Benchmarking the medication efficiency and technological progress of diabetes drugs DOI Creative Commons
Hongwei Zhang, Chen Wang, Ting Xu

et al.

Frontiers in Public Health, Journal Year: 2024, Volume and Issue: 12

Published: Nov. 8, 2024

Diabetes poses a serious global challenge, given its increasing prevalence, detrimental effects on public health, and substantial economic burden. Since 1950s, tens of drugs have been approved by the United States (US) Food Drug Administration (FDA). In past decade, medical community regulatory agencies moved away from glucose-centric paradigm increasingly call for holistic approach to assess different treatments' benefits harms.

Language: Английский

Dealing with uncertainty in healthcare performance assessment: a fuzzy network‐DEA approach with undesirable outputs DOI
Guilherme P. Afonso, José Rui Figueira, Diogo Cunha Ferreira

et al.

International Transactions in Operational Research, Journal Year: 2024, Volume and Issue: unknown

Published: June 14, 2024

Abstract Data Envelopment Analysis (DEA) is currently the most widely used nonparametric method for assessing system performance. However, DEA standard approach ignores unit's structure and assumes that data are exact reliable. In healthcare, these assumptions may not always hold true. To address issues, a new was developed, which transformed into fuzzy trapezoidal numbers network framework. The study conducted using from Portuguese public hospitals, including 18 variables related to efficiency, quality, access. were then applied slack‐based network‐DEA model could handle undesirable outputs. Due significant operational environmental differences between hospitals in Portugal, subsampling frontier based on exogenous used. results suggest there potential improve hospital efficiency Portugal by around 20%, particularly light of COVID‐19 pandemic. Additionally, variations performance observed depending size hospital.

Language: Английский

Citations

7
Assessing efficiency maternal and child health services in Morocco: data envelopement analysis and Tobit model DOI
Youssef Er-Rays,

Meriem M’dioud,

Hamid Ait-Lemqeddem

et al.

Quality & Quantity, Journal Year: 2024, Volume and Issue: 58(6), P. 5577 - 5619

Published: May 29, 2024

Language: Английский

Citations

4
Technical efficiency of public hospitals in east Africa: a systematic review and meta-analysis DOI Creative Commons

Anteneh Lamesgen,

Bekalu Endalew, Aysheshim Belaineh Haimanot

et al.

BMC Health Services Research, Journal Year: 2025, Volume and Issue: 25(1)

Published: Jan. 6, 2025

Hospitals usually encounter human, capital, and financial resource constraints which alerts the efficient use of allocated resources more than ever. Health system managers are required to identify inefficient hospitals drivers inefficiencies. Although there multiple studies examining efficiency public in East Africa, their findings often variable inconsistent. Therefore, this study aimed review published articles on technical African countries. A systematic search was employed using Pubmed, Cochrane library, google scholar thirteen were included review. The described terms publication year, sample size, inputs outputs used analysis, levels. Finally, we assessed quality estimate mean meta-analysis. score varied across countries east Africa ranged from 0.64 ± 0.34 Tanzania 0.99 0.03 Ethiopia. 0.82 (95% CI = 0.56, 1.07) for primary 0.88 0.82, 0.95) secondary level hospitals. Technical negatively correlated with number (the size) positively analysis. This revealed that requires an improvement. To enable effective hospital management improvement efficiency, health policymakers must inefficiency. Systematic reviews currently rare should be conducted a much larger scale order create more, validated information policy-making. protocol registered approved by international prospective register Protocol ID: CRD42023444729.

Language: Английский

Citations

0
Measurement of the operational efficiency of tertiary public hospitals in Western China: evidence from Guangxi from 2019 to 2022 DOI Creative Commons
Junjie Huang, Haitao Yuan, Yibo Wu

et al.

Frontiers in Public Health, Journal Year: 2025, Volume and Issue: 13

Published: Feb. 21, 2025

The continuous increase in health care costs and the growing demand for services among residents make it an urgent priority to improve operational efficiency of system Chinese society. In this study, data on tertiary public hospitals Guangxi were analyzed identify issues hospital management within context performance assessment, which thereby enhanced social service capacity hospitals. A comprehensive evaluation index was constructed based "national monitoring indicators" efficiency. indicators using envelopment analysis with Banker, Charnes Cooper (DEA-BCC) Malmquist models. Tobit regression model used analyze major factors affecting Between 2019 2022, pure technical (PTE) 61 remained at a relatively high level. results showed downward trend. progress (TC) indicator became main factor decline revealed that plenty exerted significant impact operating These included number beds, ratio outpatient inpatient patients relative total patient numbers, proportion discharged undergoing surgery patients, business expenditures annual revenue. scale is prominently unreasonable. It necessary raise resource utilization. operation situation not optimistic. Hospitals should accelerate transformation their development model, rationally allocate medical resources shift from expansion improvement quality Meanwhile, they actively participate establishing hierarchical treatment system, controlling reasonably increasing personnel expenses

Language: Английский

Citations

0
Health resource allocation within the close-knit medical consortium after the Luohu healthcare reform in China: efficiency, productivity, and influencing factors DOI Creative Commons
Fangfang Gong, Ying Zhou,

Junxia Luo

et al.

