How the Great Recession affects performance: a case of Pennsylvania hospitals using DEA
How the Great Recession affects performance: a case of Pennsylvania hospitals using DEA
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大衰退如何影响绩效：宾夕法尼亚州医院使用 DEA 的案例
DOI：
10.1007/s10479-017-2516-1
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发表时间：
2019-07-01
影响因子：
4.8
通讯作者：
Chou, Shin-Yi
中科院分区：
文献类型：
--
作者：
Chen, Ya;Wang, Justin;Chou, Shin-Yi
卫生保健支出通常占发达国家经济的很大一部分。2011年，美国在医疗保健方面的支出约占GDP的17.7%。作为医疗保健行业最重要的组成部分之一，医院部门在提供医疗保健服务方面发挥着关键作用。医疗服务行业受多种因素影响，其中经济衰退是一个关键因素。因此，在经济不景气的情况下，医院的经营状况是值得研究的。本文旨在通过数据包络分析（DEA）分析2005-2012年大衰退对宾夕法尼亚州医院绩效的影响。具体来说，我们衡量在宾夕法尼亚州的医院的效率，并使用几个DEA模型来计算全球Malmquist指数（GMI）。我们发现：（1）2005-2012年，15.4%的医院始终有效，36.9%的医院始终无效;（2）一组医院与前沿的相对距离在经济衰退前后几乎没有变化;（3）从经济衰退前到经济衰退后，平均效率/GMI下降了2.43%/3.07%。分析表明，由于宾夕法尼亚州的经济衰退，医院业绩略有下降。
Health care spending usually contributes to a large part of a developed country's economy. In 2011, the U.S. consumed about 17.7% of its GDP on health care. As one of the most significant components of the health care industry, the hospital sector plays a key role to provide healthcare services. Healthcare services industry can be affected by many factors, of which economic downturn is a crucial one. As a result, it is worth investigating the condition and state of hospital management when economic downturn occurs. This paper aims to analyze how the Great Recession affects hospital performance in Pennsylvania during the period 2005-2012 by using data envelopment analysis (DEA). Specifically, we measure efficiency for hospitals in Pennsylvania, and use several DEA models to calculate the global Malmquist index (GMI). We find that: (1) 15.4% hospitals are always efficient while 36.9% hospitals are always inefficient for all years in 2005-2012; (2) The relative distance for a group of hospitals to the frontier is almost unchanged post-recession and pre-recession; (3) The average efficiency/GMI decreases by 2.43%/3.07% from pre-recession to post-recession. The analysis indicates that hospital performance slightly decreased due to the economic downturn in Pennsylvania.