Health Care Management Science

, Volume 11, Issue 1, pp 67–77

Is more better? An analysis of hospital outcomes and efficiency with a DEA model of output congestion

  • Jan P. Clement
  • Vivian G. Valdmanis
  • Gloria J. Bazzoli
  • Mei Zhao
  • Askar Chukmaitov
Article

DOI: 10.1007/s10729-007-9025-8

Cite this article as:
Clement, J.P., Valdmanis, V.G., Bazzoli, G.J. et al. Health Care Manage Sci (2008) 11: 67. doi:10.1007/s10729-007-9025-8

Abstract

This paper applies a new methodology to the study of hospital efficiency and quality of care. Using a data set of hospitals from several states, we jointly evaluate desirable hospital patient care output (e.g., patient stays) and the simultaneous undesirable output (e.g., risk-adjusted patient mortality) that occurs. With a DEA based approach under two different sets of assumptions, we are able to include multiple quality indicators as outputs. The results show that lower technical efficiency is associated with poorer risk-adjusted quality outcomes in the study hospitals. They are consistent with other studies linking poor quality outcomes to higher cost.

Keywords

Hospital efficiency DEA Patient outcomes 

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Jan P. Clement
    • 1
  • Vivian G. Valdmanis
    • 2
  • Gloria J. Bazzoli
    • 1
  • Mei Zhao
    • 3
  • Askar Chukmaitov
    • 4
  1. 1.Department of Health AdministrationVirginia Commonwealth UniversityRichmondUSA
  2. 2.Health Policy ProgramUniversity of the Health Sciences in PhiladelphiaPhiladelphiaUSA
  3. 3.Health Administration ProgramsCollege of Health, University of North FloridaJacksonvilleUSA
  4. 4.Family Medicine and Rural Health, College of MedicineFlorida State UniversityTallahasseeUSA