Frontiers in Public Health, Journal Year: 2024, Volume and Issue: 12

Published: Aug. 29, 2024

Objective This study aims to assess the efficiency and productivity of Luohu Hospital Group after reform identify factors influencing support future development medical consortia. Methods Data on health resources from Shenzhen for years 2015 2021 were analyzed using super-efficiency slack-based measure data envelopment analysis (SE-SBM-DEA) model, Malmquist index (MPI), Tobit regression evaluate changes in determinants post-reform. Results After reform, resource allocation within improved by 33.87%. Community centers (CHCs) group had an average score 1.046. Moreover, Group’s total factor change (TFPCH) increased 2.5%, primarily due gains technical (EFFCH), which offset declines progress (TECHCH). The scores CHCs notably affected ratio general practitioners (GPs) technicians availability home hospital beds. Conclusion healthcare system has shown preliminary success, but continuous monitoring is necessary. Future strategies should focus strengthening technological innovation, training GPs, implementing bed policy. These efforts will optimize integration consortium.

Language: Английский

Citations

2
MEASURING HOSPITAL EFFICIENCY DURING COVID-19 PANDEMIC IN INDONESIA DOI Creative Commons

Yani Anjani,

Resi Ariyasa Qadri,

Tetet Fitrijanti

et al.

JRAK, Journal Year: 2024, Volume and Issue: 16(1), P. 119 - 132

Published: April 18, 2024

By addressing indicators of inefficiency at the initial COVID-19 pandemic, hospitals can immediately respond through resources. This research aims assessing efficiency both government and commercial in Indonesia during pandemic. Accounting data was collected from documentation financial statements. The analyzed by using envelopment analysis technique Tobit regression. showed that over three years hospital's rate decreased successively 100%, 86%, 76%. However, optimization hospital be significantly improved revenue factors, specifically quantifiable quantity income generated. highlighted need to increase ensure provision high-quality services general population. It is hoped this will shed light on challenges faced these difficult times provide insights for future improvements.

Language: Английский

Citations

1
Evaluating the Effectiveness of Maternal, Neonatal, and Child Healthcare in Moroccan Hospitals and SDG 3: Using Two-Stage Data Envelopment Analysis and Tobit Regression DOI
Youssef Er-Rays,

Meriem M’dioud

Evaluation Review, Journal Year: 2024, Volume and Issue: unknown

Published: July 20, 2024

Maternal, neonatal, and child health play crucial roles in achieving the objectives of Sustainable Development Goal (SDG) 2030, particularly promoting wellbeing. However, maternal, services Moroccan public hospitals face challenges, concerning mortality rates inefficient resource allocation, which hinder optimal outcomes. This study aimed to evaluate operational effectiveness 76 neonatal networks (MNCSN) within hospitals. Using Data Envelopment Analysis (DEA), we assessed technical efficiency (TE) employing both Variable Returns Scale for inputs (VRS-I) outputs (VRS-O) orientation. Additionally, Tobit method (TM) was utilized explore factors influencing inefficiency, with hospital, doctor, paramedical staff considered as inputs, admissions, cesarean interventions, functional capacity, hospitalization days outputs. Our findings revealed that VRS-I exhibited a higher average TE score 0.76 compared VRS-O (0.23). Notably, Casablanca-Anfa MNCSN received highest referrals (30) under VRS-I, followed by Khemisset (24). In contrast, VRS-O, Ben Msick, Rabat, Mediouna each had three peers, 71, 22, 17 references, respectively. Moreover, Malmquist Index indicated 7.7% increase productivity over 9-year period, while decreased 8.7%. Furthermore, doctors bed capacity model 0.01, sections. underscores imperative policymakers strategically prioritize input enhance ensure healthcare

Language: Английский

Citations

1
Benchmarking the medication efficiency and technological progress of diabetes drugs DOI Creative Commons
Hongwei Zhang, Chen Wang, Ting Xu

et al.

Frontiers in Public Health, Journal Year: 2024, Volume and Issue: 12

Published: Nov. 8, 2024

Diabetes poses a serious global challenge, given its increasing prevalence, detrimental effects on public health, and substantial economic burden. Since 1950s, tens of drugs have been approved by the United States (US) Food Drug Administration (FDA). In past decade, medical community regulatory agencies moved away from glucose-centric paradigm increasingly call for holistic approach to assess different treatments' benefits harms.

Language: Английский

Citations

0