O'Neill Liam, Dexter Franklin
Department of Policy Analysis and Management, Sloan Program of Health Management, 105 MVR Hall, Cornell University, Ithaca, NY 14853-4401, USA.
Health Care Manag Sci. 2004 Nov;7(4):263-73. doi: 10.1007/s10729-004-7535-1.
We develop and validate a method to measure "market capture" of inpatient, elective surgery. Data envelopment analysis (DEA) is used to measure the efficiency of the market capture for Perioperative Services at 53 non-metropolitan Pennsylvania hospitals. Eight procedures are studied, representing a wide spectrum of elective, scheduled, inpatient surgery (e.g., abdominal aortic aneurysm resection and hip replacement). Our results address issues in operating room management, such as: How should additional resources be allocated to each surgical specialty? Given existing market conditions, for which specialties can we expect to be able to increase our current workloads? Our results demonstrate DEA's potential as a valuable tool for operating room managers' strategic decision-making.
我们开发并验证了一种测量住院择期手术“市场占有率”的方法。数据包络分析(DEA)用于衡量宾夕法尼亚州53家非都市医院围手术期服务的市场占有率效率。我们研究了8种手术,涵盖了广泛的择期、预定住院手术(例如腹主动脉瘤切除术和髋关节置换术)。我们的研究结果解决了手术室管理中的一些问题,例如:应如何将额外资源分配给每个外科专科?在现有市场条件下,我们预计哪些专科能够增加当前的工作量?我们的结果证明了数据包络分析作为手术室管理人员战略决策的宝贵工具的潜力。