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Managerial Efficiency & Productivity Growth Analysis of Tertiary and General Hospitals in Korea: DEA & Malmquist Productivity Index Model Approach
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 Title & Authors
Managerial Efficiency & Productivity Growth Analysis of Tertiary and General Hospitals in Korea: DEA & Malmquist Productivity Index Model Approach
Shim, Gil-Ho; Moon, Kyeong-Jun; Lee, Kwang-Soo;
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Objectives : This study analyzed the managerial efficiency of hospitals and identified the productivity trends for three years. Methods : Data were collected from 44 tertiary hospitals and 32 university hospitals from 2009 to 2011. Efficiency scores and productivity trends were evaluated with the DEA (Data Envelopment Analysis) method. The input variables were the numbers of beds, doctors, nurses, and health personnel, and the medical costs. The output variables were the numbers of outpatients, and inpatients, and the medical revenues. Along with the traditional input-oriented DEA analysis, the Malmquist Productivity Index(MPI) was calculated. Results : First, the mean values of the study variables showed gradual increases in all the variables for all the study years. Second, technical efficiency scores varied depending on the study year. Third, MPI decreased from 2009 to 2010 (MPI=0.986), and then increased from 2010 to 2011(MPI=1.011). The contributions of the Efficiency Change Index and Technical Change Index on the MPI varied depending on the study year. Conclusions : This study provides information to hospital managers about changes in hospital performances. External environments had more influence on hospital performances, and hospital managers will need to manage these influences from factors surrounding the hospitals.
Data Envelopment Analysis;Efficiency Score;Malmquist Productivity Index;Tertiary Hospital;General Hospital;
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Y.J. Kwak(1993), A Study on a Performance Evaluation of Hospitals : a Data Envelopment Analysis(DEA) Approach, Unpublished doctor's thesis, Chungnam University, pp.103-109.

R.D. Banker, A. Charnes, W.W. Cooper(1984), Some Models for the Estimation of Technical and Scale Efficiencies in Data Envelopment Analysis, Management Science, Vol.30(9);1078-1092. crossref(new window)

H.D. Sherman(1984), Hospital Efficiency Measurement and Evaluation; Empirical Test of a New Technique, Medical Care Vol.22(10);922-938. crossref(new window)

A.I. Ali, L.M. Seiford(1993), The Mathematical Programming Approach to Efficiency Analysis, Oxford University Press, pp.120-159.

S.Y. Nam(2007), A Comparative Study on the Human Resource Efficiency between the Korean and Japanese Municipal Hospitals using Data Envelopment Analysis, Korean Journal of Hospital Management, Vol.12(1);51-74

K.J. Yoon(1996), Using DEA to Measure the Efficiency of Local Health Centers, The Korea Association for Policy Studies, Vol.5(1);80-109.

M.K. Epstein, J.C. Henderson(1989), Data Envelopment Analysis for Managerial Control and Diagnosis, Decision Science, Vol.120;253-290.

J.Y. Park, J.E. Cho, S.W. Kim(2008), Efficiency of Healthcare Service Industry in OECD Countries: An International Comparative Study, Journal of the Korean Production and Operations Management Society, Vol.19(4);107-130.

G. Kim, K.I. Ko(2012), A Study on Managerial Efficiency of Global IDM Semiconductor Suppliers : Based on Super Efficiency DEA by Scale Categorization, Korea Journal of Business Administration, Vol.25(1);369-394.

A. Boussofiane, R.G. Dyson, E. Thanassoulis (1991), Applied Data Envelopment Analysis, European Journal of Operation Research, Vol.52(1);1-15. crossref(new window)

R.G. Dyson, R. Allen, A.S. Camanho, V.V. Podinovski, C.S. Sarrico, E.A. Shale(2001), Pitfalls and Protocols in DEA. European Journal of Operation Research, Vol.132(2);245-259. crossref(new window)

S.K. Seo, S.M. Kwon(2000). Efficiency Benchmarking of Hospitals Using DEA. Korean Journal of Hospital Management, Vol.5(1);84-104.

Y.H. Kim, W.H. Cho, D.H. An, S.W. Park, W.J. Chung(2005), Medical Care Environment and the Productivity Change in Korean Tertiary Hospitals, Korean Journal of Hospital Management, Vol.10(4);51-74.

I.W. Ahn, D.H. Yang(2005), An Investigation of Factors Affecting Management Efficiency in Korean General Hospitals Using DEA Model, Korean Journal of Hospital Management, Vol.10(1);71-92.

B.S. Park, Y.K. Lee, Y.S. Kim(2009), Efficiency Evaluation of General Hospitals using DEA, J. of Contents Association, Vol.9(4);299-312. crossref(new window)

O.H. Ha, W.S. Jeong, Y.M. Jung(2015), Relationship between DEA Efficiency and Management Performance of National University Hospitals, The Korean Journal of Health Service Management, Vol.9(1);17-29. crossref(new window)

W.J. Kim, H.J. Lee(1994), The Determinants of Hospital Profitability, Health Policy and Management, Vol.4(1);123-137.

J.D. Lee, D.H. Oh(2012), Theory of efficiency analysis, Jiphil Media, pp.1-108.

A. Charnes, W. Cooper, E. Rhodes(1978), Measuring the Efficiency of Decision Making Units, European Journal of Operational Research, Vol.2(6);429-444. crossref(new window)

K.R. Yoo(2005), Measurement Methods and their Application of the Non-Radial Malmquist Productivity Index for Measuring the Productivity of the Public Sector, Korean journal of policy analysis and evaluation, Vol.15(2);99-125.

M.J. Jeong, C.J. Suh, J.S. Im, D.K. Oh(2012), A Study on Factors Affecting Profitability of General Hospitals by bed-size, Korea International Accounting Review, Vol.41;265-292.

U.S. Ham(2008). Economies of Scale and Scope in Hospitals, Health Policy and Management, Vol.18(1);21-42. crossref(new window)

D.W. Shin, C.G. Shin, K.T. Jung(2008), A Study on Quality-incorporating Models in Evaluation of Hospital Efficiency with Data Envelopment Analysis: An Analysis on National University Hospitals in Korea, Korean Journal of Hospital Management, Vol.13(3);69-93.

J.K. Kim, H.J. Park(2011), A Study on the Performance Evaluation of Techno-Park: an Analysis of Efficiency and Effectiveness Using the Data Envelopment Analysis(DEA) and Mamquist Productivity Index(MPI), Korean journal of policy analysis and evaluation, Vol.23(1);29-58.