Washington State University, Spokane, WA, USA.
Med Care Res Rev. 2011 Feb;68(1 Suppl):55S-74S. doi: 10.1177/1077558710379224. Epub 2010 Nov 11.
In this article, a combination of data envelopment analysis, spreadsheet modeling and regression techniques is applied to a panel of nonprofit Washington State hospitals in an effort to determine whether (and if so, to what extent) inefficiency in one hospital cost center is shared with inefficiency in other cost centers. The findings suggest that a significant amount of inefficiency is shared across hospital cost centers. The authors further determine that certain cost centers contribute more to the overall performance of a given hospital than others. As such, managerial decisions and government policies designed to enhance hospital efficiency should be implemented differently, depending on the characteristics of the hospital in question.
本文采用数据包络分析、电子表格建模和回归技术的组合,对华盛顿州的一组非营利性医院进行了分析,以确定(如果是的话,在何种程度上)一个医院成本中心的效率低下是否与其他成本中心的效率低下有关。研究结果表明,医院成本中心之间存在大量的效率共享。作者进一步确定,某些成本中心对特定医院的整体绩效的贡献大于其他成本中心。因此,旨在提高医院效率的管理决策和政府政策应根据具体医院的特点而有所不同。