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衡量常规护理服务效率:按每日每位患者成本与数据包络分析模型的比较

Measuring routine nursing service efficiency: a comparison of cost per patient day and data envelopment analysis models.

作者信息

Nunamaker T R

出版信息

Health Serv Res. 1983 Summer;18(2 Pt 1):183-208.

Abstract

This article provides an illustrative application of Data Envelopment Analysis (DEA) methodology to the measurement of routine nursing service efficiency at a group of Wisconsin hospitals. The DEA efficiency ratings and cost savings estimates are then compared to those resulting from application of Medicare's routine cost limitation to the sample data. DEA is also used to determine if any changes in the potential for efficient operations occurred during the 1978-1979 period. Empirical results were representative of the fundamental differences existing between the DEA and cost per patient day approaches. No evidence was found to support the notion that the overall potential for efficient delivery of routine services by the sample institutions was greater in one year than another.

摘要

本文提供了数据包络分析(DEA)方法在衡量威斯康星州一组医院常规护理服务效率方面的一个示例应用。然后将DEA效率评级和成本节约估计值与将医疗保险的常规成本限制应用于样本数据所得到的结果进行比较。DEA还用于确定在1978 - 1979年期间高效运营潜力是否发生了任何变化。实证结果代表了DEA方法与按患者日成本方法之间存在的根本差异。没有证据支持这样一种观点,即样本机构在某一年提供常规服务的总体高效交付潜力比另一年更大。

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