Schreyögg Jonas, von Reitzenstein Constantin
Department of Health Care Management, Berlin University of Technology, Germany.
Health Care Manage Rev. 2008 Jul-Sep;33(3):225-33. doi: 10.1097/01.HMR.0000324908.42143.1f.
The performance of academic medical centers (AMCs) differs from that of other hospitals because AMCs must combine the delivery of patient care with teaching and research.
: This study investigates the effects of strategic group membership as opposed to other structural determinants on the performance of AMCs.
We used data from 24 German AMCs and applied data envelopment analysis with superefficiency to measure the performance of AMCs by considering AMC-specific inputs and outputs for patient care, teaching, and research. We used cluster analysis to identify strategic groups and applied regression analysis to explore their impact on performance.
Our results reveal two strategic groups based on a specialization either in teaching or in research. The strategic group that specialized in research showed significantly better performance; structural variables did not play a major role.
The results provide an important justification for managers to develop suitable strategic concepts for AMCs. If low organizational efficiency is detected, managers need to consider analyzing whether their AMC belongs to an appropriate strategic group. An emphasis on research may increase overall efficiency.
学术医疗中心（AMC）的表现与其他医院不同，因为AMC必须将患者护理的提供与教学和研究相结合。
本研究调查战略群组成员身份相对于其他结构决定因素对AMC表现的影响。
我们使用了来自24家德国AMC的数据，并应用超效率数据包络分析，通过考虑AMC在患者护理、教学和研究方面的特定投入和产出，来衡量AMC的表现。我们使用聚类分析来识别战略群组，并应用回归分析来探索它们对表现的影响。
我们的结果揭示了基于教学或研究专业化的两个战略群组。专门从事研究的战略群组表现明显更好；结构变量没有起到主要作用。
这些结果为管理者为AMC制定合适的战略概念提供了重要依据。如果发现组织效率低下，管理者需要考虑分析他们的AMC是否属于合适的战略群组。强调研究可能会提高整体效率。
