Item request has been placed!
×
Item request cannot be made.
×
Processing Request
Quality and resource efficiency in hospital service provision: A geoadditive stochastic frontier analysis of stroke quality of care in Germany.
Item request has been placed!
×
Item request cannot be made.
×
Processing Request
- Additional Information
- Source:
Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
- Publication Information:
Original Publication: San Francisco, CA : Public Library of Science
- Subject Terms:
- Abstract:
We specify a Bayesian, geoadditive Stochastic Frontier Analysis (SFA) model to assess hospital performance along the dimensions of resources and quality of stroke care in German hospitals. With 1,100 annual observations and data from 2006 to 2013 and risk-adjusted patient volume as output, we introduce a production function that captures quality, resource inputs, hospital inefficiency determinants and spatial patterns of inefficiencies. With high relevance for hospital management and health system regulators, we identify performance improvement mechanisms by considering marginal effects for the average hospital. Specialization and certification can substantially reduce mortality. Regional and hospital-level concentration can improve quality and resource efficiency. Finally, our results demonstrate a trade-off between quality improvement and resource reduction and substantial regional variation in efficiency.
- Abstract:
The authors have declared that no competing interests exist.
- References:
Arch Intern Med. 2008 Jul 14;168(13):1416-22. (PMID: 18625922)
J Health Econ. 2016 Dec;50:230-246. (PMID: 27590088)
BMJ. 2017 Feb 1;356:j84. (PMID: 28148478)
Health Care Manage Rev. 2013 Apr-Jun;38(2):137-45. (PMID: 22469911)
Health Econ. 2015 Dec;24 Suppl 2:116-39. (PMID: 26633872)
Reg Sci Urban Econ. 2014 Nov;49:203-216. (PMID: 25843994)
Health Aff (Millwood). 2014 Jan;33(1):67-77. (PMID: 24395937)
Health Policy. 2017 Aug;121(8):842-852. (PMID: 28733067)
Lancet Neurol. 2013 Jun;12(6):585-96. (PMID: 23684084)
Health Econ. 2008 Oct;17(10):1107-28. (PMID: 18702091)
J Health Care Finance. 2001 Fall;28(1):61-71. (PMID: 11669293)
Health Serv Res. 2008 Dec;43(6):1992-2013. (PMID: 18783458)
Health Aff (Millwood). 2011 Apr;30(4):574-80. (PMID: 21471475)
Stroke. 2009 Dec;40(12):3841-4. (PMID: 19875743)
Health Care Manag Sci. 2012 Mar;15(1):48-62. (PMID: 21964986)
BMJ. 2014 Aug 05;349:g4757. (PMID: 25098169)
JAMA Neurol. 2013 Sep 1;70(9):1126-32. (PMID: 23817961)
Stroke. 2003 Mar;34(3):801-5. (PMID: 12624313)
PLoS One. 2017 Mar 29;12(3):e0174533. (PMID: 28355255)
Ann Fam Med. 2015 Mar;13(2):123-9. (PMID: 25755033)
Stroke. 2009 Jun;40(6):2068-72. (PMID: 19359645)
BMC Health Serv Res. 2015 Jul 23;15:280. (PMID: 26202068)
J Health Econ. 1994 Oct;13(3):255-80; discussion 335-40. (PMID: 10138854)
Stroke. 2015 Feb;46(2):579-81. (PMID: 25550369)
Stroke. 2015 Sep;46(9):2591-8. (PMID: 26251241)
Health Care Manag Sci. 2014 Dec;17(4):365-78. (PMID: 24595722)
Eur J Health Econ. 2014 Mar;15(2):175-86. (PMID: 23519432)
J Phys Ther Sci. 2015 Mar;27(3):799-803. (PMID: 25931734)
PLoS One. 2018 Sep 6;13(9):e0203017. (PMID: 30188906)
N Engl J Med. 2013 Jan 10;368(2):100-2. (PMID: 23301730)
Stroke. 2008 Sep;39(9):2522-30. (PMID: 18617667)
Arch Phys Med Rehabil. 2015 Jul;96(7):1248-54. (PMID: 25747551)
Dtsch Arztebl Int. 2012 Dec;109(51-52):885-92. (PMID: 23372612)
BMJ. 2015 Aug 07;351:h3913. (PMID: 26254445)
Arch Fam Med. 1998 Jul-Aug;7(4):352-7. (PMID: 9682689)
Int J Qual Health Care. 2013 Oct;25(5):606-20. (PMID: 23942825)
Stroke. 2012 May;43(5):1336-40. (PMID: 22426467)
Health Care Manag Sci. 2001 Jun;4(2):103-15. (PMID: 11393739)
Nervenarzt. 2010 Jun;81(6):776. (PMID: 20533018)
Health Econ. 2008 Jul;17(7):833-48. (PMID: 17853506)
Arch Intern Med. 2010 Oct 11;170(18):1671-7. (PMID: 20937927)
Health Econ. 2008 Sep;17(9):1057-71. (PMID: 18702100)
Health Econ. 2015 Dec;24 Suppl 2:38-52. (PMID: 26633867)
Arch Phys Med Rehabil. 2014 Jan;95(1):29-38. (PMID: 23921200)
Health Aff (Millwood). 2009 May-Jun;28(3):897-906. (PMID: 19414903)
N Engl J Med. 2009 Oct 1;361(14):1368-75. (PMID: 19797283)
J Rural Health. 2017 Apr;33(2):158-166. (PMID: 26633577)
Health Econ. 2008 Mar;17(3):335-50. (PMID: 17619236)
Health Policy. 2008 Jul;87(1):50-62. (PMID: 17977613)
Int J Stroke. 2014 Apr;9(3):260-5. (PMID: 24206775)
Cochrane Database Syst Rev. 2013 Sep 11;(9):CD000197. (PMID: 24026639)
Stroke. 2011 Jan;42(1):159-66. (PMID: 21164109)
Stroke. 2014 Oct;45(10):3105-11. (PMID: 25123221)
Health Serv Res. 2014 Oct;49(5):1596-615. (PMID: 24845773)
Med Care Res Rev. 2011 Feb;68(1 Suppl):75S-100S. (PMID: 20519428)
Health Econ. 2006 Apr;15(4):419-31. (PMID: 16389631)
J Health Serv Res Policy. 2016 Jul;21(3):156-65. (PMID: 26811375)
Health Econ. 2006 Oct;15(10):1055-9. (PMID: 16991208)
Eur J Health Econ. 2013 Feb;14(1):21-39. (PMID: 21901473)
Stroke. 2016 Jan;47(1):180-6. (PMID: 26604251)
Health Care Manag Sci. 2008 Mar;11(1):67-77. (PMID: 18390169)
Neurology. 2011 Jun 7;76(23):1976-82. (PMID: 21543736)
- Publication Date:
Date Created: 20180907 Date Completed: 20190221 Latest Revision: 20240330
- Publication Date:
20260130
- Accession Number:
PMC6126832
- Accession Number:
10.1371/journal.pone.0203017
- Accession Number:
30188906
No Comments.