingly important areas for the industry to address.