Surgeons' efficiency change is a major determinant of their productivity change
Surgeons' efficiency change is a major determinant of their productivity change
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DOI：
10.1108/ijhcqa-12-2015-0150
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发表时间：
2016-01-01
影响因子：
1.5
通讯作者：
Sawa, Tomohiro
中科院分区：
文献类型：
--
作者：
Nakata, Yoshinori;Watanabe, Yuichi;Sawa, Tomohiro
目的-日本医疗体系的可持续性受到质疑，因为政府背负着巨额财政债务。尽管付出了巨大的努力来削减赤字，但由于人口迅速老龄化，我们的医疗支出每年都在增加。这个问题的解决方案之一是提高医疗保健的生产率。设计/方法/方法-收集东京大学医院2014和2015年4月1日至9月30日所有外科手术的数据，并在不变的规模收益假设下，使用非径向和非定向Malmquist模型计算外科医生的Malmquist指数(MI)、效率变化(EC)和技术变化(TC)。然后，作者将这些外科医生分成两组：一组生产力提高，另一组生产力倒退。对这两组进行比较，以确定可能影响他们MI的因素。结果显示，两组之间唯一显著的差异是ECs(p
Purpose - The sustainability of the Japanese healthcare system is in question because the government has had a huge fiscal debt. Despite an enormous effort to cut the deficit, our healthcare expenditure is increasing every year because of the rapidly aging population. One of the solutions for this problem is to improve the productivity of healthcare. The purpose of this paper is to determine the factors that change surgeons' productivity in one year.Design/methodology/approach - The authors collected data of all surgical procedures performed at Teikyo University Hospital from April 1 through September 30 in 2014 and 2015, and computed the surgeons' Malmquist index (MI), efficiency change (EC) and technical change (TC) using non-radial and non-oriented Malmquist model under the constant returns-to-scale assumptions. The authors then divided the surgeons into two groups; one whose productivity progressed and the other whose productivity regressed. These two groups were compared to identify factors that may influence their MI.Findings - The only significant difference between the two groups was ECs (p