Lee Keon-Hyung, Park Jungwon, Lim Seunghoo, Park Sang-Chul
Author Affiliations: Askew School of Public Administration and Policy, Florida State University, Tallahassee (Drs Lee, J. Park, and Lim); Department of Public Administration, Yeungnam University, Gyeongsan, Gyeongbuk, Republic of Korea (S.-C. Park).
Health Care Manag (Frederick). 2015 Apr-Jun;34(2):106-12. doi: 10.1097/HCM.0000000000000061.
Hospital competition and managed care have affected the hospital industry in various ways including technical efficiency. Hospital efficiency has become an important topic, and it is important to properly measure hospital efficiency in order to evaluate the impact of policies on the hospital industry. The primary independent variable is hospital competition. By using the 2001-2004 inpatient discharge data from Florida, we calculate the degree of hospital competition in Florida for 4 years. Hospital efficiency scores are developed using the Data Envelopment Analysis and by using the selected input and output variables from the American Hospital Association's Annual Survey of Hospitals for those acute care general hospitals in Florida. By using the hospital efficiency score as a dependent variable, we analyze the effects of hospital competition on hospital efficiency from 2001 to 2004 and find that when a hospital was located in a less competitive market in 2003, its technical efficiency score was lower than those in a more competitive market.
医院竞争和管理式医疗已通过多种方式影响医院行业，包括技术效率。医院效率已成为一个重要话题，为评估政策对医院行业的影响，正确衡量医院效率很重要。主要自变量是医院竞争。通过使用佛罗里达州2001 - 2004年的住院患者出院数据，我们计算了佛罗里达州4年的医院竞争程度。医院效率得分是使用数据包络分析，并通过从美国医院协会对佛罗里达州那些急性病综合医院的年度医院调查中选择投入和产出变量得出的。以医院效率得分为因变量，我们分析了2001年至2004年医院竞争对医院效率的影响，发现2003年位于竞争较小市场的医院，其技术效率得分低于竞争更激烈市场中的医院。
