将质量纳入养老院绩效的数据包络分析：一个案例研究。
Incorporating Quality into Data Envelopment Analysis of Nursing Home Performance: A Case Study.
作者信息
Shimshak Daniel G, Lenard Melanie L, Klimberg Ronald K
机构信息
Department of Management Science and Information Systems, University of Massachusetts Boston, 100 Morrissey Blvd, Boston, MA 02125, , ,
出版信息
Omega. 2009 Jun 1;37(3):672-685. doi: 10.1016/j.omega.2008.05.004.
Abstract
When using data envelopment analysis (DEA) as a benchmarking technique for nursing homes, it is essential to include measures of the quality of care. We survey applications where quality has been incorporated into DEA models and consider the concerns that arise when the results show that quality measures have been effectively ignored. Three modeling techniques are identified that address these concerns. Each of these techniques requires some input from management as to the proper emphasis to be placed on the quality aspect of performance. We report the results of a case study in which we apply these techniques to a DEA model of nursing home performance. We examine in depth not only the resulting efficiency scores, but also the benchmark sets and the weights given to the input and output measures. We find that two of the techniques are effective in insuring that DEA results discriminate between high and low quality performance.
摘要
在将数据包络分析（DEA）用作疗养院的标杆管理技术时，纳入护理质量指标至关重要。我们调查了将质量纳入DEA模型的应用情况，并考虑当结果表明质量指标被有效忽略时出现的问题。确定了三种解决这些问题的建模技术。每种技术都需要管理层提供一些关于应在绩效质量方面给予适当重视的意见。我们报告了一个案例研究的结果，在该研究中我们将这些技术应用于疗养院绩效的DEA模型。我们不仅深入研究了由此产生的效率得分，还研究了标杆集以及赋予投入和产出指标的权重。我们发现其中两种技术在确保DEA结果区分高质量和低质量绩效方面是有效的。
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本文引用的文献
1
Care for the chronically ill: nursing home incentive payment experience.慢性病护理：疗养院激励支付经验。
Health Care Financ Rev. 1983 Winter;5(2):41-9.
2
The effect of Medicaid reimbursement on quality of care in nursing homes.医疗补助报销对疗养院护理质量的影响。
J Health Econ. 1996 Feb;15(1):23-48. doi: 10.1016/0167-6296(95)00030-5.
3
Management of nursing homes using data envelopment analysis.运用数据包络分析对养老院进行管理。
Socioecon Plann Sci. 1992;26(1):57-71. doi: 10.1016/0038-0121(92)90026-2.
4
Characteristics of nursing homes that affect resident outcomes.影响居民结局的养老院特征。
J Aging Health. 1991 Nov;3(4):427-54. doi: 10.1177/089826439100300401.
5
Comparing case-mix systems for nursing home payment.比较疗养院支付的病例组合系统。
Health Care Financ Rev. 1990 Summer;11(4):103-19.
6
The influence of nurse wage differentials on nursing home staffing and resident care decisions.护士工资差异对养老院人员配备及居民护理决策的影响。
Gerontologist. 1993 Dec;33(6):721-9. doi: 10.1093/geront/33.6.721.
7
The occurrence of pressure ulcers in three nursing homes.三家养老院中压疮的发生情况。
J Gen Intern Med. 1993 Dec;8(12):653-8. doi: 10.1007/BF02598281.
8
Nursing home case mix. Patient classification by nursing resource use.养老院病例组合。按护理资源使用情况对患者进行分类。
Med Care. 1987 Jan;25(1):9-19. doi: 10.1097/00005650-198701000-00002.
9
Relative efficiency in rural primary health care: an application of data envelopment analysis.农村初级卫生保健中的相对效率：数据包络分析的应用
Health Serv Res. 1989 Jun;24(2):143-58.
10
The influence of registered nurse staffing on the quality of nursing home care.注册护士人员配置对疗养院护理质量的影响。
Res Nurs Health. 1990 Aug;13(4):263-70. doi: 10.1002/nur.4770130409.
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