Journal of Medical Systems

, Volume 26, Issue 1, pp 21–27 | Cite as

Technical Efficiency of Nursing Units in a Tertiary Care Hospital in Taiwan

  • Thomas T. H. Wan
  • Nanly Hsu
  • Rung-chuang Feng
  • Allen Ma
  • Shuang-an Pan
  • Mei-chi Chou

Abstract

The variation in productivity and cost efficiency has been observed among 57 nursing units in a large tertiary care hospital. The inefficient units can achieve the same level of efficiency as the efficient units by altering their inputs (either nursing hours or patient costs). The optimization can be achieved through proper reallocations of nursing resources such as nursing hours or costs. However, the resource reallocation to achieve high efficiency should not be at the expense of quality of care. Future efficiency studies should incorporate the nursing sensitive measures of quality in the analysis.

technological efficiency nursing productivity 

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REFERENCES

  1. 1.
    Dreachslin, J. L., Hunt, P. L., and Sprainer, E., Key indicators of nursing care team performance: Insights from the front line. Health Care Superv. 17(4):70–76, 1999.Google Scholar
  2. 2.
    Fox, R. T., Fox, D. H., and Wells, P. J., Performance of first-line management functions on productivity of hospital unit personnel. J. Nurs. Adm. 29(9):12–18, 1999.Google Scholar
  3. 3.
    Young, S.W., Daehn, L. M., and Busch, C. M., Managing nursing staff productivity through reallocation of nursing resources. Nurs. Adm. Q. 14(3):24–30, 1990.Google Scholar
  4. 4.
    Pillar, B., and Jarjoura, D., Assessing the impact of reengineering on nursing. J. Nurs. Adm. 29(5): 57–64, 1999.Google Scholar
  5. 5.
    Miller, C., Ensuring continuing care: Styles and efficiency of the handover process. Aust. J. Adv. Nurs. 16(1):23–27, 1998.Google Scholar
  6. 6.
    Bloom, J. R., Alexander, J. A., and Nuchols, B. A., Nurse staffing patterns and hospital efficiency in the United States. Soc. Sci. Med. 44:147–155, 1997.Google Scholar
  7. 7.
    Hall, L. M., Staff mix models: Complementary or substitution roles for nurses. Nurs.Adm.Q. 21(2):31–39, 1997.Google Scholar
  8. 8.
    Jeang, A., Flexible nursing staff planning with adjustable patient demands. J. Med. Syst. 20(4):173–182, 1996.Google Scholar
  9. 9.
    Walker, D. A., "bottom-line" approach to nurse staffing. Nurs. Manage. 27(10):31–32, 1996.Google Scholar
  10. 10.
    Cardona, P., Tappen, R. M., Terrill, M., Acosta, M., and Eusebe, M. I., Nursing staff time allocation in long-term care: A work sampling study. J. Nurs. Adm. 27(2):28–36, 1997.Google Scholar
  11. 11.
    Ozcan, Y. A., and Shukla, R. K., The effect of a competency-based targeted staff development program on nursing productivity. J. Nurs. Staff Dev. 9(2):78–84, 1993.Google Scholar
  12. 12.
    Siders, A. M., and Peterson, M., Increasing patient satisfaction and nursing productivity through implementation of an automated nursing discharge summary. Proc. Annu. Symp. Comput. Appl. Med. Care. 136–140, 1991.Google Scholar
  13. 13.
    Shukla, R. K., Effect of an admission monitoring and scheduling system on productivity and employee satisfaction. Hosp. Health Serv. Adm. 35(3):429–441, 1990.Google Scholar
  14. 14.
    Sinclair, V. G., The impact of information systems on nursing performance and productivity. J. Nurs. Adm. 21(2):46–50, 1991.Google Scholar
  15. 15.
    Hao, S., and Pegels, C. C., Evaluating relative efficiencies of Veterans Affairs Medical Centers using data envelopment, ratio, and multiple regression analysis. J. Med. Syst. 18(2):55–67, 1994.Google Scholar
  16. 16.
    Eastaugh, S. R., Hospital nursing technical efficiency: Nurse extenders and enhanced productivity. Hosp. Health Serv. Adm. 35(4):561–573, 1990.Google Scholar
  17. 17.
    Norman, M., Stoker, B., Data Envelopment Analysis: The Assessment of Performance, Wiley, New York, 1991.Google Scholar
  18. 18.
    Ozcan, Y. A., and Lynch, J. R., Rural hospital closures: An inquiry into efficiency. Adv. Health Econ. Health Serv. Res. 13:205–224, 1992.Google Scholar
  19. 19.
    Sexton, T. R., The Methodology of Data Envelopment Analysis, Jossey-Bass, San Francisco, CA, 1986.Google Scholar

Copyright information

© Plenum Publishing Corporation 2002

Authors and Affiliations

  • Thomas T. H. Wan
    • 1
  • Nanly Hsu
    • 2
  • Rung-chuang Feng
    • 2
  • Allen Ma
    • 1
  • Shuang-an Pan
    • 3
  • Mei-chi Chou
    • 2
  1. 1.Department of Health AdministrationVirginia Commonwealth UniversityRichmond
  2. 2.Department of NursingVeterans General Hospital-TaipeiTaiwan, Republic of China
  3. 3.Department of Information Service CenterVeterans General Hospital-TaipeiTaiwan, Republic of China

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