Rosko M D, Chilingerian J A, Zinn J S, Aaronson W E
Department of Health and Medical Services Administration, Widener University, Chester, PA 19013-5792, USA.
Med Care. 1995 Oct;33(10):1001-21. doi: 10.1097/00005650-199510000-00003.
This article reports on a study of the labor efficiency of 461 nursing homes located in Pennsylvania. Data envelopment analysis was used to estimate efficiency scores. Tobit equations were estimated for the entire sample and for subsamples consisting of for-profit (FP) and not-for-profit (NFP) nursing homes. The authors found that the major factors explaining efficiency were managerial and environmental characteristics such as ownership, occupancy rate, size, payment source, wage rate, and per capita income, rather than quality characteristics of nursing homes. Analysis of the FP and NFP subsamples suggests that many NFP homes may respond to environmental pressures by increasing their efficiency, whereas FP homes tend to operate at a high level of efficiency irrespective of environmental and regulatory pressures.
本文报道了一项对宾夕法尼亚州461家养老院劳动效率的研究。数据包络分析用于估计效率得分。对整个样本以及由营利性（FP）和非营利性（NFP）养老院组成的子样本估计了托比特方程。作者发现，解释效率的主要因素是管理和环境特征，如所有权、入住率、规模、支付来源、工资率和人均收入，而非养老院的质量特征。对FP和NFP子样本的分析表明，许多NFP养老院可能通过提高效率来应对环境压力，而FP养老院无论环境和监管压力如何，往往都能保持较高的运营效率。
