Assessing overall, technical, and scale efficiency among home health care agencies
Assessing overall, technical, and scale efficiency among home health care agencies
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DOI：
10.1007/s10729-015-9351-1
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发表时间：
2017-06-01
影响因子：
3.6
通讯作者：
Mukamel, Dana B.
中科院分区：
文献类型：
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作者：
Valdmanis, Vivian G.;Rosko, Michael D.;Mukamel, Dana B.
虽然家庭保健机构(HHA)在健康生产中发挥着至关重要的作用，但很少有研究衡量它们的效率。使用稳健的数据包络分析(DEA)方法，我们在全国范围内的HHA样本上评估了总体、技术和规模效率。在推导出三个效率指标后，我们对各种环境因素的得分进行了回归。我们发现，HHAS平均可以按比例减少28%(总体效率)、23%(技术效率)和6%(规模效率)的投入。营利性所有权与整体效率和技术效率的提高呈正相关，连锁店所有权与全球效率呈正相关。所有的能效衡量标准也因州而异。随着家庭健康成为卫生保健系统中日益重要的参与者，其在国家卫生支出中的份额增加，了解该行业的成本结构和提高效率的潜力变得重要。因此，随着这一领域的持续增长，建议进行进一步的研究。
While home health care agencies (HHAs) play a vital role in the production of health, little research has been performed gauging their efficiency. Employing a robust approach to data envelopment analysis (DEA) we assessed overall, technical, and scale efficiency on a nationwide sample of HHAs. After deriving the three efficiency measures, we regressed these scores on a variety of environmental factors. We found that HHAs, on average, could proportionally reduce inputs by 28 % (overall efficiency), 23 % (technical efficiency) and 6 % (scale efficiency). For-profit ownership was positively associated with improvements in overall efficiency and technical efficiency and chain ownership was positively associated with global efficiency. There were also state-by-state variations on all the efficiency measures. As home health becomes an increasingly important player in the health care system, and its share of national health expenditures increases, it has become important to understand the cost structure of the industry and the potential for efficiencies. Therefore, further research is recommended as this sector continues to grow.